Archive for the ‘My Workouts’ category

My Disneyland Report

September 8th, 2010

Many of you may know that I was in Disneyland last weekend for the Disneyland Half Marathon.  I had so much fun I feel kind of dopey writing about it—there is no chance all that fun can possibly come across on a computer screen!!

But I’ll try.

We got there on Thursday and picked up our bib numbers on Friday.  Fun already—the expo was in full swing when we went to pick everything up so I even got to shop!  Not only did I get to shop at the expo… but they were selling RUNNING STUFF to people who ENJOY RUNNING so I was hanging with my peeps.

So fun.

One shop had all kinds of fun shirts; I wanted to buy every single one they had but I held back and I think only got three.  Maybe four; I can’t remember—I was in the Zone. 

On Saturday we had to be at the start line by 6:15am.  Yikes.  No big deal; there were only 5,000 runners and it was a fun run so no one crowded too much.  Super fast, super fun course through both Disneyland and Disney’s California Adventure.  Yay!!  The Disney runs take you all sorts of places you’ve seen and all through parts of the area you’ve never seen—those parts behind the “Cast Members Only” gates!

Sunday’s half marathon was a bit slower than the 5k (it’s much easier to maintain a faster pace for 25-30 minutes than 90-120 minutes!) but just as fun.  This run was monitored for pacing, so they started us out in waves, according to our predicted finish times.  It was a great way to start since we weren’t afraid of trampling a walker as those of us with less control over our excitement busted out of the gate.

You can see in the Garmin report where I stopped to check my blood sugar: mile 4, mile 6, and around 8.5-9 (my heart rate drops and my pace slows way down).  What you can’t see are my blood sugars: I started before the run around 180, which is a great spot for me to start a long run on a course I haven’t done before.  Excitement got to me and at mile 4 I was 304.  I was smart this time and remembered what happened last time I didn’t eat; this time I took insulin and ate anyway.  I would normally stop again at mile 8 but since I was high at mile 4 I didn’t want it to take that long before I checked again.  The check at 6 miles had me again at 304.  This was a fine result, since I knew I had insulin still on board that hadn’t it, but the sugar had already entered my blood stream.  Holding steady at that point was pretty great for my run.

I was down to 215 when I checked again for the last time.  I knew I still had a way to go so I ate another Gu (25 grams CHO) and kept running.  I did not bolus for that second Gu because I knew how my body would likely respond.  By the time I finished the half marathon I was 141.

Not a bad result.  I felt strong and relaxed during the run and while I would have preferred to keep my blood sugars under 200 for the entire run, that isn’t always possible for Event Day when the excitement is going full blast (did I mention I was BEHIND CAST-ONLY DOORS AT DISNEYLAND?!) and I’m not in control of the course.

I wonder how fast I could have run it if I didn’t stop for blood sugar checks and if I weren’t at 300 for a portion of the run.  I smile when I think about it—I feel like I am making a great showing in my runs and no one else probably knows how it feels to function with a blood sugar of 300. 

Much less set a personal record.

My Disney Half Marathon Medal

Still on the Zen Thing

September 7th, 2010

Since you were born, what has your body done for you? Since you were born, what have you done for your body?  –Zen proverb

Last week I wrote a bit about what my body has done for me.  Today I want to talk about what each of us has done for our bodies.

Granted, those of us living with diabetes are at what some may consider a disadvantage because our bodies don’t function as they were designed to function.  But I don’t consider that a stopping point—I consider that a STARTING point.

It would be easy to say I’m too tired from swings in my blood sugars, too scared of going low, too busy managing my disease to take care of my body.  But as one of my bootcampers said once: “it’s not about easy.”  (Nor did anyone ever claim it would or even could be.)

I’m in this for life.

I certainly haven’t always felt this way; I know I spent time being afraid of my life with diabetes.  Growing up and before I was diagnosed, I was not encouraged to go out and run around—a scuffed knee was a big deal in my house.  But now, I see that scuffed knees heal and I want to get out and encounter the world, interact with it and experience life.

