INS and diabetes mellitus: Without appropriate care following a disaster, people with diabetes are at risk of severe exacerbations or even death all of which are preventable.1,45,50,59,71,72,73 This risk can continue for months following the event.71 This is due to disrupted treatment, poor nutrition, loss of power for insulin storage, limited physical activity, damaged medication, lost prescriptions and disrupted activity patterns.43,45,68,71,72,74,75,76 The greatest risk is found in people reliant on insulin.43,71