Friday, January 30, 2009
Thursday, January 29, 2009
Diabetes Game- New twist, and camp
Howdy from Buellton CA!
I hope everyone is doing well. This has been a crazy week. Thursday was a photo shoot for Team Type 1 bike sponsor, Orbea, with Joe. The ad will be out in Road Magazine next week. It rocked. This was a 4 a.m. wake up, 4 airline flights that day, and back to hotel by 10 p.m. Friday. The Team Type 1, Lantus/Apidra video/photo shoot began that day which meant a 6 a.m. wake up for the team. Saturday through Monday had us setting our alarms to 4:45 a.m. to get ready for more video/photography work.
I have calculated that I am now about 13 hours behind on sleep. These shoots comprised of a wake up alarm, eating breakfast, riding around, sitting around, and smiling a lot. Great people to work with, but it took a toll on me. By Monday night, I was "fried." I had to put toothpicks in my eyes to keep them open. We had a great meet the team, hosted by the ADA Tour de Cure. I saw 140 people commit to doing a Tour de Cure ride in 2009. Team Type 1 will be present at 60 rides!!!
These days of video and photography shoots ended up being "rest days" on my body, which threw my metabolism off. I admit, I was very tired physically from training going into camp. I had done a solid 12 days block of hard long rides. I was pretty set on 15 units of Lantus, and then a lot of adjustments through the days. I was able to ride 3 days, each 3 hour rides. All of the sudden, I became SUPER sensitive to insulin. I went through one day only doing 2 units of Apidra, and eating lots of food. I dropped to 14 units of Lantus for the first time in a long time, and had low blood sugars still in the a.m.
I hope everyone is doing well. This has been a crazy week. Thursday was a photo shoot for Team Type 1 bike sponsor, Orbea, with Joe. The ad will be out in Road Magazine next week. It rocked. This was a 4 a.m. wake up, 4 airline flights that day, and back to hotel by 10 p.m. Friday. The Team Type 1, Lantus/Apidra video/photo shoot began that day which meant a 6 a.m. wake up for the team. Saturday through Monday had us setting our alarms to 4:45 a.m. to get ready for more video/photography work.
I have calculated that I am now about 13 hours behind on sleep. These shoots comprised of a wake up alarm, eating breakfast, riding around, sitting around, and smiling a lot. Great people to work with, but it took a toll on me. By Monday night, I was "fried." I had to put toothpicks in my eyes to keep them open. We had a great meet the team, hosted by the ADA Tour de Cure. I saw 140 people commit to doing a Tour de Cure ride in 2009. Team Type 1 will be present at 60 rides!!!
These days of video and photography shoots ended up being "rest days" on my body, which threw my metabolism off. I admit, I was very tired physically from training going into camp. I had done a solid 12 days block of hard long rides. I was pretty set on 15 units of Lantus, and then a lot of adjustments through the days. I was able to ride 3 days, each 3 hour rides. All of the sudden, I became SUPER sensitive to insulin. I went through one day only doing 2 units of Apidra, and eating lots of food. I dropped to 14 units of Lantus for the first time in a long time, and had low blood sugars still in the a.m.
This was all fine and dandy until yesterday. 2 units of Apidra for breakfast, and 150gms of carbs. I was still going low. I ate another 75 carbs before the start of the ride, and then 75 in first 45 minutes. Blood sugar never went above 110 on the ride. I was good on the easy/moderate parts, and even some of the hard bits, but when it went real hard I was weak. I was also watching Ken Hanson, a non diabetic, who was using a Continuous Glucose Monitor (CGM). He sat at 130-140 blood sugar reading for most of the ride. Went a good period without any food, then a long climb, and he dropped to 80. Then he drank a Sprite, and went on a long hard climb, and he shot up to 161. He maintained 160 for some time after the climb, until a hard rotation, where he dropped to 130. He ate a ton of carbs post ride, and he, a non diabetic, actually shot up to 270 on the CGM.
We have 5 others without diabetes using CGM during camp, and hope to have more exciting data for you soon. I have been wanting to conduct this study for 2 years now, and Dr. Howard Zisser was kind enough to make it happen!
I have five and 1/2 hours today, climbing Mt Fig, which will take about an hour. Then some sprint/paceline work. It is going to be a hard day.
Also, almost forgot, I cut basal to 13 units of Lantus last night, went high in night. I was down to 100 after breakfast. I ate a bit much, and am now sitting at 220. I want a direct comparison of my performance yesterday will a blood sugar 50 points higher. News to tell tomorrow.
Thanks for reading! Have a great day.
Phil
TeamType1.org
We have 5 others without diabetes using CGM during camp, and hope to have more exciting data for you soon. I have been wanting to conduct this study for 2 years now, and Dr. Howard Zisser was kind enough to make it happen!
I have five and 1/2 hours today, climbing Mt Fig, which will take about an hour. Then some sprint/paceline work. It is going to be a hard day.
Also, almost forgot, I cut basal to 13 units of Lantus last night, went high in night. I was down to 100 after breakfast. I ate a bit much, and am now sitting at 220. I want a direct comparison of my performance yesterday will a blood sugar 50 points higher. News to tell tomorrow.
Thanks for reading! Have a great day.
