- Personal Description
Name Email Address
Country Fax/Telephone number Day of Birth Age of diabetes detection
- Insuline usual treatment
Number of injections
Dosage Kind of insulin
- Controls
How many controls do you have? Which ones?
- Do you follow any treatment other than insulin?
- Mountain activity
Maximum altitude
Main peaks:
- On diabetes and mountain
Glycemia controls done in mountain Blood test (glucometer?) How many and When? Urine test (glucosuries?) How many and When? Explain How do you adjust insulin treatment and mountaineering? Do you increase
dosage? Do you decrease
dosage? How much? Explain
Do you modify your diet? YES NO
- Your climbing fellows
Are your usual mountain climbing fellows asare of what diabetis implies?
YES
NO Would they
know what to do in an emergency situation? YES NO If it is so, who taught them? Have they ever done it? YES NO What happened?
- Difficulties in the mountains
Have you ever had serious metabolic disorder while climbing? YES NO If so, how did you overcome it?
- Your doctor
Do you have medical support as a mountaineering diabetic? YES NO What does your doctor say?
What do you think?
- Would you like to make any comments