Thru-Hiking the PCT with Type 1 Diabetes: A Comprehensive Guide (2026)

Managing Type 1 Diabetes While Thru-Hiking the Pacific Crest Trail: A Personal Account

Ben Bosch, a seasoned hiker and runner, shares his experience of thru-hiking the Pacific Crest Trail (PCT) with Type 1 Diabetes, offering valuable insights for those considering a similar adventure.

Gear and Logistics:

Ben's gear list was extensive, with diabetes-related supplies taking up 15% of his 55L pack volume. His essential items included a Tandem t:slim X2 pump, Dexcom G6 continuous glucose monitor, and various medications like Novolog and Lantus. He also carried a GPS watch, a battery bank, and an Ursack for food storage.

Resupply Strategy:

Ben's resupply strategy was meticulous. He carried about 2 weeks of supplies and had a local post office resupply package waiting every week. This ensured a buffer in case of delays. His mom played a crucial role by mailing food and diabetes supplies, making resupplies seamless.

Challenges and Solutions:

One significant challenge was managing insulin degradation in hot weather. Ben's strategy involved placing insulin in the center of his pack, but this proved insufficient. He recommends using a Frio pack for better insulation. Additionally, he encountered issues with infusion site healing, requiring creative solutions to avoid discomfort.

Personal Commentary:

Ben's experience highlights the importance of meticulous planning and adaptability. He emphasizes the need for a strong support system, like his partner, and the importance of being prepared for unexpected challenges. His story serves as a testament to the resilience of hikers with chronic illnesses.

Takeaway:

This firsthand account provides a comprehensive guide for thru-hikers with Type 1 Diabetes, offering practical advice on gear, resupply, and management strategies. It also underscores the importance of self-awareness and adaptability in outdoor adventures.

Thru-Hiking the PCT with Type 1 Diabetes: A Comprehensive Guide (2026)

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