Archive for the ‘My Workouts’ category

Madison Marathon Report (May 29, 2011)

June 1st, 2011

My husband swears that the time I spend running a marathon simply FLIES by as he watches all of the comings and goings of the staff and successive events and finishers.  I’ll just take his word for it on that one—to me, a marathon can seem endless.

Endless, and not always terribly interesting.  But, in the event you can snag a piece of trivia or useful information from my report, I beg your indulgence for the next few hundred words.

I will say this for myself: this time around I did a really good job getting past all of the things that could normally have tripped me up for the duration of the event.  Things like not having enough port-o-potties for the marathoners so I couldn’t go one last time before the gun went off, and my sensor reporting no signal so I was trying to fidget with that as people at the start line crammed in and elbowed me like crazy, my running gadget not working at the start line so I was perpetually a half mile off on my time and distance calculations.

These things I acknowledged and let pass.  That was pretty darn amazing.

The weather was something I just wasn’t sure of at the start line.  I had a ton of glucose with me—I didn’t have enough the last marathon I ran—so I was happy to have an extra pocket in my shorts to stash more stuff!

Because I wasn’t sure how I was going to fare in the relative humidity and the route I’d never run before (unknown hills and terrain), I wanted to be a little high to stay on the safe side so I could finish the event without having to walk home.

You’ll see a lot of 200 numbers here, but then you also need to know that I was on a lowered basal and consumed about 125 grams of carbohydrate in the four and a half hours it took me to finish the marathon… which is about how many grams I eat on a normal day, so that tells me I was wise to raise my comfort zone this time around.

I had a few bites of oatmeal (forgot a spoon so I drank it from the hotel paper cup) and a Larabar after I woke up; I only took just a little insulin to cover that.  You’ll see I started at 257; I still had some active insulin left from that breakfast bolus and I came down as I started to run.

My sensor had been relatively accurate prior to the marathon, so I didn’t check as often as maybe I would have.  I did have trouble regaining my pace after I stopped to check one time, so I was glad for the sensor’s relative accuracy that day.

153         5:00       

208         5:45am

____ MARATHON START: 7AM____

257         7:50

204         8:45

204         9:10

161         10:30 (right before it started to rain!)

____ MARATHON FINISH: 11:30AM____

The rain at the last hour was a refreshing change from what I’d been used to the previous hours.   And, I figured it washed some of the sweat away.  I wasn’t up to checking at that point, anyway, which is good: a raindrop will ruin a strip.

Anyway, it really was a beautiful course and I got to spend some quality time with my extended family who lives in the Midwest and drove to Madison to see us over the holiday.  It was nice to see them at a non-life-changing-event like this; stress was pretty low for all of us and we really had a fun time.

Maybe I’ll do this one again next year.

As for the marathon itself, I still feel simply grateful that I can run a marathon.  Not everyone would be able to put up with it. 

They’re kind of a lot of work.

But 100% worth it!

Four (4) Days. Four!

May 26th, 2011

Have I ever shared with you how extremely bad I am at packing?  More specifically, packing my supplies?

The air traffic safety people haven’t made the task any easier.

It amazes me how much I can bring “just in case” I need it.  When it comes to supplying myself with potential medical necessities when running a marathon with type one diabetes, it gets even worse!

I am even more amazed by Nat Strand after packing for this short little nothing trip.

I think this time around it was my Mastisol that got me.  I know that anything that may seem “attached” when I start a run will quickly become “not at all attached” once I break a sweat were it not for my Mastisol.

(If you just shuddered, as many do at the thought of Mastisol on their skin, let me assure you: I sweat a lot.  I would not be able to keep anything attached to me without Mastisol.)

And of course Mastisol is crazy expensive so I bought it in the big 2 ounce bottle since I am most often at home when I change sets and sensors and the bigger bottle was cheaper.  But, I have also had a little 15mL bottle of Mastisol spill in my luggage (fortunately for me it was in a Ziploc!) so I’m not interested in bringing or risking the big momma bottle.

But, it’s a marathon.

