Backpacker Magazine – January 2009

Hiking with Chronic Conditions

Have one of these three common health problems? Stay safe on the trail by taking sensible precautions.

by: Gretchen Bergen

DIABETES
The risk Hypoglycemia (low blood sugar) or unconsciousness brought on by exertion, eating too little, or taking too much insulin.
The fix Sheri Colberg-Ochs, Ph.D., and author of The Diabetic Athlete's Handbook, advises:

• Your body uses more glucose during prolonged physical activity, especially in temperatures below 50°F, so you might need to reduce insulin dosage to compensate.
• Keep insulin between 46&Deg;F and 86&Deg;F. Prevent freezing by carrying it in an inside pocket and stashing it in your sleeping bag at night; in hot weather, store it in a Dia-Pak with a cold gel pack ($23; medicool.com).

 

ASTHMA
The risk An asthma attack triggered by exercise, altitude, wood smoke, pollen, dust, or cold temperatures.
The fix Esther Langmack, MD, pulmonary specialist at National Jewish Hospital in Denver, advises:

• Spend at least 48 hours acclimating at your destination before beginning a high-altitude trip; adapting to elevation is more difficult for asthmatics.
• Consult your doctor about bringing an emergency steroid (such as Prednisone) on the trail–these prescription drugs reduce airway inflammation if you have an attack.

 

HEART DISEASE
The risk A heart attack brought on by the stresses of altitude and strenuous hiking with a heavy pack.
The fix Gerald Fletcher, MD, cardiovascular specialist at the Mayo Clinic in Jacksonville, Florida, advises:

• Improve baseline health with good nutrition and regular exercise. This treats the underlying disease and lowers the risk of on-trail complications.
• Ask your doctor about packing a vasodilator like nitroglycerin, which treats chest pain by widening blood vessels.
• Don't overdo it. If you experience shortness of breath or pressure and pain in the chest, stop and rest.

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