It sounds like your doing everything I do. In addition I have a 
heart condition and Need to take verapamil and avoid the heat as much 
as possible -  usally over 25 celcius and I am in trouble. 

I am going to paste this page of tips for you but I am sure the 
Doctors in the group will be able to add more:

Diabetes-Friendly Tips for Handling the Summer Heat

The heat being experienced in many parts of the nation these days is 
tough enough for the average healthy person, but for the estimated 21 
million Americans with diabetes, special precautions may be required. 

Te following are tips for people with diabetes during steamy summer 
days:

Keep hydrated. Dehydration, or the loss of body fluids, can happen on 
these very hot summer days whether you have diabetes or not. If you 
have diabetes, dehydration also can occur when blood glucose is not 
under control. When blood glucose is elevated, this can lead to an 
increase in the body's excretion of urine. To prevent dehydration 
drink plenty of caffeine-free fluids such as water, seltzer or sugar-
free iced tea and lemonade. Limit your intake of alcohol.

Watch for signs of heat exhaustion, especially if you are working or 
exercising outdoors. People with diabetes and other chronic diseases 
like heart disease are more susceptible to overheating. Symptoms 
include: feeling dizzy or fainting; sweating excessively; muscle 
cramps; skin that is cold or clammy; headaches; rapid heartbeat 
and/or nausea. If you experience any of these symptoms, move to a 
cooler environment, drink fluids like water, juice or sports drinks 
(based on your healthcare provider's instructions) and seek medical 
attention. 

Exercise in a cool place such as an air-conditioned gym, or early in 
the morning or later in the evening when temperatures may be more 
moderate.

Check blood glucose levels at least four times per day, and more 
often if you are not feeling well. Remember that heat can cause blood 
glucose levels to fluctuate. Carry plenty of water and snacks. 

Store your blood glucose meter, strips and insulin in a cool, dry 
place. Do not store insulin in extreme temperatures. Never store 
insulin in the freezer, in direct sunlight, in the car or the car's 
glove compartment. Examine your vials of insulin. Clear insulin 
(Regular, Humalog, Novolog, Apidra, Lantus, Levemir) should remain 
clear. NPH insulin should not have any clumping or "frosting" on the 
vials.

 Additional Tips For Insulin Pump Users

For insulin pump users, excessive perspiration can be a problem in 
hot weather or during strenuous activities. This can loosen the 
adhesive securing the infusion set, the part of the device that 
attaches to your body. If perspiration is a problem, try using a 
spray of antiperspirant on the insertion site after your usual skin-
preparation routine. Others have success with skin-barrier 
preparations such as Mastisol, Skin-Tac H or a compound tincture of 
benzoin applied to the skin.

The pump housing provides some insulation from the heat. If you are 
concerned about heat, you can use a protective pouch with a small, 
cold gel pack placed inside the pouch as a way to protect your 
insulin from the effects of heat. If you are spending an extended 
amount of time in the sun, cover the pump with a towel to protect it 
from prolonged direct sunlight. Disconnecting your pump for up to an 
hour is another option, but if it is disconnected for a longer time, 
you will need to adjust your insulin infusion rate accordingly to 
allow for the missed doses.

--- In [email protected], "Ahmed Nour" <[EMAIL PROTECTED]> wrote:
>
> 
> Dear ALL
> 
> I am here again !.. hope ever member is doing fine , I know it has 
> been long time since my last appearance ;-) but what can I do the 
> last monthes for me was like life changinf as for those who might 
> not know I am settling down here under 42 to 43 'C heat in a 
country 
> residing on the Arabian Gulf with all the heat and all the sun that 
> you can and you can not imagine |-(
> 
> I hope to hear for every one of you.. my friends Abdel Hady .. 
> Sunwoman .. Abdul Baset .. Mohamed Zeid .. Dr. Mahmoud .. Dr. 
Ashraf 
> EL-Sheikh .. Dr. Soliman Azmy .. Dr. Hanaa .. Marwa .. Heba .. 
Nihal 
> Abdin .. Asmaa .. and the rest of our diabetes gang !
> 
> Now my insulin is getting ruined from heat again and again .. and I 
> really do not know what the hell I can do ?! I bought this cooling 
> bag but it seems like it is not working !.. my work makes me always 
> exposed to heat and my skil is getting darker ;-(( 
> 
> I want any doctor or any friend to advise... I drink galons of 
> water.. and juice.. and so on.. what else do any one of you 
advise ??
> 
> Please if you know anything let me know .. many thanks in advance !
> 
> Ahmed Nour-Eldin
>


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