And, thank you air travel, I cannot wear my sensor in flight.  I’ve tried turning it off in the air and back on on the ground, but that doesn’t work at all.  I’ll need to insert a new one and get it started once I’m on the ground.

All of this means I’ve got to bring my Mastisol with me.  And, of course, I’m realizing this last night and I leave later today.  And I’m not into paying $20 for someone to ship me a small bottle to the hotel and deal with it that way—diabetes is expensive enough.

SO, to fill you in on completely random information that doesn’t really have anything to do with anything, I feel like a genius for what I realized I can do.  I’m going to stick some Tegaderm on my hip with Mastisol before we leave, and then I’ll put in my sensor when we land.  (If I put on my sensor without putting Mastisol and Tegaderm down first, it falls off.  Every time.  I’ve tried more than seven times to do it the way that .)

That way, I’ll accomplish a few things with little hassle. 

The tricks we learn from years of diabetes, years of pumping, years of CGM’ing, and years of running. 

It’s getting better all the time!

It’s A Little Sad We Need the Government for This

May 25th, 2011

It’s a little sad to me that we need the federal government to tell us to get a move on every day.  In an ideal world we wouldn’t need that—we’d be able to live our lives without the stress of an urban or suburban environment relegating us to a life of boxes.  (Lie on a box, eat from a box on a box, get in a box, drive to a box, sit at a box, stare at a box, get back in the box, drive to your box, sit on a box, stare at a box, lie on a box, and repeat!)

However, not only am I unable to change the world just by wishing for a change, I am also not likely to inflict my desires on an entire population.  (If only!)

So despite my sadness I find it somewhat useful to periodically check in on the federal guidelines for physical activity for Americans.  I think they are fairly weak requirements as I’m positive most would benefit more from somewhat higher standards, but I also understand a majority of citizens are very far from achieving even these daily amounts of physical activity… which brings on another wave of sadness!

How do you measure up to these standards?  How does your family measure up?  Your friends?  Are you doing what you can to achieve these recommendations for your body and health?

Children and Adolescents (aged 6–17)

  • Children and adolescents should do 1 hour (60 minutes) or more of physical activity every day.
  • Most of the 1 hour or more a day should be either moderate- or vigorous-intensity aerobic physical activity.
  • As part of their daily physical activity, children and adolescents should do vigorous-intensity activity on at least 3 days per week. They also should do muscle-strengthening and bone-strengthening activity on at least 3 days per week.

Adults (aged 18–64)

  • Adults should do 2 hours and 30 minutes a week of moderate-intensity, or 1 hour and 15 minutes (75 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic physical activity. Aerobic activity should be performed in episodes of at least 10 minutes, preferably spread throughout the week.
  • Additional health benefits are provided by increasing to 5 hours (300 minutes) a week of moderate-intensity aerobic physical activity, or 2 hours and 30 minutes a week of vigorous-intensity physical activity, or an equivalent combination of both.
  • Adults should also do muscle-strengthening activities that involve all major muscle groups performed on 2 or more days per week.

Older Adults (aged 65 and older)

  • Older adults should follow the adult guidelines. If this is not possible due to limiting chronic conditions, older adults should be as physically active as their abilities allow. They should avoid inactivity. Older adults should do exercises that maintain or improve balance if they are at risk of falling.

What Are Health Insurance Companies Paying For?

May 19th, 2011

The title of this article is great news for trainers and type 2 diabetics alike: Structured Exercise Programs Help Lower Blood Sugar, Study Finds.

This is one of those “study of studies” kinds of studies, which I find fascinating in the research field.  Not having any idea how a regular study with actual people is performed, I think it’s entertaining to learn that you can just study the studies other people have performed and call THAT a study and move on.

But that isn’t my point.  My point is: the people living with type 2 diabetes who were told to exercise and what to do didn’t fare as well when it came to their A1c levels as those who were told to (and did) join a “structured” exercise program.

Makes sense when you think about it.

If you told a kid “brush your teeth” and never showed them how or brushed your teeth at the same time as they were brushing their teeth, it would make sense that eventually the kid would stop brushing.  (If they ever started.)

Adults really aren’t all that different than kids!!