I need my body to help me do that.

So, I take care of my body now in ways I never had to as a kid and didn’t when I was a teen with type one diabetes.  I drink a lot of water to keep myself hydrated.  I try to minimize the chemicals I ingest.  I try to fill up on veggies and fruits before moving to quick carbs or fat-loaded proteins.  I try to fuel my body with quality sources of energy.

Above all, I try to exercise my body so that it knows I care about it. 

I lift weights to keep my bones strong and my muscles challenged.  I run to keep my heart healthy and my joints moving.  I stretch to reward my tired body with relaxation and increased blood flow with the nutrients my body needs.

And I don’t stop. 

Of course I take rest days when I or my body needs them.  But I don’t think exercise is only for a period of time or only until I reach a certain poundage or clothing size.

I was surprised by what happened when I started to exercise my body and get it to a weight it wanted to be.  I felt better.  My confidence rose.  My knowledge that I am a participant rather than a spectator in my life led me to new experiences, new goals, and new achievements.  What amazing benefits.

See, I don’t think any of us are supposed to ever reach the horizon—I think that’s the point.  We need it to be visible yet just out of reach so that we have someplace to dream about, someplace to reach for, and someplace to go. 

Thanks to the way I care for my body, I know I will be dreaming, reaching, and travelling for quite some time. 

Right on.

This Zen Proverb Made Me Think

September 3rd, 2010

Since you were born, what has your body done for you? Since you were born, what have you done for your body?

–Zen proverb

See, now this is a question I think separates the men from the boys, as it were. 

I know that most of us with diabetes read that first question and have a vehement response: my body gave me diabetes.  Gee, thanks.

Not.

But then the second question is where the meat is: WHAT HAVE YOU DONE FOR YOUR BODY?

Are you hanging onto your anger at your body over developing diabetes? 

Are you letting it waste away by not challenging yourself physically?

Are you poisoning it with unnecessary chemicals?

Well; are you?

We each get one body.  ONE.  It must last us our entire lives—we do not get another chance at this.  We can’t sit back and passively destroy our bodies.

I don’t want to fight my body any more than I already do with my diabetes: I want to enlist my body as one of my best tools!  Just like I can’t leave my best tools out in the yard all year to gather dust, grime, and rust, I can’t assume my body will be okay if I don’t take care of it.

We need to get moving, get exercising, get thinking about how we can take care of our bodies.  Not only because we “should,” but because we, and our bodies, deserve it.

Since I was born, my body has done an incredible amount for me.  My legs have supported me every place I’ve ever gone.  They have endured four shots a day with only a rare mark to display the unnatural act.  My feet have been bruised, blistered, cold, and sweaty hot yet they have kept me grounded

My waist has appeared and disappeared and reappeared as I grew, matured, gained, and lost weight.  My shoulders have remained high as I faced countless challenges, only reluctantly stooping once in a blue moon. 

My arms have hugged more friends than I knew existed, and held onto my parents when my legs hadn’t yet learned to walk.  They reached for the stars and climbed tree branches and caught footballs and threw red rubber balls and bent and straightened for every pushup I’ve ever done. 

My hands have done more than I ever thought.  My fingers have felt more surfaces and touched more and bled more than most, I am sure.  My hands remain strong to hold a friend’s hand in need, to pat someone on the back for a job well done, to high five a child and to shake paws with a good dog.  My fingers have followed the lines of miniscule type in too many law books and I have watched them quiver when I have been low.  My fingers placed my husband’s wedding band on his finger as we held each other’s hands.

This weekend, my body is taking me for a run through one of the happiest places on earth as I run the Disneyland Half Marathon and 5k.

I couldn’t do any of this if I didn’t have this one body. 

My body has done so much for me, despite some considerable flaws.  But when I look at what I have really received from my body, really and truly, the flaws fade away. 

My body has enabled me to BE, in this massive and wonderful world.

What has your body done for you?

Happy September!

