What emergency preparations should older adults with chronic conditions like diabetes (requiring metformin) or hypertension (requiring atenolol) make in case of a disaster?

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From the Guidelines

Older adults with chronic conditions like diabetes or hypertension should maintain a comprehensive emergency kit with at least a 30-day supply of medications such as metformin and atenolol, as well as necessary medical supplies and equipment, to minimize the risk of complications and ensure continuity of care during disasters. This is crucial because disruptions in medication regimens can lead to serious complications, such as blood sugar spikes or dangerous blood pressure fluctuations 1.

The emergency kit should include:

  • Copies of prescriptions, medication lists with dosages, and contact information for healthcare providers
  • Medications stored in waterproof containers with clear labels showing the drug name, dosage, and schedule
  • Necessary medical supplies like glucose meters, test strips, lancets, and blood pressure monitors with extra batteries
  • A medical information card listing all conditions, medications, allergies, and emergency contacts
  • A cooler with ice packs for medications requiring refrigeration, such as insulin
  • A basic first aid kit
  • Adequate water (one gallon per person per day)
  • Non-perishable foods appropriate for the individual's condition (low-sugar options for diabetics, low-sodium for those with hypertension)
  • Backup power sources for medical devices

It is also essential to review and replenish the emergency kit at least twice yearly to ensure that all supplies are up-to-date and not expired 1. Additionally, older adults with diabetes should be aware of the potential risks of hyperglycemia and hypoglycemia, particularly during disasters, and take steps to manage their condition accordingly 1.

In terms of specific considerations for older adults with diabetes, it is essential to prioritize glycemic control and manage cardiovascular risk factors, such as hypertension, to minimize the risk of complications 1. Furthermore, older adults with diabetes are at a higher risk of adverse drug reactions, and therefore, it is crucial to carefully manage medications and monitor for potential interactions 1.

Overall, a well-prepared emergency kit and a comprehensive plan for managing chronic conditions during disasters can help minimize the risk of complications and ensure the best possible outcomes for older adults with diabetes and hypertension.

From the FDA Drug Label

The FDA drug label does not answer the question.

From the Research

Emergency Preparations for Older Adults with Chronic Conditions

In the event of a disaster, older adults with chronic conditions such as diabetes or hypertension require special considerations to ensure their safety and well-being. The following preparations can be taken:

  • Create a disaster supply kit that includes essential medications, such as metformin for diabetes and atenolol for hypertension, as well as any necessary medical equipment 2, 3.
  • Develop a plan for alternative medical care, including a list of emergency contact numbers and a backup power source for medical equipment 4.
  • Stay informed about weather conditions and emergency alerts, and have a plan for evacuation or shelter-in-place 5.
  • Consider the potential impact of disasters on medication availability and access to medical care, and plan accordingly 6.

Medication Management

Older adults with chronic conditions should take steps to ensure they have an adequate supply of medications in the event of a disaster:

  • Work with their healthcare provider to develop a plan for managing medications during a disaster, including a list of essential medications and dosages 3.
  • Keep a backup supply of medications, such as metformin and atenolol, in a safe and accessible location 2.
  • Consider using a medication calendar or reminder system to help stay on track with medication regimens 4.

Special Considerations for Diabetes and Hypertension

Older adults with diabetes or hypertension should take additional steps to manage their conditions during a disaster:

  • Monitor blood sugar levels and blood pressure regularly, and adjust medication regimens as needed 5.
  • Keep a supply of food and water that is suitable for their dietary needs, and consider the potential impact of disaster-related stress on blood sugar levels and blood pressure 6.
  • Have a plan for managing potential complications, such as hypoglycemia or hypertensive crises, and know when to seek medical attention 2, 3.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hypertension in hemodialysis patients treated with atenolol or lisinopril: a randomized controlled trial.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2014

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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