If the study participants were assigned to a structured exercise class that included both aerobic and resistance training, they on average lowered their A1cs by 0.67 percent more than the control group. 

Not bad!

Those who were simply instructed to exercise and given advice on what to do lowered their A1cs by 0.43 percent compared to the control group.

Still not shabby.

My favorite part of the article, though, comes in the editorial by another doctor who pointed out that in one of the studies studied the adults who went to a gym two times or more per week for two years, they incurred $1,252 less in health care costs than their less-active peers.

Sweet!

That doctor went on to advocate for insurance reimbursements for structured physical exercise programs.

I couldn’t agree more.  Exercise is a vital part of our health—diabetes or no diabetes—and given the overwhelming evidence in support of lower health care costs (from this and other studies) it no longer makes sense (if it ever did) for health insurance companies to ignore the importance of exercise. 

What say you, Insurers?  Are YOU ready to help us get healthier through exercise??

Almost There!

May 16th, 2011

I ran less than 17 miles yesterday.  Do you know what that means??  It means I’m getting really close to the marathon—it’s TAPER TIME!!!  My longest runs have already been completed and after months of slowly gearing up for the Memorial Day event, now is the time for me to ease back and rest up.  Fun!

However, I did not have a great time out there yesterday.  Sure, I missed out on the rain, which was fantastic, but it was still me running the same routes I’ve been running for the past what seems like eternity.  I let the boredom in and it was almost all over right at that moment.

Training blahs have set in with a vengeance.

I shouldn’t be concerned about the training blahs: I know I’ve been here before, and I know I’ll be there again.

What I CAN do at this point is remember to simply plan better.  It seems I have to keep re-learning the same things as I search for balance between being too rigid with my training and too flexible:

1.       Plan a fun new run.

Sometimes I wonder why I don’t listen to my own advice!  I don’t vary my routes significantly in large part because I don’t like to drive someplace to start running.  That means I’m limited to where my two little legs can carry me, leaving from my front door.  Granted, the farther I run while preparing for a marathon the more sights I can see, but those first few and last few miles are always either on route A or route B.  Yawn.

Yesterday I left my house without a firm route set in my mind.  That wasn’t a great idea, because I let boredom get the better of me!  My “oh, I’ll just see what happens” was really not a good way to plan for 16-18 miles. (I ended up getting in just 16.7)

2.       EAT no matter what my blood glucose levels are.

I think yesterday that was my biggest blunder.  I had eaten oatmeal before I left and didn’t bolus for that, so I knew I had enough glucose in my body to get through the run.  Looking back at it, I see that I did just fine keeping pace for the first 75 minutes before I let myself stop due to boredom and never really got anything back to where it had been.  I kept stopping and starting for a variety of reasons, but I’m betting that if I had taken a little extra insulin and eaten something at mile 4-5 I would have had a much better time of things, and wouldn’t have lost the mental or physical edge. 

3.       REST an additional day if necessary.

This advice I DID take this past weekend.  I have two days I can run in the mornings: Saturdays or Sundays.  (The other mornings are full of bootcamp!) That means that Fridays I generally spend thinking about where I’m going on Saturday (as I really do usually plan a route!) and trying to rest up. 

But the previous weekend I didn’t rest when I should have, and just stuck to my plan of going on Saturday when I probably would have done better had I run on Sunday instead.  This weekend, I knew on Thursday evening I shouldn’t run on Saturday because of the way my legs felt.  So, I saved it all for Sunday instead.  That was smart of me, because at this point, I’m not into getting hurt and not being able to participate in the run!

Like I said, it’s a balancing act to train for a marathon.  Thankfully, I’m almost there.

Mix Things Up and Do Something Good For Your Body!

May 11th, 2011

I know I’ve said this before, but it always bears repeating: our bodies are waaaay smarter than we are.  And, our bodies are always looking out for us by responding to a stress by getting stronger.  One of my favorite experts, Jason Karp, Ph. D, said it best when he refers to training as threatening your body’s survival.  In turn, your body does what it needs to do to prevent that threat the next time it comes around.