September 1st, 2010

So what the heck happened to August?  I had all these great intentions for sharing my 6 minutes of outside time with everyone every day but shoot; there THAT went in less than a blink.  I did end up changing my routine as a result of the challenge, though: now when I go to my law office, I park several blocks away and walk over.  It beats paying for a parking permit or getting a ticket!

I really enjoy the area I get to park in and I’ve met some of the animals in the area.  Most everyone is at work when I’m heading in, but when I head out everyone is home and playing with their kids in the bike-only streets.  Being outside really sets a nice mood for me after I’ve been at work!

Arthur the Cat lives someplace between where I park and where I work.

Since nearly everyone is back into their routine after summer vacations and school is back on, I was trying to think of some fun outside exercise activities that relate to the impending season change(Please note, particularly for my dear friend who shall remain nameless, that I understand technically summer is over on September 21st.  However, I am not so far out of school that I don’t remember the pain associated with September, so I’m saying “Fall” here in a very loose sense.   I beg your indulgence.)

Some ideas I had for some fall activities that I would consider exercise, inspired by a notion of Heaven:

  • Raking leaves
  • Picking apples (and carrying the bushel around)
  • Cool morning bike rides
  • Walking to school—a walk, not a mosey!
  • Biking to school to pick up your kids and then walking home together
  • Running or walking the football bleachers while waiting for the game to start
  • School walk-a-thons: donate to a kid’s school and ask if they would let you walk with them for a bit and double your donation for those miles/laps!

Just thinking about these activities is making me hungry for an apple.  I love a change in seasons!

I also should mention my best gadget for running in the darker hours: it is a baseball hat with LEDs in the brim.  It is the best!!!

The hat I got from www.gofastandlight.com-- I love it!

August 30th, 2010

I had a dream my blood sugar was 1, 172.  I remember the screen had “11172” displayed, but in dreamland it was one thousand, one hundred and seventy-two

Wacky.

Because not only was I over a thousand (which I think has never happened in my real life) but I was in a weird blue bathroom and about to run a half marathon.  Since the half marathon was going to start whether I was ready or not, I just had to figure out what to do.  In my dream, I stood there a while and I don’t know what happened because I woke up then and said aloud “Weird!  I have to blog about that today!”

I rarely dream about my diabetes.  I rarely dream about much of anything from my close daily life, either, so it was weird to dream about my blood sugar.

I wonder if it has anything to do with my miserable run on Saturday.

I have to wake up for bootcamp every day at 5am.  This means I am reluctant to set an alarm on weekends.  Last year when I trained for my marathon I woke up one day of the weekend and did a long run before most people woke up.  This summer I haven’t been able to do it—I set the alarm, wake up, hang out in the bathroom staring at myself in the mirror, ask the dreaded 3-letter question one should never ask at that time of the day (“why?”), and head straight back to bed.

This on its own is not a problem.  On Saturday, however, it was a problem because when I woke up at 8am for my planned 16 mile run I ran out of cereal and turned on the TV.

Of course, I’ve been trying to bolus 10 minutes before I eat, so when I got to the bowl my insulin was already delivered.  Yikes when I opened the box and saw a literal tablespoon of granola at the bottom of the bag.  (I’d love to have shouted “who did this?!” but I’m the only one who eats that cereal.  All me.)  This meant I had to fudge it a little with some raisins and a gulp of Gatorade.

But the real culprit was Mike Holmes.  Now, in hindsight I know it was an hour-long show that was only part one of two.  At the time, though, I thought he would have built a beautiful home within an hour and I’d be able to see his magnificent work. 

So I kept continuing my reduced temporary basal and watching the show.

Which all meant I was 3 miles into my run and checked my blood sugar: 372.  Whoops.  Dang.  Small bolus, keep going.  Checked again 5 miles in, 330.  Looking better.  Keep going.  Checked again, 7.5 miles in, 220.  Phew. 

I was having a completely miserable run, though.

It wasn’t until I had returned home after forcing myself through the 16 that I started to wonder why it was so terrible.   (I finished with a blood sugar of 105 for those of you who are interested.)

