I have traveled before as an insulin dependent diabetic, and it has been my experience that if you let the hotel know when you arrive that you need a small refrigerator to store the insulin, they have provided it at no cost. I also let them know when I make my reservation that I have a medical need for a refrigerator, so it is noted before I arrive at the hotel.
You can also get a sharps container for your syringes and your lancets. You can ask at the front desk when you check in, or just call housekeeping when you get to your room.
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