It’s one of the ways you get stronger and faster!  It’s how lifting a 10 pound weight that used to be incredibly difficult seems easy by comparison when you’re strong enough to lift a 20 pound weight for the same exercise.  And how running a ten minute mile is no longer as difficult once you’ve gotten used to running a nine minute mile.

All of that being said, it’s still critical to mix things up if you want to increase your fitness level and protect your body from injuries that can occur with repetitive stress of unvaried training.  It can be a fine line between not enough and too much!

One of the best ways to keep yourself in tip top shape and free of injury is to MIX THINGS UP when it comes to your exercise routine.  For me, that means doing a lot more than simply running.

I like these ideas from Active.com

Take a Dance Class

Replace a day you would normally spend cross training with a Zumba, hip-hop or salsa class. Runners often focus so intensely on forward movement that their quadriceps can become over-developed and as a result, the gluteal and adductor muscles that provide for stability and lateral movement can atrophy. 

These small and often forgotten muscles are necessary to keep the body balanced and to prevent injuries to the IT band, knee and ankle. You can hit the gym and build these muscles by lifting weights, but why not take a dance class that gives you a cardio benefit as well?

Zumba, hip-hop and salsa provide a balanced workout because they require dancers to move in 360 degrees around their bodies. They strengthen all major and minor muscle groups in the legs; provide a core and cardio workout, and the bonus? A dance class once a week helps break up the daunting mental block that training can inflict on the psyche.

Do Speed Work in Spin

Sprints in a high-intensity spin class have the same benefit on fast-twitch muscles as a track workout, but the impact on your joints is far less. Plus, if you aren’t part of a running group, putting together a speed workout can be overwhelming.

If you take a spin class, you get the social benefit of sweating amongst your peers and the added inspiration this brings.

Replace One Day of Strength Training With Pilates

Abdominal muscles are an integral part of running. Not only do they protect your back and keep you stable and upright, your pelvic floor helps lift the two tree trunks below your waste. So the stronger your abs, the easier each step, and the less likely you are to pull a hip flexor.

Another benefit to Pilates is that it lengthens muscles. Repetitive motion like running and standard weight lifting causes muscles to contract and tighten, which can lead to injury.

Pilates provides a balance to this shortening. It also helps bring the body into alignment by using small movements to reverse the bad habits we develop in our everyday lives. Since most injuries occur because one part of our body is compensating for another due to misalignment, Pilates is an important way we can protect ourselves.

Strengthen and Stretch Your Feet

Your feet are the most important body part when it comes to running and the common maladies of Plantar Fasciitis and a pulled IT band often start here. To remain injury-free, your feet must not only be strong, but flexible.

If you don’t live near a beach or lake with sand, and you’re not into the barefoot running shoes, then for ten minutes a day, sit with your bare or socked feet on a towel, repeatedly squeeze and try to pick it up with your toes.

To stretch your feet after this exercise and every run, sit on your heels with your knees on the floor and your toes curled under for as long as you can stand it. This yoga pose (called “Hero’s Pose”), stretches the bottom of your feet and is the single best way to prevent plantar fasciitis.

It will be painful at first, but eventually you’ll be able to get through an entire 30 minute television program.  

Replace One Short Run With a Stair Workout

Running stairs is a great cardio workout and training tool because you’re still running, but the motion is different than if you were on a flat road. It strengthens your core, all of the major and minor muscle groups in your legs, and helps with stability.

Tips for Dealing with and Preventing Plantar Fasciitis

May 9th, 2011

If you know how to pronounce “plantar fasciitis” you’re probably rolling your eyes or grimacing right now.  (If you can’t pronounce it, that’s okay: most people can’t either say it or spell it.  “Plantar” is phonetic but fasciitis gets confusing with all the “i”s in there: fash—eee—eye—tis.)

Plantar fasciitis is that painful condition in one or both feet that a lot of people have had to deal with at one time or another.  It’s a drag, to say the least.

You may feel it most when you first get out of bed in the morning and put your foot on the ground.  Your heel may hurt like the dickens throughout the day, and may feel worse as you stand or walk or climb stairs.