Now it seems so obvious, but it wasn’t that obvious when I was out there!

Usually, at that 3 mile spot I have something to eat.  And usually, I’ve had an entire bowl of ceral.  And usually, I eat again after 9-10 miles.  But on Saturday I didn’t eat at all because I kept checking and seeing numbers that started with 3s and 2s. 

This isn’t how I normally run, and I haven’t seen a 300 in a while.  I’m glad, because I don’t like to see them when I’m out running.  Just like that 1,172 in my dream, I’m not always sure what to do when they are so high mid-run—my gut reaction is “insulin!” but when I’m running I know I need to moderate my gut response with something that makes better sense for my current situation.

Let me tell you, though, on Saturday I was one UNHAPPY camper.  I haven’t run that plainly unhappy in a number of years—and I’m glad I haven’t.  It sucked.

It brought to mind a comment Jerry Armstrong said once about running and nutrition: he said you know who did it right if they cross the marathon finish line and ask where the sign-up is for the next marathon.  If someone crosses the finish line and says they’ll never do that again, they haven’t taken care of their nutrition for the long distance.

That Jerry is a smart guy.

So the next time Mike Holmes builds a house for a sweet 63 year old lady with 5 grandchildren whose house was destroyed by Hurricane Katrina, if I decide to watch that instead of going out on my run when I planned to go, I’ll remember to eat on the run—even if I’m high—because if I don’t fuel my body, how can I expect it to perform?!

How Joslin Suggests You Start Running

August 25th, 2010

Joslin Diabetes Center lists their 8 Tips For Running with Diabetes below.  I kind of think they are good tips for people without diabetes, too.  Not everyone who has a cardiovascular, orthopedic, or other problem has diabetes… so just be smart about your body and your physical conditions before you go out and try to win that gold.

Now, I want to repeat that I don’t think running is for everyone.  Some people simply hate running.  If you hate running, I don’t want you to spend time crafting your running skills—you’d hate the time and you’d hate me.  No need for that.  Only invest in learning what you need to keep yourself running, safe, and happy if you enjoy a few minutes of the run.  Those minutes will grow and grow as you keep at it.  (I know you won’t believe me when you’re out there, but it’s true.)

When I started running outside and no longer on a treadmill, I had been run/walking for about a year.  I never kept a log of my running and blood glucose readings—although I frequently checked while running.  I kept a log in my head, though, and one doctor asked me why I would think I could do it that way (meaning, I think, that he wanted me to write the numbers down so he could see them too).  Probably because I was stubborn.  (ya think?!  Still am.)  He made a good point, though: no need to make a point if making that point complicates your life.  Keep track so that you learn what your body does.  That knowledge will help you in all areas of your life with diabetes.

Now get out there!

“Walking is for everyone and provides tremendous health benefits,” says Michael See, M.S., R.C.E.P., a clinical exercise physiologist at Joslin. “Jogging is a great form of exercise for individuals who prefer to participate in a more vigorous exercise program.” Here are his tips to get the benefits of a healthy running program:

1. Get your doctor’s clearance. People with diabetes should consult their doctors if they want to go beyond purposeful walking, to make sure that they are not at risk from cardiovascular, orthopedic or other problems.

2. Walk before you run. Go from walking to running in a gradual process. Begin with purposeful walking (for half an hour or so), then combine walking and jogging, and then increase the jogging.

3. Wear the right footwear. Consult with an expert when you buy the shoes. Make sure that they fit well and are appropriate for running.

4. Dress appropriately. Dress in layers; wear absorbent materials close to skin to wick away perspiration and an outer layer to protect you from the wind and other elements. Wear a reflective vest if you’re out at night.

5. Find a partner or role model. Look in your community for running groups or clubs. Invite your neighbor or colleague to join together during lunch. If you’re interested in going the distance and even maybe running a marathon, pair up with someone who has done it.