Phil
TeamType1.org
Monday, January 19, 2009
Diabetes Game- Really long rides...
Howdy from Sunny S0Cal!
Have I mentioned I love this place yet??? I was so lucky to have a great host in Gina, Irvay, Sean, and Natalie for about 8 days while here in SB. They opened there home to me, and I could not have made this trip without them!!! I have also been lucky enough to see Kim Bleth, who is the best massage therapist I have worked with, along with Dianna Palmer, who is keeping my body in line. Throw in some acupuncture from Kathleen Zisser, and I can ride real hard, stay straight, and suffer on the bike. Thanks to all for your help while here.
Now this game... Thursday I went with the 15 units of Lantus- hypo all night. Was this cause of the lantus, or did I not eat enough carbs for the insulin I did? Woke up Fri am, worked for a while, then set off on a 2 hour ride with my buddies, Joe, Ken, Tim, Barney, and Laura Van Gilder (wow-she is strong!!!) I did .5 units of Apidra, then ate oatmeal (65gm carb) and a scone at the shop. 2 bars earl in the ride, and BS stayed at around 100... We did a couple of hours, going hard on some climbs, but decided to call an early day. I got home, blood sugar of 101, ate some oatmeal, and set off to do one more climb. Ouch... Get home, pack my bags and move over to Tim's place. We headed to a party at Gina's place. She got the Santa Barbara Support group together, and I got to meet another 15-20 type 1's!! Some young kids who said they are going to race with us!! Joe and I gave a quick chat about the team, and how it formed, and tried to get the kids (and adults) fired up about good control, and then benefits to the rest of life...
Early sleep, as Saturday was a big daddy! 130 mile ride with about 7500 feet of climbing, which translates to a lot of time going up. Big lesson learned today too!! We did this with the Chicken Ranch team, and had a great ride. It almost didn't happen, as Tim (I am always 2 minutes late) Johnson and I missed the start. We then went real, real hard out of the blocks until we saw the pace truck. Then motorpaced for another 20 minutes, until we finally caught the group. I had eaten 60 gms of carbs at this point. Also, I left the house with a BG of 186. Was 110 when I woke up, and did .4 units of Apidra to cover 90gms carbs. I wanted to have a little more than basal to carry that to my muscles, but not too much to drop. Also, I set off on this ride blind. Navigator was calibrating, and I don't take a meter when I ride. I go by feel. I do this, so that if for some reason I don't have it in races, I will be ready. So the ride goes on, and we begin first climb. I smashed a bar in before the climb, and felt good for the first 2 miles, then we made a left and went up on a 5% grade for another 2 miles. As We kept climbing, people kept popping, and it was Tim, Jesse putting the hammer down, followed by John and I. Then it was those 3 as I lost contact, trying not to explode. Should have pushed harder to see how deep I can go.
Then next climb Tim ups the pace again (I have eaten 2 more bars at this point) and there are 4 of us again. Tim, Jesse, Kim, and I. I got dropped with about 3/4 mile to go, then bridged back up, then dropped again, then bridged back up. Dropped a 3rd time, and then hammered until I was cross-eyed and drooling to cross the top next to Tim. Ouch. We get the the beach, and I drank a coke, a muffin, and some of Joe's french fries. All in all, another 120 gms of carbs. And off we went. Climb again, it was hold Tim's wheel to the top, and then we went flat out for next 5 miles to the end of the road. Good session. Jesse was looking good!! Then another bar, and this was at about 4:30 hours into the ride.
For some reason or another, I forgot to eat for the next little while. Maybe cause my stomach ached from all the water and food in there, or I was a litlle on the low side, and not thinking properly, but for 45 minutes I did not have a single carb. Then at about 5 hrs into the ride, it was just flat out pace line on the coast. My spoke had broken, and shifters were not working, but on top of that neither were my legs. I was dying. I got a little pissed cause I should have been good. Still didn't eat. We get to the finish of the group ride, and I had a burrito (100gm carbs) some sugar drink, and chips. I was wondering how high I would be after all that... Ride 30 minutes back home to get a total of 130 miles in 6.5 hours. Check BG, and it was 77. What that tells me is that when we were going flat out, I was most likely in the 50-90 range, which is not good for power, strength, but most importantly focus. I had been real good on the fueling for 4:30 hours, but not at the important part. Gotta do better. Best to make these mistakes while training, and not during a race. Ate TONS of food after that ride. 75 gms carbs/25 protein right at finish. Then Huge plate of pasta. Then massive salad with lots of tuna on it, and some bars. 14 units of Lantus, and BS was at 202 at 12:30. Did 1 unit, and woke up at 65. So I am thinking I have my lantus right for the day, but this constant up flow at night from 11:30-1am. Having the Omni-Pod would be good to take care of that, but since I am not on that program now, I am going to have to start giving a .5 unit injection of Apidra at around 11:30 each night. That is my new plan, and I will keep you posted on it.
1 more day of short suffering on the SB group ride, then watch some football, pack (again) Big thanks to Mr. Tim Johnson for the lesson's on the bike, and for the place to crash for 2 nights. You da man!
Also, I am now in an Altitude tent (Altitudetech tent) I am doing this for a few reasons. One, to get the benefit of sleeping at altitude, while training at Sea level- I can see the ocean form my window, so this is true..
