I don’t have much time this morning so I will have to be very brief.
I have been wearing a pump for many years now. When I approach security at the airport I inform the first security official in the line that I have diabetes, wear a pump and have other sharps in my carry-on bag. I then ask what they need me to do. I sometimes get a full pat-down in a separate area, sometimes get a “wanding” in front of “god and everybody,” but always have to put my carry on luggage on the conveyor. It’s really okay if your vial of insulin goes through the machine. But some TSA officials will allow you to carry it through security in your hand.
Make sure prescription items have a prescription label on the box/bag.
Believe it or not, TSA employees at different airports do things differently. So, I just approach security lines with a flexible and “laid-back” attitude and “go with their flow.” Do as they instruct and you’ll be fine. But you’ll look a little “rumpled” after the process is over - wear casual clothes if you can. I have had to “almost” undress a couple of times; once when I was wearing a suit with a vest.
Don’t, I repeat, DO NOT put your diabetes supplies in your checked luggage. I did that many, many years ago and ended up in San Diego trying to find an emergency clinic to get a prescription for UltraLente insulin. Put ALL of your diabetes supplies in your carry-on luggage.
Make sure your glucose meter is accessible (put it in your purse). Test your blood glucose level as you need to during the flight - who cares what other people think. If anyone gets nervous (thinking you are about to set off a bomb) just look at them, smile, and say, “I have diabetes and have to watch my blood sugar level pretty closely.” That will satisfy them. And they may then begin to tell you about their cousin, or brother, or other family member who has T2. Just let them talk and “tend to the business at hand.”
If you want to, tell the flight attendant that you have diabetes and will be checking your blood glucose level during the flight. That may help you feel more comfortable when you pull out your meter and stick yourself. But do use an alcohol swab during the process. That will make others feel more comfortable with what you’re doing.
Stand up periodically. If you need to, stand in the aisle. You don’t want to stay in a seated position for more than 50 minutes at a time. Get up, move around as you can.
After several years all of this will become “old hat” to you. But for now, do what you need to to reassure yourself that you are okay. That will ease some of the stress.