Howdy from Tally,
Back to the original home for a few days. A lot has gone on since I last wrote, and I last wrote so long ago, cause lots has been going on.
I have been in a few different spots: Boise, Atlanta, Seattle, Atlanta, Tallahassee, and maybe some others too. Boise was AWESOME! Had a great time with Tim Schaub of Sanofi-Aventis, and then it was crit time. It was good to see the guys, the crew, and the fans.
I was talking to Joe right before the race about the Blood sugar. 200 30 minutes prior, and 200 10 minutes, so a level trend. He was good to go, and the race proved it. All the guys (Ken, Aldo, Creed, Holt, and Joe) were super aggressive. It seemed like every lap we had a guy in a move, until the critical point. 8 laps to go, 2 guys had 20 seconds. 5 to go, they had 17, 4 to go 22, then TT1 went to the front. Creed got the gap down to 17 seconds in 1 lap, then Joe came through like a freight train for a 1 lap effort that got it down to 10 seconds. Dan brought it down to 5, and then the guys got jumped. Ken and Aldo just so happened to be fresh, and ready so jumped on, and proceeded to blow it out taking 1-2 by about 20 bike lengths. It was great to watch, and I was soooo pumped for everyone, Joe in particular. In all his years on the bike, this was by far the BEST I have ever witnessed him ride. It just goes to show that with hard work, sacrifice, and time, anything is possible. Sure to see him on the top step of the podium very soon.
So yeah, this running thing... Here is what I have learned as of late:
If I give any rapid acting insulin within 2.5 hours of a run, I will drop rapidly.
If no rapid acting insulin within 2.5-3.5 hours I stay steady.
Is this important info: For me, yes. I know if I do give insulin to close, then I need to prepare for the run by bringing extra food, and also taking blood sugar higher before the start. The extra food is only in case of the crash. If I timed the insulin right, it is all about the slow rise within 30 minutes before the start. Getting it up to 150-175, and then taking Dex4 tabs as needed. I have been getting longer runs in, and faster ones in. It is starting to get to the point where I can push myself, suffer, and for some reason or another I like that. Pain is good, pain is addicting. Last week on my tempo run I left at 165 trending up, finished at 208 with 6 Dex4 tabs in there. It was a 6 mile run, with 4 tempo miles, and I did one of em at a 5:40ish pace...
At this point my metabolism was FLYING. Not sure what the deal is, but I was doing less than 25 units and eating a good bit. 2 units covered 90 grams of carbs one morning.
This took some adjusting to, but I have it down now, kind of...
So about 1 month ago I made some crazy diabetes goals. I was looking at my 1,3,7,14,21, and 28 day averages on my Navigator and saw in the 110-125 range, and decided: I can be better, or at least have better numbers. I made it a goal to get all of my averages into the 90's, and do so without HYPO, which is no small feat. So it has taken work, in constantly looking at the number, and the trend. Always trying to be 1 step ahead of my blood sugar. Learning what food, and what the activity will do. Progress came. Bit by bit I have been able to get better. I have gotten to where my 21 day average is at 99, with 3% below 60, 95% between 60-170, and 2% above 170. I would like to compare with a non-diabetic and see where we stand. I think with these #'s I should be able to have an A1C less than 5.0. I have another 10 days until the A1C test, and I hope to have achieved the number with the 28 day avg by then.
I thought these were crazy at first, but now it is doable. My question to you: What is your diabetes goal? If it is an average of 155, that is great, if 130, that is great. Having a goal in mind in regard to the every day #'s gives purpose to diabetes. It makes you learn, adjust, and adapt.
Home for 1 more day. About to go run with my buddy Andy Roberts, and then a few days in Atlanta before 3 days at Camp Kudzu, and then AADE, then Cali, DC, Ireland, and who knows where...
Thanks for reading, and I hope that I can get back more soon. Lots of exciting things going for Team Type 1 and Team Type 2 for the future. Thanks for being a part of it!!
Phil
P.S. TJ: No, not cozy in the 60's. Anytime I get into the 60's I try to eat just a little so that I can bring it back to the 80's and 90's. Sometimes gotta push the envelope though...
Later!
3 comments:
Hey Phil, my goal is an avg of 100 with an A1c of 5.2
But the challenge is to do that with as little hypo's as possible. Goal is less than 5% hypos over 3 months.
Last report is avg 102 with 4% hypos and 5.8 A1c.
My other goal is to become sort of a "mentor" and speaker for people who have lost the will, or don't think it is possible to live a healthy life with type1. You have showed me with TT1 that it was possible. So thanks again.
My recent goal was <150, and looking at my meter I found out my average is 139 so I'm happy about that. My actual average is actually lower though, since I test more often when I'm trying to recover from a high and checking/bolusing about every 45 minutes. I also don't always check when I'm low, because under about 50 I get a distinct feeling and just eat.
This past weekend I rode 103mi on Sat and 58mi on Sun. I set my basal to about 50% less, and didn't even realize it until yesterday because my numbers were staying down. Amazing what a lot of miles on a bike does for diabetics!
That's a good question about what a good goal number should be, particularly when endurance athletes deliberately start exercising significantly higher on purpose.
I've only been on the Dexcom for three months and have lowered my average from 149 to 129 during that time, but I know I spend a lot of time at 100-120 that really could be spent 90-100.
On the other hand, getting from 149 to 129 meant a little extra insulin, which seems to mean an extra 3 lbs in my case - which I'd rather not be carrying six weeks before a marathon.
Good post - good food for thought.
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