Second, to study the effects of the tent on insulin needs. I have now had 4 nights in the tent, with no significant droppage of insulin. I am not taking a lot, but no huge drop, but only 4 days. 3rd, I want to see hematocrit, and I have been given a hema-cue from Dr. Howard Zisser so I can keep track of all of these. He is going to take in all of my data from the Navigator, + exercise, and we will be doing this for other riders at camp. We want to find the perfect blood sugar for all type 1 (and non type 1) for performance, and figure out the right amount of insulin/carbs to get there. We will be doing all this at camp...
Speaking of, now only 4 days until camp!!! Real, real excited to see it all come together, meet new teammates, catch up with old friends, and begin to ride with the team. We will be getting our new Orbea bikes, with Shimano Dura-Ace, along with new Louis Garneau Clothing!!! Gonna be quite a site, and I will try to post pictures. We should have 56 athletes here for both Team Type 1, and Team Type 2. Gonna be big!!!
Great lessons learned last week, and more to come this week! Excited for a rest day, which I feel I earned. 23 hours, with a lot of intensity last week, and 2- 6 hour rides.
Thanks for reading, and have a Great DAY!!!
Philpott
www.TeamType1.org
Have I mentioned I love this place yet??? I was so lucky to have a great host in Gina, Irvay, Sean, and Natalie for about 8 days while here in SB. They opened there home to me, and I could not have made this trip without them!!! I have also been lucky enough to see Kim Bleth, who is the best massage therapist I have worked with, along with Dianna Palmer, who is keeping my body in line. Throw in some acupuncture from Kathleen Zisser, and I can ride real hard, stay straight, and suffer on the bike. Thanks to all for your help while here.
Now this game... Thursday I went with the 15 units of Lantus- hypo all night. Was this cause of the lantus, or did I not eat enough carbs for the insulin I did? Woke up Fri am, worked for a while, then set off on a 2 hour ride with my buddies, Joe, Ken, Tim, Barney, and Laura Van Gilder (wow-she is strong!!!) I did .5 units of Apidra, then ate oatmeal (65gm carb) and a scone at the shop. 2 bars earl in the ride, and BS stayed at around 100... We did a couple of hours, going hard on some climbs, but decided to call an early day. I got home, blood sugar of 101, ate some oatmeal, and set off to do one more climb. Ouch... Get home, pack my bags and move over to Tim's place. We headed to a party at Gina's place. She got the Santa Barbara Support group together, and I got to meet another 15-20 type 1's!! Some young kids who said they are going to race with us!! Joe and I gave a quick chat about the team, and how it formed, and tried to get the kids (and adults) fired up about good control, and then benefits to the rest of life...
Early sleep, as Saturday was a big daddy! 130 mile ride with about 7500 feet of climbing, which translates to a lot of time going up. Big lesson learned today too!! We did this with the Chicken Ranch team, and had a great ride. It almost didn't happen, as Tim (I am always 2 minutes late) Johnson and I missed the start. We then went real, real hard out of the blocks until we saw the pace truck. Then motorpaced for another 20 minutes, until we finally caught the group. I had eaten 60 gms of carbs at this point. Also, I left the house with a BG of 186. Was 110 when I woke up, and did .4 units of Apidra to cover 90gms carbs. I wanted to have a little more than basal to carry that to my muscles, but not too much to drop. Also, I set off on this ride blind. Navigator was calibrating, and I don't take a meter when I ride. I go by feel. I do this, so that if for some reason I don't have it in races, I will be ready. So the ride goes on, and we begin first climb. I smashed a bar in before the climb, and felt good for the first 2 miles, then we made a left and went up on a 5% grade for another 2 miles. As We kept climbing, people kept popping, and it was Tim, Jesse putting the hammer down, followed by John and I. Then it was those 3 as I lost contact, trying not to explode. Should have pushed harder to see how deep I can go.
Then next climb Tim ups the pace again (I have eaten 2 more bars at this point) and there are 4 of us again. Tim, Jesse, Kim, and I. I got dropped with about 3/4 mile to go, then bridged back up, then dropped again, then bridged back up. Dropped a 3rd time, and then hammered until I was cross-eyed and drooling to cross the top next to Tim. Ouch. We get the the beach, and I drank a coke, a muffin, and some of Joe's french fries. All in all, another 120 gms of carbs. And off we went. Climb again, it was hold Tim's wheel to the top, and then we went flat out for next 5 miles to the end of the road. Good session. Jesse was looking good!! Then another bar, and this was at about 4:30 hours into the ride.
