10 Tips for Traveling With Food Allergies
For those suffering from peanut, gluten, soy, lactose and other food allergies, finding food for your family when traveling can range from annoying to frightening. Here are 10 ways to mitigate risks and enjoy the journey.
Peanuts at 30,000 FeetPeanut allergies are among the most severe, yet peanuts are synonymous with in-flight snacks. Many airlines no longer serve peanuts–check the airline website for policies–though other passengers may bring peanut snacks aboard. Airlines such as Southwest will not serve peanuts if contacted a few days before the flight. Speak to a gate agent before your family's flight and ask to pre-board in order to wipe down the seat and area where your family will be seating to remove any peanut dust and particles. Flight attendents can also make announcements before takeoff asking passengers to please not open peanut-containing snacks during the flight. 960 1280
Give Yourself Extra Time for SecurityIf you travel with more than 3 ounces of liquids, such as almond milk, peanut butter or apple sauce, it's helpful to have a doctor's note to present to TSA agents, if necessary. Give yourself extra time in security for additional screening of items, but you shouldn't have any trouble getting an exception. 960 1280
Epinephrine InjectionsThe TSA considers epinephrine injectors a medical necessity, and allows them to be carried aboard flights. Epinephrine injectors should be bagged with other carry-on liquids for inspection. At least two injectors should be available (consider one injection lasts for about 20 minutes), and if you're traveling alone, notify your flight attendent where your injectors are should you go into anaphylaxis. Make sure they are clearly labled and accessible. Airplanes carry at least one epinephrine injector in the onboard medical kit as well, and flight attendents are trained in their use.
Gluten Testers are Coming SoonDevices such as Nima Portable Gluten Tester will enter the market this year, allowing travelers to test food for gluten and other ingredients. Nima uses one-use capsules that are $5 each, and hopefully prices will come down as more products come on line. 960 1280
Pack More Snacks Than You Think You'll NeedIt sounds obvious, but many people get caught off-guard by flight delays, lack of restaurants that accomodate special diets and other hiccups while traveling. Pack more diverse, safe snacks then you think you'll need, or even full meals such as those from GoPicnic. For kids, pack extra special treats as something to look forward to during the travel day. 960 1280
Plan Ahead for Peace of MindFamiliarize yourself with medical facilities near your destination that can treat an allergic reaction, if necessary, and have your doctor transfer any prescriptions that you may need filled when traveling ahead of time. Consider how you would replace EpiPens used during a flight, for example. 960 1280
Translate Your NeedsIf you're not fluent in the language of your destination, create a translated card beforehand you can present at restaurants that lists ingredients you need to avoid, along with a brief explaination. Be aware that foods with which you're familiar with at home may use different ingredients abroad, such as types of flour or nuts. 960 1280
Reach Out to Local GroupsMany destination cities have organizations that share information about local restaurants that accomodate dietary needs, such as the NYC Celiac Disease Meetup Group and the Gluten Free Bay Area Meetup Group. Incorporate finding exciting diet-sensative restaurants into your travel plans, and reach out to people with similar dietary concerns for advice and recommendations. Locals are more than happy to share their knowledge with visitors, and you may even make new friends. 960 1280
Think SmallStart with small trips close to home. As alluring as far-off places can be, sometimes all you need is short trip to quench your thirst for wanderlust. Think state parks instead of national parks for this one. An added bonus is they are significantly less crowded and have cheaper entrance fees. 960 1280
Day TripsIt's easy to lose ourselves in the dreams of multi-day backpacking trips or plane rides halfway around the world, but when it comes to working a nine-to-five, chances are this isn't going to happen often, so try a day trip instead. You'll get out in nature, hopefully explore something new and still be home in time for dinner. 960 1280
Travel With FriendsSolo trips are fun and rejuvenating, but bringing friends along can ease the burden of travel. Other people can bring new ideas for trips and different outlooks on how to travel to the table. Having an extra person or two to drive and split the cost of gas is always a big help too. 960 1280
Travel for Work (If You're Lucky)Unfortunately this is not something that my job allows but many people do have jobs where they travel. Friends of mine who have been bitten by the travel bug do their best to tack on an extra day to business trips so they can use that time to explore a new location. 960 1280
Take Advantage of Long WeekendsVeterans Day, Independence Day, Labor Day, Memorial Day — these holidays offer most of us an extra day off from our desk jobs. Take this time to drive to that location that you've always wanted to go to that just seems a bit too far for a standard weekend. Don't worry, the couch will still be waiting for you on Tuesday. 960 1280
Combine LocationsJust because you can spend weeks at some national parks and still not see everything they have to offer doesn't mean you have to. Combining locations that are close to each other is a good way to make the most out of a limited amount of time. Not only will you still be able to see the most noteworthy sights, but the variation in landscape will leave you feeling more fulfilled in a short period of time. 960 1280
Do Your ResearchDon't be afraid to ask for recommendations from the people who spend their time in the place you're visiting. Whether it's a local resident at a gas station or a park ranger, get the inside scoop on where to go and what to see from those who know the area best. This allows you to maximize your time during a short stay. 960 1280
Be CheapYes you heard me. Buy plane tickets well in advance. Consider hotels, motels and cabins a luxury while traveling, relying on campgrounds or finding a friends couch to crash on instead. As they say, a penny saved is a penny earned, and if it means the difference between another trip or not, then it is well worth it. 960 1280
Plan in AdvanceWhether you’re traveling with someone with a permanent or temporary physical disability, the challenges remain the same. The U.S. Department of State is a good general resource, while The Americans with Disabilities Act (ADA) details what accommodations should be made. Even though U.S. hotels, transportation, and cruise ships sailing in U.S. waters are required to be ADA-compliant, don’t assume that the foreign equivalent will be. If transportation, a cruise, hotel, or other lodging (such as Airbnb) isn’t ADA-compliant, call ahead to discuss what accommodations can be made.