6. Keep a goal in mind. You may want to set your sights on an event such as a five-kilometer road race for charity.

7. Have a plan for managing your diabetes. Measure your blood sugar before and after the activity (and during it, if needed). Carry juice, a sports drink, a piece of fruit or glucose tablets. Keep a training log, recording your miles and your blood glucose readings.

8. Listen to your body. Starting gradually and being consistent are the secrets to improving your health and fitness, avoiding injury and managing your blood sugar levels.

Are You a Routine Type of Person or Do You Fly By the Seat of Your Pants?

August 19th, 2010

I was brought up in a family of planners.  We planned everything.  I can’t tell you anything that happened that wasn’t planned.  We talked about plans before they were plans, we planned out when to plan, we discussed the current plan, we anticipated what the next plan would be, and we thought about what the plan was for tomorrow’s plan.  And we had a tentative plan for next week, too.  And the plan for next week included plans for the following week.

The Plan Ruled in my family.

Which probably explains why I married a guy whose family never planned.  If you showed up on time, good job!  It’ll just be a few more minutes before I’m ready; where are we going again?

This is incredibly entertaining to me, incredibly frustrating, and always fascinating.  Either the plan or the non-plan; I’m often amazed anyone can make it through the day.

I was thinking about this because I was reading a Runner’s World magazine from last year (I’m working my way through them, I swear) and saw a blurb about a man who has run every day since December 20, 1964. 

Yeah, you read that right: he has run more than 16,000 days in a row.

They had a photo of him sitting with his seventeen running log books spread before him.  It’s pretty impressive.  I thought about one of my bootcampers, who reports that her dad has a journal that chronicles every workout he’s done for the past four decades.

Wow.

I think that would be so cool to have for myself.  I just know it isn’t going to happen.  At least, not without my undergoing a massive personality shift.

It’s hard to see any log book and not think of blood sugar log books.  (I asked for a copy of my printouts the other day from my doctor, so now I at least have something to look at!)  How crazy would that be, if I had blood sugar records from every check I ever did??  Can you even imagine that?  22 years, 4-14 checks a day, with insulin and activity records?  For more than twenty-two years?

Not that I’m competitive or anything, but I bet I’d fill up waaay more than seventeen books.

A plan involves both looking ahead and looking back.  Plans can either complicate or simplify life; it depends I think on the planner involved. 

I’m sure I’d make more changes to my insulin if I had record books and could look at patterns on paper.  I’m just not sure if more frequent changes would be better for me.  I’ve been considering writing my numbers down again, just to see if I feel better doing it than not doing it.  I’m sure I’ll tell you how it’s going if I decide to start.

I will say this: I started logging my workouts in an online workout calendar this past year and I like it.  I like knowing what the past month looks like in terms of my days running and doing weights and yoga.  I look at that to help me decide what would be good for me to do next. 

I guess I learned something from growing up in a Planning Family.

Take Care of Your Heart

August 13th, 2010

I want to highlight this one again and repeat the information as often as possible: take care of your heart.  Take care of it by using it and working your heart to encourage it to grow stronger and healthier every day.

Exercise.

The risk of dying from cardiovascular disease prior to age 40 is nearly twentyfold in persons with type one diabetes compared to non-diabetics.  You need to take care of that ticker!  How?

Exercise.

Children and teens with type one diabetes will deal with their disease better when the entire family faces management as a team.  One of the ways to help and support a loved one with type one is to model acceptance and adoption of exercise in the lives of each individual family member.  It isn’t just your heart you need to care for; it’s for your loved ones as well. 

Exercise. 

Adolescents and adults who exercise have a greater perception and positive view of their own health.  How can one living with a chronic disease like type one diabetes improve their own outlook and know they are helping their body stay healthy?

Exercise.

Adolescents have a demonstrated tendency for poor glycemic control through years of turbulent hormonal and social and physical changes.  How can you cope with the stress of these difficult blood sugar fluctuations?

Exercise.