For some reason or another, I forgot to eat for the next little while. Maybe cause my stomach ached from all the water and food in there, or I was a litlle on the low side, and not thinking properly, but for 45 minutes I did not have a single carb. Then at about 5 hrs into the ride, it was just flat out pace line on the coast. My spoke had broken, and shifters were not working, but on top of that neither were my legs. I was dying. I got a little pissed cause I should have been good. Still didn't eat. We get to the finish of the group ride, and I had a burrito (100gm carbs) some sugar drink, and chips. I was wondering how high I would be after all that... Ride 30 minutes back home to get a total of 130 miles in 6.5 hours. Check BG, and it was 77. What that tells me is that when we were going flat out, I was most likely in the 50-90 range, which is not good for power, strength, but most importantly focus. I had been real good on the fueling for 4:30 hours, but not at the important part. Gotta do better. Best to make these mistakes while training, and not during a race. Ate TONS of food after that ride. 75 gms carbs/25 protein right at finish. Then Huge plate of pasta. Then massive salad with lots of tuna on it, and some bars. 14 units of Lantus, and BS was at 202 at 12:30. Did 1 unit, and woke up at 65. So I am thinking I have my lantus right for the day, but this constant up flow at night from 11:30-1am. Having the Omni-Pod would be good to take care of that, but since I am not on that program now, I am going to have to start giving a .5 unit injection of Apidra at around 11:30 each night. That is my new plan, and I will keep you posted on it.
1 more day of short suffering on the SB group ride, then watch some football, pack (again) Big thanks to Mr. Tim Johnson for the lesson's on the bike, and for the place to crash for 2 nights. You da man!
Also, I am now in an Altitude tent (Altitudetech tent) I am doing this for a few reasons. One, to get the benefit of sleeping at altitude, while training at Sea level- I can see the ocean form my window, so this is true..
Second, to study the effects of the tent on insulin needs. I have now had 4 nights in the tent, with no significant droppage of insulin. I am not taking a lot, but no huge drop, but only 4 days. 3rd, I want to see hematocrit, and I have been given a hema-cue from Dr. Howard Zisser so I can keep track of all of these. He is going to take in all of my data from the Navigator, + exercise, and we will be doing this for other riders at camp. We want to find the perfect blood sugar for all type 1 (and non type 1) for performance, and figure out the right amount of insulin/carbs to get there. We will be doing all this at camp...
Speaking of, now only 4 days until camp!!! Real, real excited to see it all come together, meet new teammates, catch up with old friends, and begin to ride with the team. We will be getting our new Orbea bikes, with Shimano Dura-Ace, along with new Louis Garneau Clothing!!! Gonna be quite a site, and I will try to post pictures. We should have 56 athletes here for both Team Type 1, and Team Type 2. Gonna be big!!!
Great lessons learned last week, and more to come this week! Excited for a rest day, which I feel I earned. 23 hours, with a lot of intensity last week, and 2- 6 hour rides.
Thanks for reading, and have a Great DAY!!!
Philpott
www.TeamType1.org
Thursday, January 15, 2009
Diabetes Game- Ever really a conclusion??
Howdy from Sunny Santa Barbara,
How is everyone doing? Thanks so much for the great posts. If you ever have specific questions, please email me directly at phil@teamtype1.org cause I cannot reply to the blog comments directly. Thanks!
So last we were at a nice 17 units of Lantus on a rest day. This turned out to be... not enough. I woke up at 1am at 161 trending up on the Navigator, so gave 1 unit of Apidra. Woke up at 95 and was pretty happy. Tuesday worked for a while, did some acupuncture with Kathleen Zisser, who rocks, then went for a bike ride!! I was doing a good ride with my buddy/teammate Jesse Anthony for about 2 hours, when Jesse called it a day. I wanted to make it 4 so I rode the hills, getting a good 15 minutes of sub threshold in. Then went to ride more hills/mountains. At 2:45 of ride time, I decided to go visit Gibraltar, which is a nice, long climb. I started with a blood sugar of 106ish, and ate a bar, began to climb, spent 10 minutes with a heart rate of 155-162, was at 112, ate another bar, 10 minute later same heart rate, 102, ate another bar, and another 10 minute of climbing at same pace and was at 98. So it only took 60 grams of carbs for the 35 minutes of climbing to not go hypo... Funny thing was that I probably only ate 60 grams of carbs in the 2.5 hours up to that point. So maybe eating more before, would have meant less need for food on the climb?? Ride down into town, and then back home getting a solid 4 hours and 28 seconds... I love aiming for a 4 hour day, and just making it like that!!
Did my 7 units of Apidra, then took a 50 gm of carb recovery drink. 20 minutes later eating 140 gms of carbs from Pasta. The rest of the day I was floating at 80-100... Very nice. Then go hang with Jesse and Tim, go see my friend Howard Zisser to nail down what kind of research we are going to do on the team, and also comment on the game I am playing. He wasn't sure. I did 2 units for a HUGE turkey sandwich. Floated at 90 or so, and backed down to 16 units of lantus. Low and behold, I am hypo ALL night. Sitting at 60, get my alarm, eat 25gm of carbs, and then wake up at 50, eat some Dex 4 Glucose, and then 45...
Way too much basal, right???
Eat tons, and tons of food on my ride Wed. All in all, get 6 hours in, with a lot of climbing, and lot of hard work. Get home, bolus, recovery drink, pasta, later that night, more pasta, and a steak with only 2 units. Then since I went real low last night on 16 units, and did a 6 hour ride, I think 14 units would make more sense. WRONG. I wake up at 350 close to midnight, after going to bed at 93. What gives? I do not know... Did 4 units of Apidra, 1 more unit of Lantus and woke up, 27 years old, and at a blood sugar of 52.
Today- a 2 hour recovery ride, 6 units of APidra, and 140gms of carbs from pasta.
