Above the Clouds with Diabetes: From Pathophysiological Considerations to Practical Recommendations for Safe Flights.

IF 1.6 4区 医学 Q4 BIOPHYSICS High altitude medicine & biology Pub Date : 2024-08-02 DOI:10.1089/ham.2024.0057
Dimitra Vasdeki, Georgios Tsamos, Kleoniki I Athanasiadou, Vasiliki Michou, Evangelos Botsarakos, Michael Doumas, Kalliopi Kotsa, Theocharis Koufakis
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Abstract

Vasdeki, Dimitra, Georgios Tsamos, Kleoniki I. Athanasiadou, Vasiliki Michou, Evangelos Botsarakos, Michael Doumas, Kalliopi Kotsa, and Theocharis Koufakis. Above the clouds with diabetes: From pathophysiological considerations to practical recommendations for safe flights. High Alt Med Biol. 00:00-00, 2024. Background: The prevalence of diabetes mellitus has been following an increasing trend in the last decades, leading to a growing number of travelers with diabetes seeking pretravel advice from medical professionals. Methods: This narrative review summarizes the existing evidence on the intriguing association between diabetes and air travel, analyzes safety and certification protocols, and provides practical recommendations for the management of diabetes during flights. Results: During air travel, individuals with diabetes face challenges arising from inappropriate dietary options, restricted access to medications and healthcare services, disruption of medication dosing intervals, and exposure to hypobaric conditions in the airplane cabin. In addition, people with diabetes, especially those treated with insulin, have traditionally been considered ineligible to become professional pilots. However, this approach gradually changes and numerous countries are now implementing strict protocols to determine the eligibility of pilots with diabetes to operate flights. Conclusions: Given the increasing use of technology and new drugs in daily clinical practice, there is a need for further research in the field to shed light on existing knowledge gaps and ensure safe flights for people with diabetes.

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糖尿病患者的云端之上:从病理生理学考虑到安全飞行的实用建议。
Vasdeki, Dimitra, Georgios Tsamos, Kleoniki I. Athanasiadou, Vasiliki Michou, Evangelos Botsarakos, Michael Doumas, Kalliopi Kotsa, and Theocharis Koufakis.糖尿病患者的云端之上:从病理生理学考虑到安全飞行的实用建议。00:00-00, 2024.背景:在过去几十年中,糖尿病的发病率呈上升趋势,导致越来越多的糖尿病旅客向医疗专业人士寻求旅行前建议。方法:这篇叙述性综述总结了糖尿病与航空旅行之间耐人寻味的关联的现有证据,分析了安全和认证协议,并为飞行期间的糖尿病管理提供了实用建议。结果:在空中旅行期间,糖尿病患者面临着以下挑战:饮食选择不当、获得药物和医疗服务的途径受限、服药间隔被打乱以及暴露于机舱内的低气压条件。此外,糖尿病患者,尤其是接受胰岛素治疗的患者,历来被认为没有资格成为专业飞行员。然而,这种做法逐渐发生了变化,现在许多国家都在实施严格的规程,以确定糖尿病飞行员是否有资格进行飞行操作。结论:鉴于在日常临床实践中越来越多地使用技术和新药物,有必要在该领域开展进一步研究,以揭示现有的知识差距,确保糖尿病患者的飞行安全。
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来源期刊
High altitude medicine & biology
High altitude medicine & biology 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
9.50%
发文量
44
审稿时长
>12 weeks
期刊介绍: High Altitude Medicine & Biology is the only peer-reviewed journal covering the medical and biological issues that impact human life at high altitudes. The Journal delivers critical findings on the impact of high altitude on lung and heart disease, appetite and weight loss, pulmonary and cerebral edema, hypertension, dehydration, infertility, and other diseases. It covers the full spectrum of high altitude life sciences from pathology to human and animal ecology.
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