I’ve known a fair number of people who have given up on most exercise because of their incredibly painful feet.  (You can probably guess how I feel about that!!)

Ouch.

I’m in favor of doing things NOW before you’re in pain to strengthen the muscles and connective tissues in your feet so you can prevent plantar fasciitis from rearing its ugly head.

First of all, the plantar fascia is the strong connective tissue/band (fascia) connecting your toes/ball of your foot to your heel at bottom (plantar surface) of your foot.

As you take steps through the day and during your workouts, your foot naturally collapses inward and flattens out.  If the exercises are new, higher impact than you’re used to, or if your shoes don’t fit correctly or you aren’t wearing shoes at all, the plantar fascia can become overstressed and irritated and stop functioning correctly.

Then your heel will start to hurt.

Like I said, it’s a drag!

To strengthen your plantar fascia before it’s irritated and causing you problems, try these two little tricks when you’re on facebook or watching TV.  Remember, you’re in charge on these and if you’re already experiencing symptoms of an inflamed or irritated plantar fascia, see a podiatrist for medical advice tailored to your body.

  1. Toe Grabbies.  Put a washcloth on the floor and place your bare foot on the ground with your toes on the edge of the washcloth.  Try to move the washcloth under your heel without raising your foot or heel off the ground!
  2. Ball Rollies.  Place either a tennis ball (brave enough thank you very much) or a golf ball (more brave/pain tolerant) under your bare foot on the ground.  Roll it back and forth on any sore spots from at least 30 seconds to one minute at least once per day.  Start with this one sitting down before you try it standing up.  You are in charge of how much weight you put on the ball—you want the ball to be massaging your plantar fascia, not breaking anything, so be careful!

The names for these exercises are simply what I would call them in my own head—something about adding “-ies” to the end of words that signify something requiring effort makes the exercises seem like they require less effort.

Enjoy!

No More Sit & Be Fit

May 6th, 2011

Sometimes I’m glad I don’t attend some talks at the fitness conventions I attend.  The report from this one sounds like it would have been rather depressing to hear in person.  This one was given at the ACSM Health and Fitness Summit last month by Len Kravitz, Ph.D., a well-known expert when it comes to the physiology of exercise.  He reported on the new science of sedentary behavior referred to as “Inactivity Physiology.”

Ugh.

Inactivity Physiology isn’t necessarily about what exercise and the lack of exercise does to a body.  It’s about what happens when you SIT for the majority of your waking hours.

We all kind of do that, don’t we?  (Well, most of us do, now that we aren’t responsible for feeding the horses, milking the cows, tending the fields, thatching the roof, or hunting for food.)

Apparently, regular exercise for 30-60 minutes three times a week isn’t enough to fully combat the effects of SITTING for the massive entirety of the remaining time.  Nope; that inactivity causes a dramatic drop in an enzyme (lipoprotein lipase) that regulates blood fats.  In particular, the lipoprotein enzyme captures fat from the blood and uses it as fuel.

Which, in turn, results in higher and higher levels of all the bad stuff: triglycerides, cardiovascular disease, and lower levels of the good (happy!) cholesterol.  All that stuff we as people living with diabetes need to WAGE A WAR against in our bodies. 

Turns out, we’ll need to wage that war STANDING UP instead of SITTING DOWN.  No question.

It makes me want to figure out a way to rig your computer chair to dump you right this minute as you read this so you will spend less time today simply SITTING.

I’d keep typing, but that would encourage you to stay and read.  I’m hoping you GET UP and GET GOING even if it’s for a teeny trip around the office/house/room. 

Go for it!!!  We all need it!

Tired of Your Own Excuses?

May 4th, 2011

Do you ever listen to yourself and get tired of hearing your own excuses?  I do.  I’m not putting myself on any other level than anyone else on this: I think some days I accomplish perhaps more than some average bears only because I’m scared that my true laziness will someday be revealed!

I do get tired of my excuses though.  I get tired of pondering changes or worse yet knowing what steps to change I should make, having them even in order as to priority, and for some reason not making the changes.  Do you know what I’m talking about?