Doing 15 units tonight, and will have news to report tomorrow...
Tomorrow should be a good day, and then long hard days on Sat-Sunday. Who knows what the score to my diabetes game will be. I look for trends, and patterns, but right now it is more like a ping pong, which bothers me. But when it comes down to it, I am playing a game. I cannot win the super bowl each and every year, but I can recruit new tools, new players, new knowledge, and try to do it better the next time. I have a short memory when it comes to the diabetes game. I forget the failures, and use them as lessons, cause as long as I am alive, I have not failed, rather I have learned. So I will keep working, keep learning, and keep asking, and try to come up with a system that makes sense for all. That is the goal!
Have a great day, and thanks for reading.
Phil
How is everyone doing? Thanks so much for the great posts. If you ever have specific questions, please email me directly at phil@teamtype1.org cause I cannot reply to the blog comments directly. Thanks!
So last we were at a nice 17 units of Lantus on a rest day. This turned out to be... not enough. I woke up at 1am at 161 trending up on the Navigator, so gave 1 unit of Apidra. Woke up at 95 and was pretty happy. Tuesday worked for a while, did some acupuncture with Kathleen Zisser, who rocks, then went for a bike ride!! I was doing a good ride with my buddy/teammate Jesse Anthony for about 2 hours, when Jesse called it a day. I wanted to make it 4 so I rode the hills, getting a good 15 minutes of sub threshold in. Then went to ride more hills/mountains. At 2:45 of ride time, I decided to go visit Gibraltar, which is a nice, long climb. I started with a blood sugar of 106ish, and ate a bar, began to climb, spent 10 minutes with a heart rate of 155-162, was at 112, ate another bar, 10 minute later same heart rate, 102, ate another bar, and another 10 minute of climbing at same pace and was at 98. So it only took 60 grams of carbs for the 35 minutes of climbing to not go hypo... Funny thing was that I probably only ate 60 grams of carbs in the 2.5 hours up to that point. So maybe eating more before, would have meant less need for food on the climb?? Ride down into town, and then back home getting a solid 4 hours and 28 seconds... I love aiming for a 4 hour day, and just making it like that!!
Did my 7 units of Apidra, then took a 50 gm of carb recovery drink. 20 minutes later eating 140 gms of carbs from Pasta. The rest of the day I was floating at 80-100... Very nice. Then go hang with Jesse and Tim, go see my friend Howard Zisser to nail down what kind of research we are going to do on the team, and also comment on the game I am playing. He wasn't sure. I did 2 units for a HUGE turkey sandwich. Floated at 90 or so, and backed down to 16 units of lantus. Low and behold, I am hypo ALL night. Sitting at 60, get my alarm, eat 25gm of carbs, and then wake up at 50, eat some Dex 4 Glucose, and then 45...
Way too much basal, right???
Eat tons, and tons of food on my ride Wed. All in all, get 6 hours in, with a lot of climbing, and lot of hard work. Get home, bolus, recovery drink, pasta, later that night, more pasta, and a steak with only 2 units. Then since I went real low last night on 16 units, and did a 6 hour ride, I think 14 units would make more sense. WRONG. I wake up at 350 close to midnight, after going to bed at 93. What gives? I do not know... Did 4 units of Apidra, 1 more unit of Lantus and woke up, 27 years old, and at a blood sugar of 52.
Today- a 2 hour recovery ride, 6 units of APidra, and 140gms of carbs from pasta.
Doing 15 units tonight, and will have news to report tomorrow...
Tomorrow should be a good day, and then long hard days on Sat-Sunday. Who knows what the score to my diabetes game will be. I look for trends, and patterns, but right now it is more like a ping pong, which bothers me. But when it comes down to it, I am playing a game. I cannot win the super bowl each and every year, but I can recruit new tools, new players, new knowledge, and try to do it better the next time. I have a short memory when it comes to the diabetes game. I forget the failures, and use them as lessons, cause as long as I am alive, I have not failed, rather I have learned. So I will keep working, keep learning, and keep asking, and try to come up with a system that makes sense for all. That is the goal!
Have a great day, and thanks for reading.
Phil
Monday, January 12, 2009
Diabetes Game---More insulin and the small world....
Howdy from Santa Barbara,
I hope everyone is rocking! Life on the west coast is good. Don't get me wrong, I absolutely love Atlanta, but being able to get anywhere in town in 5 minutes is quite nice. So I get out here, and it is 60 degrees and sunny, and like a fool, I go for a ride with new teammate/buddy Ken Hanson. Why like a fool? Cause I went out in shorts, and no leg warmers. The body is such a delicate thing, that having that extra chill, plus my whacked out position, caused a nice re-strain to the hammy. 3.5 hours that day. 15 units Lantus
Thurs am, go out for the group ride, and about 1 hour in, bam, that knife goes through my hammy. This time, instead of riding for 2.5 hours on it, I called my wonderful host Gina, and she came to Summerland to pick me up. I spoke with my Physical Therapist, Dianna Palmer, who could see me immediately. I head to Dianna's and she let me know that we caught it early, and all could be good. I did some ultra sound, stem, stretching, and walked out with some hot pink tape on my hamstring. You may have seen this on the Olympic athletes (not there yet:) but it helps to alleviate strain on muscles, and Dianna is a master at it!!!