Other planning resources include Mobility International USA, which has helpful articles on charging wheelchair batteries and taking a service animal abroad. Curb Free with Cory Lee blogs about traveling the world in a wheelchair, and is a comprehensive guide to everything from the most accessible destinations to the pros and cons of bringing a wheelchair. 960 1280
Try to Replicate the Home RoutineTimothy Holtz is the group travel director of Flying Wheels Travel, an agency specializing in trips for people with disabilities and chronic illnesses. When planning an itinerary, for example, he emphasizes the importance of factoring in the stamina of the person in the wheelchair. If that person has more energy in the morning, then plan sightseeing around that. Holtz says to avoid doing too much in a day. He adds that some people are resistant to taking naps while on vacation, even if they regularly take them at home, but that decision can make or break a trip due to fatigue. “If you require it at home, plan on requiring it in a vacation schedule as well,” he says. 960 1280
Make Sure Travel Insurance Includes MedicalSome travel insurance plans only cover financial losses, and Medicare doesn’t cover overseas travel. Check the U.S. Department of State for a list of recommended medical providers. Be sure to choose one that includes medical evacuation, or medevac, in case of an emergency; that option could be cost-prohibitive if insurance doesn’t cover it.
Use a Specialized Travel Agent or CompanyNowadays, everywhere from Bali and Turkey to Russia and India are accessible for independent and group travelers with physical limitations. A knowledgeable agent can craft an itinerary that works for everyone, advise on whether or not a hotel is fully accessible, and arrange private transportation in a less accessible destination. Holtz says he’s taken people to Machu Picchu, the Galapagos Islands, and more, and made adjustments in places that aren’t ADA-compliant, such as modifying rooms by adding grab bars in the shower. Agents also have firsthand knowledge of accessible destinations. For example, Holtz says London and Barcelona are among his top picks for independent accessible travel. Both cities are sensitive to special needs since each hosted the Olympics and Paralympics. Further, all cabs are accessible in London. Holtz says Italy is popular for group travel, “but you really have to know what you’re doing.” He notes that even Venice is accessible if planned right, since it has accessible wheelchair boats—plus an accessible Gondola just opened this year.
In addition to Flying Wheels Travel, other companies that run trips for those in wheelchairs include Accessible Journeys. The Society for Accessible Travel & Hospitality is another resource for finding agents and companies. 960 1280
Enroll in the Smart Traveler Enrollment Program (STEP)The U.S. Department of State offers STEP as a free service that allows you to share trip information with the local U.S. Embassy or Consulate of your destination; this way it’s easy to be notified in the event of an emergency. More importantly, there’s a section under Traveler Information that allows you to enter any relevant information about a physical limitation. 960 1280
Arrange Accessible AccommodationIf you're planning an independent trip, Holtz says to consider what you typically need to do at home. For example, if you have a roll-in shower at home with a shower bench, look for that in a hotel. ADA-compliant hotels should also contain grab bars. Holtz cautions that when contacting non-ADA-compliant hotels, “many people don’t understand what fully accessible means,” such as not realizing that one step can be a barrier to someone in a wheelchair. Other considerations to ask non-ADA-compliant hotels are whether a wheelchair can fit through the room and bathroom doors, and if there’s enough room to maneuver a wheelchair once in the room. 960 1280
Arrange Assistance While FlyingHoltz says to allow at least two hours for domestic and connecting flights, and three hours for international flights. He also recommends arranging wheelchair assistance with the airline ahead of time, and double check 48 hours beforehand. At the airport, remind the check-in counter that you need wheelchair assistance. Holtz says family members should allow assistance, since agents can help with luggage and get everyone through security faster. At the very least, review TSA guidelines for special procedures. Remind the gate agent that you need assistance so that everyone in your group can preboard.
