Date:
To Whom It May Concern:
_____________________________________ (Date of Birth) _____________, has Type 1, or insulin dependent, diabetes and is under the care of the Diabetes Team at Childrens National Medical Center, in Washington, D.C. He/she will be traveling, and will need to carry diabetes related supplies with them at all times. This will include the following items:
- Insulin vials or cartridges
- Insulin pen(s)
- Insulin pump and infusion sets
- Insulin syringes
- Blood glucose meter(s)
- Blood glucose test strips
- Lancing device
- Lancets
- Glucagon Emergency kit(s)
- Ketone test strips
- Fast acting carbohydrates, such as glucose tablets or gel, juice boxes or regular soda
- Extra snacks
If there are questions about the care of this patient, please feel free to call the office, Monday through Friday, 8:30am to 4:30pm, at 202-476-2121. In an emergency, after hours or on weekends or holidays, please call the diabetes physician on-call, at 202-476-5000.
The Diabetes Team at Children's National
Dr. Audrey Austin, Dr. Fran Cogen, Dr. Paul Kaplowitz, Dr. Priya Vaidyanathan, Dr. Elizabeth Parker, Dr. Rinku Mehra