At this point, I am pretty bummed to not be able to train. Last time, this set me back 10 days, and to be honest, I can't spare 2 days right now. That afternoon I met with Dr. Howard Zisser (research master) and we discussed some great possibilities to help people with diabetes round the world. I love brain storming with scientist! Howard asked me to come watch the game at his place. So I go meet the family, Howard, Kathleen, Noah, and McKenzie. His kids were brilliant, and great musicians. Watched the Gators stomp OU, and in the process learn Kathleen specializes in acupuncture. She could see me the next am. Now I am doing 15 units of Lantus.
High blood sugar in the night- Do I need more, or do I need a new vial??
Friday:
Wake up- work, 100 emails or so, head to acupuncture. Kathleen agrees there is a light strain, and goes to work with the needles. She also worked on my massive scars from the surgery in May.
Next ride with Tim to see Dianna- more ultra sound, stem, exercises, and getting made fun of, which is one of the main reasons I love going to see her. Ride goes well, with no pain, and then off to see Kim, who does my massage. He is the best of the West, and really helps get the kinks worked out.
New vial of Insulin, 15 units Lantus, high blood sugar at night.
Ride in am with Kim, Ken, and Tim, who all say my seat position is wrong. Kim helped me make some changes, and then Sunday I get to test. Yesterday Kim, Tim, and I went for 4.5 hours over some mtns, through some valleys, and a good steady ride. My sensor for Navigator came off during yoga (2 hours till expiration anyhow) and so I went off feel for this ride.
I woke up at 60 (correction in night) did 3 units of Apidra, ate 80 gms carbs, then 15 minutes before leaving I was 170, and 3 minutes before leaving was 156. Slight downward trend. So I jump down to the coffee shop, and eat a scone. Early part of ride, eating lots. Stop 2 hours in, eat another scone. I felt like I was bonking on the latter part of the ride, and eat more... Quite thirsty though. I thought my BS was too low, so I over corrected with food. I get home, and what do you know, 296. Scrub hands, and 302... So I dropped 9 units of Apidra in my body, and 20 minutes later downing pasta. This 1 hour after a ride is crucial for recovery, so insulin and food are a must. Ideally, I would be at 150 when I got home, but ideally doesn't always happen in diabetes... But with the right amount of insulin, I was 105 1 hour after ride, and still eating.
I had also been sick of high blood sugars in the middle of the night, so I decided to make a jump. Recall 15 units Sat night, with only 3 hours on the bike. I said "screw it" and jumped to 17 units of Lantus after a 4.5 hour tough day... Too much. I was a little on the low side this am. Today I do no exercise, and I am going to go with 17 again, and should be good.
Thanks for reading the longest blog post of all time. I guess I could have summed it up by saying SB is a cool place, because I saw 3 therapist, and a bike ride in 1 day, without spending more than 7 minutes in the car at one time.
Have a great day. Until next time:)
Philpott
TeamType1.org
I hope everyone is rocking! Life on the west coast is good. Don't get me wrong, I absolutely love Atlanta, but being able to get anywhere in town in 5 minutes is quite nice. So I get out here, and it is 60 degrees and sunny, and like a fool, I go for a ride with new teammate/buddy Ken Hanson. Why like a fool? Cause I went out in shorts, and no leg warmers. The body is such a delicate thing, that having that extra chill, plus my whacked out position, caused a nice re-strain to the hammy. 3.5 hours that day. 15 units Lantus
Thurs am, go out for the group ride, and about 1 hour in, bam, that knife goes through my hammy. This time, instead of riding for 2.5 hours on it, I called my wonderful host Gina, and she came to Summerland to pick me up. I spoke with my Physical Therapist, Dianna Palmer, who could see me immediately. I head to Dianna's and she let me know that we caught it early, and all could be good. I did some ultra sound, stem, stretching, and walked out with some hot pink tape on my hamstring. You may have seen this on the Olympic athletes (not there yet:) but it helps to alleviate strain on muscles, and Dianna is a master at it!!!
At this point, I am pretty bummed to not be able to train. Last time, this set me back 10 days, and to be honest, I can't spare 2 days right now. That afternoon I met with Dr. Howard Zisser (research master) and we discussed some great possibilities to help people with diabetes round the world. I love brain storming with scientist! Howard asked me to come watch the game at his place. So I go meet the family, Howard, Kathleen, Noah, and McKenzie. His kids were brilliant, and great musicians. Watched the Gators stomp OU, and in the process learn Kathleen specializes in acupuncture. She could see me the next am. Now I am doing 15 units of Lantus.
High blood sugar in the night- Do I need more, or do I need a new vial??
Friday:
Wake up- work, 100 emails or so, head to acupuncture. Kathleen agrees there is a light strain, and goes to work with the needles. She also worked on my massive scars from the surgery in May.
Next ride with Tim to see Dianna- more ultra sound, stem, exercises, and getting made fun of, which is one of the main reasons I love going to see her. Ride goes well, with no pain, and then off to see Kim, who does my massage. He is the best of the West, and really helps get the kinks worked out.
New vial of Insulin, 15 units Lantus, high blood sugar at night.