If someone is traveling with their own wheelchair, Holtz says to remove and take everything from the wheelchair that could fall off and get lost during storage, including the foot rest, head rest, and any cushions. On board, every U.S. airline that seats more than 60 and is equipped with an accessible bathroom is required to have an aisle wheelchair. Holtz suggests always requesting an aisle seat close to the bathroom. Finally, he notes that those in wheelchairs are last off the plane, so factor in that time and allow help through customs, if applicable. 960 1280
Decide Whether to Bring or Borrow a WheelchairThis depends on the nature of the trip and the needs of the user. The pros of bringing one include the known comfort level of the person using it, and not having to worry about arranging one for every step of the journey. On the other hand, if it’s electric, for example, you will have to factor in power outlet access for charging it. If you're flying, review the U.S. Department of Transportation and the Air Carrier Access Act for rights on U.S. airlines. It’s also important to understand the laws for where you’re going. 960 1280
Take Advantage of DiscountsFor example, Amtrak offers discounts (from 15%-50%) to wheelchair users and a travel companion. You must show proof of your disability, such as a doctor’s note or transit ID card; visit the site for a full list of approved documents. Reduced fares for those with physical limitations are also available on buses (such as Greyhound) and trains both here and abroad, including Japan, London, Singapore and more.
The National Park Service Access Pass is free for U.S. citizens with permanent disabilities and grants access to any of the national parks, monuments, historic sites, and more. Museums, zoos, and theme parks are some other attractions that typically offer discounts. 960 1280
Don’t Forget the Needs of the CaregiverIf a wheelchair user is in a manual (as opposed to an electric) wheelchair, Holtz says the needs of the caregiver pushing that person are often forgotten. He advises against seeing too much in one day to account for the stamina of both people. Holtz also advises considering the amount of care someone needs, which affects how much energy the caregiver has to expend. For example, if the caregiver has to get up early to help the person in a wheelchair get ready, then both people might need a nap in the afternoon.
Flying Wheels Travel offers travel companions on both independent and group tours, which gives the caretaker or spouse a vacation as well. 960 1280
Know Before You GoThis includes visiting the doctor before the trip and researching doctors, pharmacies, and hospitals at your destination. The American Diabetes Association (ADA), the Mayo Clinic, the Centers for Disease Control and Prevention (CDC), and the Diabetes Research Institute Foundation all provide comprehensive travel information. 960 1280
Plan Snacks and Meals in AdvanceHolley Grainger, a registered dietitian and culinary nutrition expert, recommends bringing meals or snacks that are rich in fiber and protein, such as individual peanut butter packets with whole grain crackers, dried fruit and nuts, or string cheese. Conversely, depending on your destination, some of these items can also be found at airports and convenience stores. When eating out, Grainger says to be mindful of portion control, and choose meals that offer a balance of protein, fiber-rich carbs, healthy fat, and a vegetable. Beware of alcohol; the ADA has a tip sheet that covers specifics.
On international flights that include meals, request a diabetic meal in advance if possible, since Grainger says many airplane meals include too many carbohydrates. 960 1280
Pack Enough Medical Supplies“Be over-prepared in case of every scenario that you can think of,” says Dr. Amber Champion, director of The Diabetes Center at Mercy Medical Center. For example, she recommends pump users bring a spare pump and an extra supply of basal (or long-acting) insulin. Other necessary supplies, depending on the type of diabetes, might include insulin, medication, rubbing alcohol, hand sanitizer, syringes, a blood glucose meter, and test strips. Be sure to pack these in a carry-on bag. A cooler for insulin is also necessary if traveling to the beach, an extremely hot destination, or for an extended period of time. Otherwise, Dr. Champion says insulin can last for 28 days at normal room temperature. 960 1280
Know Airport and Flight ProceduresAllow extra time for going through security and customs at the airport; review the Transportation Security Administration (TSA) guidelines for special procedures beforehand concerning medications, liquids, supplies, and more. Dr. Champion says the TSA doesn’t typically question items like pumps or syringes, but they’re less common in some foreign countries, so it’s best to bring a doctor’s letter. It’s equally important to be aware of what’s allowed through customs at your destination; certain prescription medications are illegal in other countries, like Dubai. The ADA provides a comprehensive guide to air travel and diabetes, as does the CDC.
During the flight, the altitude change during the ascent and descent can affect some pumps. Dr. Champion advises disconnecting it during take-off and landing to prevent it from administering extra insulin. However, speak with a doctor about your personal situation beforehand. 960 1280
Be Alert for High and Low Blood Sugar SymptomsSigns of hypoglycemia, or low blood sugar, can include nervousness, dizziness, and feeling shaky or light-headed. Grainger notes that symptoms can strike quickly and affect a person’s ability to think clearly, in which case the travel companion should carry glucose tablets as a quick fix. They’re easy to find at drugstores and supermarkets in the U.S., but carry extra when traveling abroad. Grainger notes that orange juice is a good backup too, and Dr. Champion says that small bags of candy such as Skittles or jelly beans are easy to carry and also work. For extreme hypoglycemia, a travel companion should know how to inject glucagon, a hormone that raises blood sugar. Dr. Champion recommends an app called Glucagon that walks you through the steps.
Signs of hyperglycemia, or high blood sugar, can include increased thirst, dry mouth, blurry vision, vomiting, shortness of breath, headache, and even stomach pain. Consult a doctor before a trip to discuss treatment options, which, depending on the severity, range from administering an extra dose of insulin to visiting an emergency room. Dr. Champion says to leave insulin injections to the paramedics. 960 1280