People with diabetes require uninterrupted access to treatment and care, healthy food, safe environments for physical activity, and information and guidance on managing their diabetes to prevent complications.

Even in the best of times, the condition can cause unnecessary hardship and overwhelm healthcare systems. Managing diabetes becomes more complicated when resources are scarce or in times of emergency.

In addition to spearheading essential diabetes awareness, advocacy and education initiatives, IDF engages in humanitarian activities to tackle the challenges of living with diabetes during a natural or human-made disaster.

Resources to support diabetes care in humanitarian emergencies

IDF has compiled a selection of resources available for download to support people with diabetes, healthcare professionals and first responders in times of emergency.

People with diabetes | Healthcare professionals | First responders

Challenges

Depending on the emergency, the diabetes challenges vary. Several factors contribute to the disaster response and support delivered to people with diabetes. These include:

  • Type, size and nature of the affected area
  • Duration of the disaster
  • Local population’s experience with such disasters
  • Local infrastructure and socioeconomic situation
  • Preparedness plans
  • Size of assistance provided on local, regional and global levels

Latest IDF humanitarian activity news

Response to earthquake in Colombia

IDF and its South and Central America (SACA) Region are in contact with members and partners in Colombia to help ensure that diabetes medicines and supplies remain available and accessible to people living with diabetes impacted by the earthquake that struck western Colombia on 10 August 2026.

Learn more

Statement on access to insulin and diabetes care in Palestine

The International Diabetes Federation remains deeply concerned by the severe restrictions on access to insulin and essential diabetes care in Palestine, particularly in the Gaza strip. We call on international agencies and all relevant authorities to use their mandates and influence to protect public health, healthcare professionals and facilities, and to ensure safe and unhindered access to diabetes care.

Read our statement

Response to earthquakes in Venezuela

IDF and its South and Central America Region have mobilised members and partners to help ensure that diabetes medicines and supplies remain available and accessible to people living with diabetes impacted by the earthquakes that struck Venezuela on 24 June 2026.

Learn more

Crisis in the Middle East

The International Diabetes Federation is deeply concerned about the situation in Iran and countries across the Middle East following the escalation of tensions in the region in March 2026. We are closely monitoring the situation and working with our Members in the Region and partners to better understand how the situation is affecting people living with diabetes.

Learn more

Mobilising humanitarian support for Sudan

In response to the protracted humanitarian crisis in Sudan, a strategic partnership between Direct Relief, the International Diabetes Federation (IDF), and national diabetes institutions—in collaboration with the Federal Ministry of Health and coordinated by the Sudanese Childhood Diabetes Association—has mobilised critical support.

Learn more

WHA79: The Value Collection

An immersive exhibition exploring the value of flexible, person-centred primary health care through lived experiences, real stories and community voices.

Discover the stories

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Living with diabetes during a crisis means carrying both a physical and emotional burden. It’s about resilience, but it’s also about exhaustion. And it’s important for people to understand that behind every person with diabetes in a crisis, there’s a story of fear, disruption, and the struggle to keep going despite everything. (Pedro, living with type 1 diabetes, Lebanon)

Sudden onset disasters

Sudden natural or human-made disasters disrupt people’s lives and healthcare systems. These situations pose unique challenges to people with chronic conditions such as diabetes, who may be unable to access the required medicine and supplies in sufficient quantity.

  • medicine shortages or difficulties in reaching distribution points
  • loss of prescriptions and medical records
  • damage to medical facilities
  • lack of diabetes training among emergency healthcare personnel
Disruption and poor health outcomes

Emergencies can lead to disruption in food, water, and utilities, leaving people with inadequate food options and limited cooking abilities. This can lead to poor health outcomes such as increased blood pressure and poor glycaemic control. In addition, diet and exercise regimens can be affected for months after a disaster, and mental health issues can arise post-disaster.

Resources for people with diabetes in disaster situations

Guideline

DDRC Patient Preparedness Plan

A guide developed by the Diabetes Disaster Response Coalition to help people living with diabetes to stay healthy during natural disaster or emergency.
DDRC preparedness plan pdf 926KB
Guideline

Diabetes care related sharps disposals during a disaster

Guideline on reusing and disposing of insulin syringes, pen needles and lancets by individuals during a disaster.
Diabetes care related sharps disposals during a disaster ENGLISH pdf 717KB
Guideline

Diabetes Emergency Kit - Important Information List

Guide developed by Diabetes Educational for All. Also available in Arabic
Diabetes Kit- Imp Information - EN pdf 2MB
Article

Disaster-related actions for people with diabetes and their families

Article published in Diabetologia that provides an overview of disaster-related actions recommended for people with diabetes and their families according to the prevention, preparation, response and recovery approach.
Disaster related actions pdf 450KB
Infographic

Emergency Diabetes Supplies List

Infographic developed by Diabetes Education for All. Also available in Arabic
Emergency Diabetes Supplies to Pack - EN pdf 2MB
Guideline

Glucose level conversion charts

Guidelines to support people who may lose their glucose meter during a disaster, or may have never had one, they may receive a glucose meter or strips in different units than they are familiar with. Also available in Spanish.
glucose conversion charts pdf 479KB
Guideline

Insulin Switching Patient Guide

Guide developed by International Alliance for Diabetes Action and Diabetes Education for All. Also available in Arabic
Insulin Switching Infographic for Patients - EN pdf 1MB
Article

