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If you have diabetes, there are so many things to stay on top of when it comes to your health. Blood sugar is at the top of the list, followed closely by cholesterol, then your diet and how much exercise you get. That's not even mentioning proper sleep, hydration, your mental health, and managing medications! One issue that often slips under the radar is body temperature.
People with diabetes are particularly susceptible to the effects of heat. The summers are getting warmer, and knowing how to handle the heat is critical. Regulating your body temperature is the best way to avoid heat exhaustion and other heat-related illnesses. Let's go over how to handle diabetes in the heat with a guide from PatientsLikeMe.

Why Body Temperature Matters
People with diabetes can face several issues when exposed to high temperatures. Damage to blood vessels and nerves can affect sweat glands. This in turn makes it harder for the body to cool down efficiently. Over time this can lead to heat exhaustion or heat stroke.
Diabetes can cause dehydration because high blood sugar levels can make you urinate more. This leads to fluid loss. Some diabetes medications, like diuretics, can also increase the risk of dehydration. High temperatures can also change how your body uses insulin. If the weather is warmer, you may need to test your blood sugar levels more often and adjust your insulin levels accordingly.

Managing Body Temperature
The first step is to stay hydrated, and drink plenty of water. Even if you are not thirsty, make it a habit to drink water regularly. This helps prevent dehydration, which can raise blood sugar levels. Drinks like coffee, soda, and energy drinks can lead to water loss and spike your blood sugar levels. Stick to water or non-caffeinated herbal teas.
Dressing appropriately can make a world of difference. Choose lightweight, loose-fitting, and light-colored clothing to help keep your body cool. Tight or heavy clothing can trap heat and increase body temperature. Protect your skin from sunburn, which can raise blood sugar levels, by wearing sunscreen and a wide-brimmed hat.
Be sure to check your blood sugar levels often! Check your blood sugar before, during, and after being active, especially in the heat. This helps you understand how your body responds to high temperatures and physical activity. Based on your blood sugar levels, you might need to adjust your insulin dose. Always work with your healthcare provider before making any changes.
Finally, stay cool! If you have air conditioning, use it during hot days. Stay in the shade as much as possible. Direct sunlight can increase the heat index by up to 15°F, making it much harder to stay cool. Plan outdoor activities for early morning or late evening when temperatures are cooler. Avoid being active during the hottest part of the day.

Medication and Preparation
High temperatures can also affect your diabetes medications and equipment. Keep insulin and other medications out of direct sunlight and away from hot areas, such as the inside of a car. Use a cooler for storage during travel, but avoid placing insulin directly on ice or gel packs. Heat can damage blood sugar monitors, insulin pumps, and other diabetes equipment. Keep these items in a cool, shaded place, and never leave them in hot cars or by the pool.
Having a plan for emergencies is crucial, especially during hot weather or severe weather events. Try to prepare for power outages. If you rely on refrigeration for insulin, make a plan for keeping it cool during power outages. Keep an emergency supply kit with necessary medications, equipment, and a cooler. Pack a bag with essentials in case you need to leave home quickly. Include medications, medical supplies, water, snacks, and important documents.

Regulating body temperature is an important part of managing diabetes. This is more true now than ever, as temperatures continue to rise. Staying hydrated, monitoring blood sugar levels, dressing appropriately, and protecting your diabetes supplies are critical steps to stay safe and healthy. Always work with your healthcare provider for personalized advice and adjustments to your diabetes management plan. There's no reason you can't have a safe and fun summer! Take some steps to protect yourself, and be sure to check out PLM for more information.
