Friday, November 28, 2008

Metabolism shut down-diabetes game

Howdy from Atlanta, and Happy Thanksgiving to ALL!!!

I hope your holidays rocked! I am still off the bike due to hamstring strain. The first few days the split dose of Lantus continued to work, as I went a little higher day by day. But about 4-5 days into being off the bike, the split dose quit working, and I went high in night. It seems when I am not riding, I need that hit at night. As soon as I went back to a much heaver dose at night (10 units) then I was back to normal in the am. The other difference I noticed was that I was having to bolus a lot more for anything I ate. Diet was pretty simple. Fruits and salad for the most part, and some sushi. When I was training, I would bolus 1-1.5 units for the salad, and not go over 150 before coming back down. On Tuesday, I had to give a shot of 4 units. I think this further proves the value of exercise to both people with and without diabetes.

How is that? When I was exercising, and eating about 2000 calories a day, I was doing less than 20 units of insulin for the day (basal and bolus.)

Not training: eating a restricted diet, and doing appx 25 units of insulin total.

For the non-diabetic this would be very similar. Not exercising your body may produce 30 units throughout the course of the day to cover all of your food intake, but if you began to exercise 1 hour a day, you may be able to cut that # in half. Type 2 diabetes is essentially caused by using up all of your insulin (every one has a pre-set amount-genetics) too early. So if you can cut down the amount of insulin production by 33%, theoretically your pancreas will function that much longer. This is my theory, and I could be way off, but I think I am right.
There are currently 50 MILLION Americans with Pre-Diabetes- Just think if everyone hopped on a bike, or went to the gym, then we could cut that number in half, if not make it dissapear.

I am thankful for all of my family, my friends, my health. Do you know someone who would be thankful in 1 year that you pushed them to exercise today? Just a thought.

Going to try accupuncture tomorrow. Never done it, but I got some good news, and am extra motivated to train, and ensure good health. Riding is my biggest stress relief, and the thing I enjoy doing more than anything, and not doing it has been tough. I am eager and anxious to get back, so I can start saving money on insulin again...ha

Thanks for reading. Have a great holiday, and I appreciate all of your support for the Tour of California! Hopefully good news to share soon!!

Philpott
www.TeamType1.org
www.TeamType2.com Yes you read it right, please check it out. Exciting for 2009!!! site under construction!

Monday, November 24, 2008

less exercise, more insulin...

Howdy,

Last week, I have had a minor set-back in a strained hamstring. I am going to see the doc again today, and will hopefully get clearance to train. It has now been 4 full days with no riding. I am thinking the strain may have been due to gym work, cold weather, riding a bit, who knows??

It hasn't been all bad, as I have made a lot of work progress, and had plenty to do. On Saturday, I flew out to San Diego in the morning, went straight to the TCOYD conference. It was a great event and I was thrilled to be there. I got to catch up with a lot of old friends, and meet some new ones too! Andy, Morgan, and I were at the event which had over 2000 attendees. We then attended the snack bar, and went to a great sushi restaurant with Eric, Jessica (of Sanofi) and Doug of Euro, who is in charge of the media team over there. He and his team have been a dream to work with.

After dinner, straight to the airport, and red-eye back. I slept the ENTIRE flight, which rarely happens.

What happens to the metabolism when you go from 2-5 hours of exercise a day (9 units of Lantus- and less than 10 of Apidra) to 0 hours of exercise?
More insulin is what happens. I had noticed that I was having to do a little more Apidra/carb than normal, and instead of a very slight drop in blood sugars, there was a very slight rise. This meant the metabolism was slowing quickly. Surprisingly though, I stuck to the 5 units of Lantus in the am, and 5 at night, and last night was the first time, where I started going high. It was mildly frustrating, and I had to do a lot more boluses than normal for the amount of food I was eating.
So this morning, I woke up at 6am at 198, did 3 units, went back to sleep, and then woke up at 8:45 at 109. Last week if I would have been 198 in the night, I would have done less than 1 unit, and woke up at 70. This morning I increased my basal to 6 units of Lantus, and I think I should be back on track. I was somewhat surprised that the very low basal rate lasted until Sunday night. I think it means my body is working well.
While I can't train, I am going to diet heavily. A friend labeled this "manorexia" which is fitting.

Here is the thing: We find out this week if we get into the Tour of California. I am really hoping we do, and think it would be a very big day for Team Type 1.
If we do get in, I will get to race against many riders who have won stages at the Tour de France, and many of the best riders in the world. I know to have a chance of success I have to be my best ever, which means getting the power to weight ratio as high as possible. 2 ways to do this.

One is to gain more power, which I will work hard on.

Two: lose weight.

Also working hard on this. If I can gain a little power, lose a little weight, then all will be good. If I were not planning on having a stellar year on the bike, I would be more than happy with where I am now. So please cross your fingers for us for the ToC, as that is one huge step to getting to the Tour de France by 2012.

Have a great day!

Philpott
www.TeamType1.org