Storing and delivering insulin during a disaster

This document provides relevant information, including references and information sheets from diabetes organisations on storing and delivering insulin. Also available in Spanish. Translation provided by Dr Claudia Pieper.
Storing and Delivering Insulin During a Disaster pdf 550KB
Guideline

The 15-15 rule for treating low blood glucose

Guideline developed by Diabetes Education For All. Also available in Arabic
The 15-15 rule for treating low blood glucose - EN pdf 2MB
Guideline

Tips for people with diabetes in disaster situations

Guidelines developed by the IDF South and Central America (SACA) Region to support people living with diabetes in disaster situations. Also available in Portuguese and Spanish.
SACA disaster tips for people with diabetes-EN pdf 3MB
Guideline

Water purification and rehydration solutions

How to purify water, make rehydration solutions and sanitisers from low cost ingredients. Also available in Spanish.
Home made water purification and rehydration solutions and hand and surface sanitisers pdf 339KB
Leaflet

What is an insulin switching guide?

One pager developed by the International Alliance for Diabetes Action and Diabetes Education for All. Also available in Arabic
What is an insulin switching guide - EN pdf 138KB

Resources for healthcare professionals in disaster situations

Guideline

ANZCOR Guideline 9.2.9 First aid management of a diabetes emergency

Resource produced by the Australia and New Zealand Committee on Resuscitation. Also available in Spanish. Translation provided by Dr Claudia Pieper.
Diabetes First Responder information ENGLISH _ pdf 1MB
Guideline

DDRC Insulin Products Switching Guide

Recommendations for healthcare professionals developed by the Diabetes Disaster Response Council to support people with diabetes in switching between insulin products in disaster response settings. Also available in Arabic and Spanish.
DDRC Insulin product Switching Guide pdf 152KB
Guideline

DKA treatment for youth in limited care setting

Flow chart for DKA care in limited resource setting from "Pocketbook for Management of Diabetes in Childhood and Adolescence in Under-Resourced Countries". Also available in Spanish
LFAC-ISPAD-Pocketbook-2nd-edition-english-web all book 20 pdf 111KB
Guideline

IDF WPR Diabetes Care and Disasters Manual 2nd Edition 2022

This manual identifies means to reduce the negative impact of natural disasters and promotes the sharing of knowledge to increase community resilience to natural disasters. The second edition includes substantial updates informed by recent disaster experience learnings.
link to https://idf.app.box.com/s/pno1bkxgb9814w1hqkumvcg6q4vbxj2i Download
Guideline

Pocketbook for management of diabetes in childhood and adolescence in under-resourced countries, 2nd edition

The Pocketbook provides basic background on diabetes in children and clear advice for initial management of diabetic ketoacidosis, initiation of maintenance insulin therapy, complications screening, and other key components of care. It is aimed for practical use in emergency situations and clinics that are developing expertise in managing diabetes in children.
Pocketbook Diabetes in Childhood 2nd Edition pdf 1MB
Article

Storing and delivering insulin during a disaster

This document provides relevant information, including references and information sheets from diabetes organisations on storing and delivering insulin. Also available in Spanish. Translation provided by Dr Claudia Pieper.
Storing and Delivering Insulin During a Disaster pdf 550KB
Article

Thermal stability and storage of human insulin (Review)

Richter B, Bongaerts B, Metzendorf M-I., Thermal stability and storage of human insulin, Cochrane Database of Systematic Reviews 2023, Issue 11. Art. No.: CD015385. Abstract also available in Spanish.
Cochrane review insulin stability pdf 999KB

Resources for first responders and emergency services

Guideline

DDRC - Tips for first responders

Guideline for caring for people with diabetes in an emergency. Also available in Spanish. Translation provided by Dr Claudia Pieper.
DDRC First Responder information ENGLISH pdf 681KB
Guideline

The needs of people with diabetes and other chronic conditions in natural disasters (extract)

A guide for emergency services, local councils and not-for-profit organisations. Also available in Spanish. Translation provided by Dr Claudia Pieper.
The needs of people with diabetes in disasters and emergencies 2025 pdf 1B
Guideline

Tips for first responders caring for people with diabetes

Guideline developed by International Alliance for Diabetes Action and Diabetes Education for All. Also available in Arabic
Tips to First Responders - EN pdf 150KB

Partnership with Direct Relief

We have partnered with Direct Relief since 2009 to provide diabetes medication and monitoring to vulnerable populations during humanitarian emergencies.

In 2019, IDF and Direct Relief joined forces in a pilot project to encourage healthcare manufacturers to donate diabetes-related medications and supplies for diabetes care in humanitarian settings. This partnership has resulted in over 5 million tablets of oral medication, insulin, and supplies being distributed to countries on four continents.

Emergency relief has been provided to Ukraine following the Russian invasion and Turkey/Syria in the aftermath of the earthquake that struck the region earlier this year.

Direct Relief

Life for a Child

In 2000, IDF established the Life for a Child programme in response to the situation facing many young people with type 1 diabetes in less-resourced countries.

The vision of Life for a Child is that no child should die of diabetes.

Since 2018, the programme has been under the auspices of Diabetes New South Wales. In addition, several IDF Members are in-country partners, and others support the programme.

Life for a Child supports over 60,000 young people with type 1 diabetes and other forms of diabetes in more than 50 countries. The programme is also recognised globally for its initiatives in advocacy and research.

Life for a Child