Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Background: Diabetic travellers to the (sub)tropics are thought to have symptomatic infectious diseases more often and longer than non-diabetics. Evidence for this is needed. This study evaluates whether diabetic travellers are at increased risk of symptomatic infectious diseases. Methods: A prospective study was performed between October 2003 and February 2008 among adult medication-dependent diabetic travellers, with their non-diabetic, non-immunesuppressed travel companions serving as matched controls. Thus, diabetics and controls were assumed to have comparable exposure to infection. Data on symptoms of infectious diseases were recorded by using a structured diary. Results: Among 70 insulin dependent diabetics, the incidence of travel-related diarrhea was 0.99 per person-month, and the median number of symptomatic days 1.54 per month. For their 70 controls, figures were 0.74, and 1.57, respectively (p>0.05). Among 82 non-insulin-dependent diabetics, incidence was 0.75, and the median number of symptomatic days was 1.68. For their 82 controls, figures were 0.70, and 1.68,respectively (p<0.05). As for other symptoms, no significant travel-related differences were found between diabetics and controls. Only 17% of diabetic travellers with diarrhea used their standby antibiotics. Conclusions: Medication-dependent diabetic travellers to (sub)tropical destinations do not have symptomatic infectious diseases more often or longer than non-diabetics. Although the incidence of metabolic dysregulation among diabetic travellers should be assessed in more detail, routine prescription of stand-by antibiotics against uncomplicated travellers' diarrhea is probably not useful, in particular not for NIDD. Self-treatment should be reserved for more complicated diarrhea. © 2010 The author and IOS Press. All rights reserved.

Type

Book title

Travel Medicine: Knowledge, Attitude, Practice and Immunisation

Publication Date

01/02/2010

Pages

57 - 74