Ride in am with Kim, Ken, and Tim, who all say my seat position is wrong. Kim helped me make some changes, and then Sunday I get to test. Yesterday Kim, Tim, and I went for 4.5 hours over some mtns, through some valleys, and a good steady ride. My sensor for Navigator came off during yoga (2 hours till expiration anyhow) and so I went off feel for this ride.
I woke up at 60 (correction in night) did 3 units of Apidra, ate 80 gms carbs, then 15 minutes before leaving I was 170, and 3 minutes before leaving was 156. Slight downward trend. So I jump down to the coffee shop, and eat a scone. Early part of ride, eating lots. Stop 2 hours in, eat another scone. I felt like I was bonking on the latter part of the ride, and eat more... Quite thirsty though. I thought my BS was too low, so I over corrected with food. I get home, and what do you know, 296. Scrub hands, and 302... So I dropped 9 units of Apidra in my body, and 20 minutes later downing pasta. This 1 hour after a ride is crucial for recovery, so insulin and food are a must. Ideally, I would be at 150 when I got home, but ideally doesn't always happen in diabetes... But with the right amount of insulin, I was 105 1 hour after ride, and still eating.
I had also been sick of high blood sugars in the middle of the night, so I decided to make a jump. Recall 15 units Sat night, with only 3 hours on the bike. I said "screw it" and jumped to 17 units of Lantus after a 4.5 hour tough day... Too much. I was a little on the low side this am. Today I do no exercise, and I am going to go with 17 again, and should be good.
Thanks for reading the longest blog post of all time. I guess I could have summed it up by saying SB is a cool place, because I saw 3 therapist, and a bike ride in 1 day, without spending more than 7 minutes in the car at one time.
Have a great day. Until next time:)
Philpott
TeamType1.org
Friday, January 9, 2009
Diabetes Game- Thanks to all for advice
Howdy From Santa Barbara,
This place really, really rocks!!! Sunny, warm, and great riding. I have a great place here, staying with Gina, and her family. They have been very gracious to put me up. Gina is part of the team, as is her son Sean!! http://www.apidra.com/real_people/stories/Gina.aspx
Big thanks for the warm Welcome to Santa Barbara:)
Thanks to everyone for the solid advice and comments. It has been a fun game to play, and have been learning a bit. Believe it or not I actually enjoy the confusion. Why? I imagine that if I had to do the same thing each and every day, I might get a bit bored, and then what fun would it be? But with all these changes, it constantly allows me to learn more, and sharpen this little brain I am stuck with...
What are some of the new theories? Well, kind of like Kerry said, as well as my buddy Tim Johnson- the body changes. it becomes more efficient at using fuel, so may need additional help (insulin) to get the fuel to where it needs. After having dropped my basal from 15 down to 12 last week, I have now raised it back up to 14, and will do 15 units of Lantus tonight. Instead of 3 units of Apidra for my 150gms of post ride Pasta, I am now doing 7 units. Where as last Saturday, I could eat 200gms of carbs on .5 unit of Insulin, today, I am going to inject 4 units of Apidra for 60gms of carbs.
I have another theory too... I had been sleeping in an Altitude tent each and every night. When I first got in, I slowly started reducing total daily insulin requirements, as the body burns more at night while in the tent. For the past 2 weeks, over the holidays, I have been in and out, and mostly out. Could this have lead to the higher insulin needs? Maybe? I just ordered a new tent from Altitudetech Inc. le and should have by early next week. I will make sure to let you know how that effects my insulin requirements.
Training camp is getting closer, and it is somewhat the talk of the town out here. We are going to have some of the top endos in the country at camp, as well as the top 27 athletes (who ride a bike) with type 1 in the world (that we know of.) This is a very exciting culmination of 4 years of work to get to this point, and just the beginning for Team Type 1, and the super beginning for Team Type 2.
Also, I am starting to get learn more about Twitter. So as I begin to travel the world more, and spend less time from the computer, I will try to do updates. If you would like to follow that way, please check: http://twitter.com/PhilSoutherland
More news to come, as I figure this part of the game out.
Thanks for reading, and Have a GREAT day!
Phil
www.teamtype1.org
This place really, really rocks!!! Sunny, warm, and great riding. I have a great place here, staying with Gina, and her family. They have been very gracious to put me up. Gina is part of the team, as is her son Sean!! http://www.apidra.com/real_people/stories/Gina.aspx
Big thanks for the warm Welcome to Santa Barbara:)
Thanks to everyone for the solid advice and comments. It has been a fun game to play, and have been learning a bit. Believe it or not I actually enjoy the confusion. Why? I imagine that if I had to do the same thing each and every day, I might get a bit bored, and then what fun would it be? But with all these changes, it constantly allows me to learn more, and sharpen this little brain I am stuck with...
What are some of the new theories? Well, kind of like Kerry said, as well as my buddy Tim Johnson- the body changes. it becomes more efficient at using fuel, so may need additional help (insulin) to get the fuel to where it needs. After having dropped my basal from 15 down to 12 last week, I have now raised it back up to 14, and will do 15 units of Lantus tonight. Instead of 3 units of Apidra for my 150gms of post ride Pasta, I am now doing 7 units. Where as last Saturday, I could eat 200gms of carbs on .5 unit of Insulin, today, I am going to inject 4 units of Apidra for 60gms of carbs.
