title: [The diabetic patient at altitude: pathophysiology and practical implications].
abstract: The prevalence of diabetes is constantly growing and an ever increasing number of diabetics travel to moderate (1500-2000 m, 5000-6500 ft.) or high altitude (>2500 m, >8000 ft) for recreational purposes. Stays at moderate altitude are very well tolerated for a majority of diabetics, but can be limited by hypoxia or equipment failure due to freezing temperatures, or by the occurence of altitude-specific pathologies, as acute mountain sickness, which can mimick hypoglycemia in the diabetic. Beyond 2500 m, freezing, remoteness, hypoxia-induced anorexia, side effects of medications and the higher incidence of mountain sickness can make diabetes control difficult. A well informed and prepared diabetic patient, with sufficient and adequatly kept equipment, and a reasonably good fitness level, can enjoy and master mountaineering.
authors.affiliation: Service de Diabétologie, Endocrinologie et Nutrition, HUG, Genève. sebastien.thalmann@hcuge.ch
authors.forename: S
authors.initials: S
authors.lastname: Thalmann
authors.forename: B
authors.initials: B
authors.lastname: Gojanovic
authors.forename: F R
authors.initials: FR
authors.lastname: Jornayvaz
authors.forename: G
authors.initials: G
authors.lastname: Gremion
authors.forename: J
authors.initials: J
authors.lastname: Philippe
mesh_terms: D000531:Altitude; D003920:Diabetes Mellitus / Q000503:physiopathology*; D006801:Humans; D009051:Mountaineering