Going on a night out with diabetes requires great care, particularly in ensuring your blood sugar levels are at a normal level throughout the evening.

Drinking alcohol can influence testing readings, which can vary depending on which drinks you drink, and these should be accounted for when testing.

Carry identification

Before heading out, the first thing to do is consider is making sure you take medical identification with you. This is a valuable form of communication if you suffer a hypoglycemic attack in front of uncertain onlookers.

Symptoms of a hypo can feel and appear similar to drunkenness. Your ID will therefore help people distinguish that you are experiencing a hypo.

Medical identification is also sought out by paramedics, so wear this visibly on your body in the form of jewellery or a card. If you fall unconscious, an emergency team will be much more equipped to help you.

Be wary of needles and sharps

Some establishments will prevent people with diabetes taking needles and sharps into their clubs. This is not applicable to all clubs, however.

Places where security is strict, such as at gigs, festivals or larger nightclubs may not allow sharp items in. This can leave people with diabetes quite stuck for medication.

If you have any doubts about sharps and needles being accepted at your destination (it is rare you will be prevented from entering), then you should call the venue in advance to enquire about their policy.

Do not miss injections

In all the excitement of nights out, taking background and quick acting insulin can often be delayed, or even forgotten.

When going out, it is additionally important to focus on your diabetes, as missing a background insulin injection can result in your body lacking insulin.

As a result your blood sugar levels will start to rise, which can cause ketones to be released into the blood by your body. If your levels become dangerously high, ketoacidosis could develop.

High blood sugars can also develop upon missing quick acting insulin that would account for any sugary alcohol drinks, or food you eat.

Regularly test your blood

Drinking alcohol is likely to affect your blood sugar levels, and testing recurrently on a night out can be frustrating when you are trying to have a good time.

However, you will not have a good time if you fail to test your blood glucose levels regularly, as being high or low on a night out will be more frustrating than not testing. You will feel better throughout the night if your blood sugar is well maintained and under control.

Wash your hands when you can before testing to obtain an accurate reading and be sure to have enough testing strips and lancet needles for the night.

Eat carbohydrate before bed

Alcohol limits the ability of the liver to release glucose, which can result in hypos occurring overnight. Quite often this can catch people when they sleep, if they have not eaten before bed.

As the liver normally provides this glucose, which comes from background insulin, eating carbohydrate can be beneficial in keeping normal blood glucose levels after a night out.

A small smack will do, whereas a high-carb meal that would require insulin could prove just as problematic in case you end up going low from an overly high injection.

Ensure a good night, and a sound sleep, by going easy on the alcohol and keeping your blood sugars at a normal level.

Rather than letting your diabetes dictate your night, control your diabetes to ensure you maximise the amount of fun you have.