I have another theory too... I had been sleeping in an Altitude tent each and every night. When I first got in, I slowly started reducing total daily insulin requirements, as the body burns more at night while in the tent. For the past 2 weeks, over the holidays, I have been in and out, and mostly out. Could this have lead to the higher insulin needs? Maybe? I just ordered a new tent from Altitudetech Inc. le and should have by early next week. I will make sure to let you know how that effects my insulin requirements.
Training camp is getting closer, and it is somewhat the talk of the town out here. We are going to have some of the top endos in the country at camp, as well as the top 27 athletes (who ride a bike) with type 1 in the world (that we know of.) This is a very exciting culmination of 4 years of work to get to this point, and just the beginning for Team Type 1, and the super beginning for Team Type 2.
Also, I am starting to get learn more about Twitter. So as I begin to travel the world more, and spend less time from the computer, I will try to do updates. If you would like to follow that way, please check: http://twitter.com/PhilSoutherland
More news to come, as I figure this part of the game out.
Thanks for reading, and Have a GREAT day!
Phil
www.teamtype1.org
Monday, January 5, 2009
Interesting game....
Howdy From HotLanta:
This will be my last post from the South, as on Wednesday I am moving to Santa Barbara for final preparations for the season. Will get to train with teammates, Ken Hanson, Jesse Anthony, Joe Eldridge, and a few other fast guys to get moving quicker...
A few answers to some questions from the last post:
Sandi: I like to have my blood sugar at around 150 for the start of rides. Does this always happen? No, but it is a good goal. I usually prefer an upward trend. To get this, I will not give any Apidra (rapid acting insulin) for 2.5-3 hrs before my rides. 30 minutes before walking out, I will eat a minimum of 60gms of carbs. That will get the arrow going up on my Navigator. Then in the first 10-20 minutes, I usually am eating food to level it off. If you are starting at 200, that is great. If you are dropping rapidly, then more food earlier would be a good start. Dex4 Liquid Blast, banana, or granola bar in the first 20 minutes will help. Eat a lot in the first hour, and see how it goes. Please keep me posted...
This past week has been very solid training. Did VO2 testing with Matt Russ on Tuesday. Numbers were good! Then a 5 day block of about 18 hours with intensity. Last week, I was riding tons, with next to no food and slowly increasing my insulin doses. More for basal, more for bolus. It was crazy. Then this week, another flip/flop. Obn Wednesday I ate the normal oatmeal pre-ride, went out for 3 hours, and had to eat. Thursday, I did 4 hours hard, and was eating lots. Basal was dropping, boluses dropping. I was now confused. Friday morning I was back down to 13 units of Lantus, with no bolus for breakfast, and a lot of carbs. Friday was 12 units, HUGE breakfast (200gms carbs) with only a .5 unit bolus, and highest blood sugar on the ride was 151.
I am awaiting call backs from my doc right now to try and learn what is going on. I am used to changes happening, but not so much the flip flop. But this is the game we all play, and no two days are ever alike. Better to accept that, and make the adjustments, than to wonder about the past. That is how I see it.
I hope all is well. Happy New Year to all!
Have a great day.
Phil
www.TeamType1.org
This will be my last post from the South, as on Wednesday I am moving to Santa Barbara for final preparations for the season. Will get to train with teammates, Ken Hanson, Jesse Anthony, Joe Eldridge, and a few other fast guys to get moving quicker...
A few answers to some questions from the last post:
Sandi: I like to have my blood sugar at around 150 for the start of rides. Does this always happen? No, but it is a good goal. I usually prefer an upward trend. To get this, I will not give any Apidra (rapid acting insulin) for 2.5-3 hrs before my rides. 30 minutes before walking out, I will eat a minimum of 60gms of carbs. That will get the arrow going up on my Navigator. Then in the first 10-20 minutes, I usually am eating food to level it off. If you are starting at 200, that is great. If you are dropping rapidly, then more food earlier would be a good start. Dex4 Liquid Blast, banana, or granola bar in the first 20 minutes will help. Eat a lot in the first hour, and see how it goes. Please keep me posted...
This past week has been very solid training. Did VO2 testing with Matt Russ on Tuesday. Numbers were good! Then a 5 day block of about 18 hours with intensity. Last week, I was riding tons, with next to no food and slowly increasing my insulin doses. More for basal, more for bolus. It was crazy. Then this week, another flip/flop. Obn Wednesday I ate the normal oatmeal pre-ride, went out for 3 hours, and had to eat. Thursday, I did 4 hours hard, and was eating lots. Basal was dropping, boluses dropping. I was now confused. Friday morning I was back down to 13 units of Lantus, with no bolus for breakfast, and a lot of carbs. Friday was 12 units, HUGE breakfast (200gms carbs) with only a .5 unit bolus, and highest blood sugar on the ride was 151.
I am awaiting call backs from my doc right now to try and learn what is going on. I am used to changes happening, but not so much the flip flop. But this is the game we all play, and no two days are ever alike. Better to accept that, and make the adjustments, than to wonder about the past. That is how I see it.
I hope all is well. Happy New Year to all!
Have a great day.
Phil
www.TeamType1.org
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