Not that me being tired of hearing them leads me to stop making the same excuses all the time.  (I told you, I’m just like everyone else when it comes to some things.)  Sometimes I need some time to get riled up enough at my own excuses that I make a change, take a step, and really get moving in the right direction.

So when someone else gets a bee in their bonnet about hearing excuses I have to laugh a little.  Because I understand: life is about choices, and we don’t always agree with the choices others around us have made.  (Stood next to a smoker lately?)  As a trainer, I am sometimes hired by a client who is trying to avoid their own excuses… or, rather, perhaps they want to tell the excuses to someone new.

I also love it when the bee in that bonnet has also been in MY bonnet, and has spurred me to say the same exact things that I’m hearing them say.  It makes me feel like I am doing the right thing with myself.

You can read the blog that I read if you want some additional reading today.  I like how the author moves from a complaint (hearing excuses) to an action plan (create a priority list)—one of my favorite transitions to make!  If you can complain about it, there is someone out there who can help you with an action plan to fix it.

If it is fitness-related, you already know someone you can call who can literally get you moving in the right direction.

If it’s health-related, you may have a team in place already and you can add me to your team for the day-to-day living you are working on.

No more excuses. 

Stop Using Pain As An Excuse to Avoid Exercise!

April 27th, 2011

I hear the “I can’t” excuse sometimes from clients when I ask them to do various moves.  Some of their fear is warranted, and I can understand some of it for a week or two, but there comes a point when the “I can’t” really does sound a lot like “I won’t.” 

I read this today and thought it was so good I wanted to share.  The author is, by the way, an orthopedic surgeon.

Don’t Use Pain As an Excuse

by AOSSM April 20, 2011

By Dr. David Geier, AOSSM

One of the most common reasons patients give for not exercising is an injury or pain. People often use knee or shoulder pain or some other limitation as an excuse for not playing sports or being physically active. And while certainly musculoskeletal injuries can affect participation, rarely should these injuries keep people on the sidelines permanently.

Joint pain is unfortunately a fairly common affliction among the United States population. According to the Centers for Disease Control and Prevention, in 2006 approximately 30% of adults reported that they experienced some sort of joint pain in the previous 30 days. Musculoskeletal injuries are rarely completely incapacitating, however. While many weekend warriors cite old knee or shoulder injuries as reasons that they can’t exercise now, with so many options available, even people with real injuries should be able to modify their routines and still get in a good workout.

For example, a female with early knee arthritis can still perform cardiovascular-enhancing exercise. She might not be able to run long distances six or seven days a week, but she might be able to run two days a week and swim or ride a bicycle the other days to decrease the repetitive impact on her knees. A male with rotator cuff impingement from overuse at work or in the yard might have to back off from tennis or baseball, which might aggravate his shoulder, but he could play soccer or another non-throwing sport. And for athletes who enjoy lifting weights, simply adjusting a few of the exercises might be enough to exercise in spite of a current injury.

For those who fear that they are making an injury worse, they should see a sports medicine physician. Most injuries do not need surgery, and often there are simple initial treatments, such as physical therapy, home exercises, taping, or anti-inflammatory medications. And while patients are often reluctant to go to the doctor for fear of being completely shut down from a sport or activity, sports medicine physicians usually try to encourage treatments and rehabilitation that get people back to sports and exercise as quickly as possible.

Finally, even if the activity is potentially detrimental to a joint, it might not always be that bad. Someone with near bone-on-bone knee arthritis is possibly making his knee worse running every day. Having said that, if he wants to keep running, the benefits of his overall health might outweigh the risks to his knee. Daily exercise can provide multiple medical benefits, including improved cardiovascular function, lower blood pressure, and weight loss, as well as improved sleep and mood. Even if he needs a knee replacement in the future, the medical upside to exercise is significant.

While aches and pains can be an obstacle to physical activity, they shouldn’t be permanent barriers to all exercise. If you are worried about injuries or exercise modification discuss it with a doctor [or speak with a trained fitness professional!] and know that being physically active is possible despite these pains.

As always, contact me if you need help finding a way to stay active and pain-free.