For parents and people with type one diabetes, sometimes you need to look past the fear of going low during exercise.  Sometimes you need to look at long term complications and be afraid enough of those to change what you do NOW

Given the fantastic tools we now have compared to the tools available 60 years ago for managing type one diabetes, we don’t need to be as afraid of kidney or eye problems associated with microvascular damage.  We’ve moved to macrovascular concerns: heart disease and strokeA diagnosis of type one diabetes is the warning sign for these catastrophic events.  However, we have the tools to deal with those complications and we can use them NOW.

Exercise.   Protect your heart, your body, and your life.

Get out there.

Exercise Is Medicine—I love it!!

August 12th, 2010

I’ve been writing for a while about how much I use exercise as a tool to help me stay healthy with type one diabetes.  The American College of Sports Medicine (ACSM) has launched a campaigned called “Exercise is Medicine” with various tools to help those with all sorts of health issues think about how to exercise to improve their health.

 I of course zoomed over to the Type 2 Diabetes page to see what ACSM has to say.  Yup; pretty simple from my perspective.  The page just outlines what many of us already know about our diabetes and physical activity, in terms of increased insulin sensitivity and a resulting increased need for carbohydrates.  We are lucky in that we don’t have any physical limitations our disease created and (absent any complications) our mobility is not compromised.  We can do what anyone else can do.  We just need to think about it a little bit more.

Speaking of thinking about exercise in our lives, I invite everyone to check out another tool at the ACSM’s Exercise is Medicine page.  It’s a way to think about exercise in our lives.  I know I posted yesterday about my questions why someone might not exercise and I think the grid on the ACSM’s Decisional Balance page is a fairly good reflection of reality.  (Including my questions why someone would chose the “inactive” side of things.)

So spend a little time at the Exercise is Medicine website and see if there are any tools you can use to re-think exercise in your life.  Keep thinking, start doing, and let me know if you need some help. 

You’ll thank yourself.

Exercise and Hunger

August 9th, 2010

Do you feel more hungry after you exercise, or less hungry?  Is that hunger real, or is it just you telling yourself “it’s okay to eat” because you just worked out? 

I am probably not the best person to discuss hunger.  I don’t have the best sense of real hunger after so many years of eating when I’m not hungry because I’m low, not eating when I think I’m hungry because I was trying to lose weight, stopping when I’m full versus stopping when I’ve eaten enough carbohydrates to cover the insulin I took 15 minutes ago—always trying to eat enough but not too much gets fairly difficult while trying to simultaneously manage the nutrients my body needs to perform and all of the social aspects of eating.

It gets difficult. 

Which is why I find it so curious that after a long run, I’m rarely hungry.  (Long run = 90+ minutes)  I would have thought that I’d come home and be starving!  But that just doesn’t happen.  I don’t get “hungry” for a couple of hours after a long run. 

I also know that the old trick of taking a walk around the block when you think you’re hungry can really work when you’re faced with a clock that is slowly turning from 3:30 to 4:00 and dinner isn’t until 6:30 or 7:00… a lot of damage can be done in that hour if you haven’t had a good breakfast and lunch!

So I thought this study evaluating the hunger levels of 11 male university students over three 8-hour sessions was worth a blog post.

The participants ran for 60 minutes on the treadmill for one session, did 90 minutes of resistance training for another session, and did no exercise for the third session.  The researchers studied two key appetite hormones in the subjects’ bodies: ghrelin and peptide YY.  (No worries: no quiz at the end of this!)  Ghrelin is the only hormone known to stimulate appetite, while peptide YY suppresses appetite.  The study participants also answered questions about their hunger after each session.

The researchers found that during the treadmill session, when the participants were performing aerobic exercise, ghrelin levels dropped and peptide YY levels increased—the hormones were suppressing appetite.  In the resistance session, the ghrelin levels dropped but the peptide YY levels didn’t change. 

According to the participants, though, both aerobic and resistance exercise suppressed hunger, but the aerobic exercise did so to a greater degree. 

This would explain my long run phenomenon.

So next time you’re feeling ravenous and can’t quite figure out why, maybe it’s just that your ghrelin is out of whack.