A Diabetic’s Guide to Traveling in China: Insulin, CGM & Supplies

Traveling to China with diabetes requires meticulous planning, but it's absolutely achievable. The key to a safe and stress-free journey lies in preparation, understanding the local healthcare landscape, and knowing how to source supplies if needed.

This guide will walk you through everything from pre-trip preparations to buying insulin and Continuous Glucose Monitor (CGM) sensors in China.

Part 1: Before You Go - Essential Preparations

Proper planning is 90% of the battle. Don't leave anything to chance.

1. Get a Doctor's Letter (Bilingual)

This is your most important document. Ask your doctor for a detailed letter that is:

• Bilingual (English and Mandarin): This is crucial for airport security and any potential interactions with pharmacists or doctors in China.
• Specific: It should clearly state your condition and list all the medications (insulin types), and equipment (syringes, pump, CGM, testing strips) you need to carry.

2. Pack Redundantly (The 2x or 3x Rule)

Pack at least double, or ideally triple, the amount of supplies you anticipate needing for your trip. This includes:

• Insulin pens and/or vials
• Syringes or pen needles
• CGM sensors and transmitters
• Insulin pump supplies (reservoirs, infusion sets)
• Blood glucose test strips
• Glucagon emergency kit
• Glucose tabs or gels

Pro Tip: Split your supplies between your carry-on luggage and your checked bag. Never put all your insulin in your checked bag, as cargo holds can freeze and air pressure can damage vials.

3. Keep Your Insulin Cool

Invest in a specialized cooling wallet like a Frio pack. These are activated with water and will keep your insulin at a safe temperature for days without refrigeration, which is perfect for long travel days.

4. Airport Security & Customs

With your bilingual doctor's letter, you should have no issues with security. Keep all your medical supplies in their original packaging if possible. Declare your supplies to security officers; they are generally familiar with handling medical equipment.

Part 2: Insulin in China - Availability & Purchase

Running out of insulin is a serious concern, but it's possible to get more in China.

How to Get a Prescription

You cannot use a foreign prescription in a Chinese pharmacy. You must see a local doctor to get a new one.

• International Clinics: This is the easiest, albeit most expensive, option. In major cities like Beijing, Shanghai, and Guangzhou, clinics like ParkwayHealth, United Family Healthcare, or International SOS have English-speaking doctors who can prescribe the insulin you need.
• Local Hospitals: A cheaper option is to visit the endocrinology department (内分泌科, nèifēnmì kē) of a large public hospital. You may face language barriers, so having a translator or a translation app is essential.

Common Insulin Brands

Many global insulin brands like Novo Nordisk (NovoLog/NovoRapid), Eli Lilly (Humalog), and Sanofi (Lantus) are widely available in China. However, the exact formulation or brand name might be slightly different. Bring your own insulin boxes to show the doctor exactly what you use.

Part 3: CGM & Pump Supplies (The Real Challenge)

This is where self-sufficiency becomes critical.

Freestyle Libre (瞬感 - Shùngǎn) - The Good News

Abbott's FreeStyle Libre is officially sold in China. This is a huge relief for its users.

• Where to Buy: You can purchase sensors from the official Abbott WeChat store, on e-commerce platforms like JD.com and Taobao, or in some very large pharmacies in Tier-1 cities.
• Challenges: Buying online often requires a local payment method (WeChat Pay/Alipay) and a Chinese phone number. If you're on a short trip, it's far easier to bring your own.

Dexcom, Medtronic, and Other Systems

CRITICAL: Assume you cannot buy supplies for Dexcom, Omnipod, Tandem, Medtronic, or other pump/CGM systems in China. The "Bring Your Own" rule is absolute for these devices. Pack everything you need and then some.

Keywords to note: Freestyle Libre sensors China pharmacy, insulin refill China foreigner, diabetes supplies Beijing.

Part 4: Managing Diet & Blood Sugar

Chinese cuisine can be a minefield of unexpected carbs and sugars.

• Hidden Carbs: Be mindful of sauces (which are often thickened with cornstarch and sweetened), rice, noodles, and starchy vegetables.
• Useful Phrases:
  • "I am diabetic."
    • 我是糖尿病患者 (Wǒ shì tángniàobìng huànzhě)
  • "No sugar, please."
    • 不要糖 (Bùyào táng)
  • "Is this sweet?"
    • 这个甜吗? (Zhège tián ma?)

Conclusion

Traveling in China with diabetes is a test of preparation. Your mantra should be: over-prepare, carry a bilingual doctor's letter, and assume you can't buy anything except for insulin and possibly Libre sensors. By packing redundant supplies and being mindful of your diet, you can confidently explore all the incredible sights China has to offer.