Check

I haven’t written in forever. So here’s an update.

I trained, and trained, and trained for the half marathon. The longest I ran before race day was 8.5 miles. I got sick with two separate week-long illnesses (one cold and one flu) during training. I hoped that the excitement and flow of race day would get me though. And it did! That and having Emily and Matt my cousins, and my bff Suzi at my side. Emily and I ran the entire thing together. I would have finished by myself, but I wouldn’t have done it before they officially closed the course. At the 7 or 8 mile mark, Suzi sped-the-heck up and went for gold. Matt stayed with one of our group-mates, Ayla, while she slowed down. Emily and I toughed it out together, walking the hills and running the straights with our identical buzz cuts.

I could tell tell Emily started to struggle at mile 10. The only thing that hurt for me was my arms, where the insides were chafing against my sports bra. No side ache, no knee or foot pain, so I couldn’t really complain. I did my best to coach Emily to mile 12 with my brand of running ‘coping methods.’ I had us run to certain signs, count our strides, and provided ample words of encouragement. We walked approximately 1-2 total miles between miles 9 and 12. I really wanted to run the last mile. I didn’t know if I could get Emily there myself, so I asked Matt to talk us through the last 1.1 miles. He did a great job. He extremely encouraging without pushing us to the limit.

Matt, Emily, and I crossed the finish line together. It was a great feeling. My time was 2:47. Here are all of my other stats. Also proof that I finished. It made me a little sad to see that out of 1154 runners, I finished 1121. That’s ahead of a whole 33 runners. It doesn’t count the people that didn’t finish at all (which I estimate at 30-50 people), or the people who finished after the 3:00 hour mark (which was maybe another 10-25). But it’s still a little embarrassing.

Here is the progression of half-marathon goals from January to race day:
1. Finish it by any means possible.
2. Run more than half of it.
3. Finish in under 3 hours and 30 minutes.
4. Finish in under 3 hours (when I found out that the official course was closed at the 3 hour mark).

I achieved goal #4 which means I achieved all of the other goals. This was all after waking up on Friday morning with a sore throat. I consumed my body weight in Emergen-C (which didn’t do anything at all) and hopped myself up on DayQuil, pseudoephedrine, and Vitamin I (a.k.a. ibuprofen) on the morning of race day. I felt fine/normal during the race, but rapidly declined in health afterwards.

I was extremely sore and felt a general sense of malaise for the rest of Saturday and all of Sunday. On Monday I knew something was wrong when, in the evening, I got a major case of the chills. My temperature topped out at 103 degrees on Monday night. I had the flu. I’m glad it didn’t keep me from running the race, but it was the 4th time I’ve been sick this school year (which is how anyone who works at schools counts the number of times they get sick).

I can’t say I ever want to run a half marathon again, but if the cousins would be down, I’d do the same race again next year. We had a Grade A group of cheer-er-on-ers. Mama Linda, Papa Paul, auntie Laura, uncle Frank (also race day photographer) sister Beth, cousins Maggie and NIck, friend Jenny, and wiener dogs Pippa and Nico cheered us on at 4 (or 5?) different points on the course. It was awesome.

I’ve had no knee or back pain, which is common among the runners in my family, but am experiencing some plantar fasciitis type symptoms in my right outer-heel. I feel a bruise-like pain toward the outside of my inner heel in the mornings. It goes away after 5-10 minutes of walking around, but is back the next morning like clockwork. I am also experiencing some bruise-like pain on the top of that same foot, which probably has something to do with the tendons. I’m resting it–hard. I haven’t run or engaged in any strenuous activity since the race on April 17th. I’m going to give it 6 full weeks before I think about taking up running again.

Diabetes wise–here is low down.
I woke up on race day at 179, which was good. I ate greek yogurt with berries and granola. I only bolused for the carbs–not to correct the 179. I completely suspended my insulin for the entire duration of the race (3 hours). 10 minutes after finishing, my blood sugar was 116.

I resumed my regular basal program about 30 minutes after the race’s end, thinking my sugar would continue to drop. I went home and took a 2 hour nap. When I woke up I was at about 389. I corrected, ate lunch and bolused for the carbs. I went back to sleep, and when I woke up the second time, I was at 410. I gave an actual injection of insulin and started consuming lots of water. It eventually came down into the 250s, and by the time I went to bed was back down in the 100s. I think the stress hormones and all the other chemicals in my body had something to do with the major rebound afterward. Next time (if there is one), I will be watching far more closely after the race. I had more fear that I would go low, but I knew there was a good chance I’d end up high.

I’m still alive and kicking, and looking forward to achieving the next goal I set for myself.
Whatever that may be.

Ages

Sticking to my new years resolution and training hard for the Earth Day Half Marathon in St. Cloud, MN. It’s not imaginary anymore. I have the pleasure of running it with my cousins Christy and Emily. Hopefully Matt joins us, too (but he never signs up for races longer than 2 weeks in advance).

I have been using the Temporary Basal option on the OmniPod during my runs. I started by decreasing my basal (background insulin) by 50% for 2 hours. I ended up low about 3 hours after each session, so I change it to 50% for 3 hours (which is the maximum time period for a temporary basal). The longer I ran, the lower I went 3 hours post workout. Through trial and error, I have my current running temp basal at a 90% (yes that’s ninety percent) decrease for 3 hours. I start it about 20 minutes before I actually start running.

I have also had to decrease my insulin across the board. The regular running has increased my sensitivity for both my insulin to carb ratio (was 1 unit to every 14 grams of carbs, now at 1 unit for every 18 grams of carbs), as well as my correction factor (was 1 unit to lower me 34 points, now is 1 unit to lower me 40 points).

Right now I’m waiting for a call from the nurse line to see if my throat culture grew a streptococcal jungle.

Everything’s Up

I had an appointment with my interim diabetes practitioner on Friday afternoon. Dr. K is on mama-leave with her kids, so I’m seeing PA. L, who is an endocrinology physician’s assistant. I had my labs done and everything is up including the a1c. It’s now at 7.4. As much as I’d like to blame it on the Freestyle test strip recall, it’s also due to guessing on carb counts at lunch everyday and eating too many treats at work. We made small changes to my basal rates, bolus rates, and correction factor, but two mornings in a row, I’ve gone low at the all day correction factor of 22. Between 6am and 9am it should probably be closer to 25. It all feels like one big test of trial and error, but at least the snow is melting.

I also donated a pack of unused Levemir pens to the clinic, along with 100 or so used pen needles. Just kidding. They had not been used. They were sealed and all. Since I use a pump, I don’t have a need for the long acting insulin. It’s been sitting patiently in my refrigerator since two Octobers ago. The expiration date is August 2014, so I figured I should let some living being get use out of it before it goes to waste.

I contacted a twin cities dog rescue, and they told me they would be happy to take it. Dogs use the same long acting insulin as humans, albeit in smaller amounts. I noticed there was a diabetic doxie on their site named Junior Mint, and emailed them letting them know that I would be happy to donate the insulin to be used for any dog that needed it, and that if a family adopted a diabetic dog that I would be more than fine with them taking the insulin to ease the initial cost of the adoption.

After consulting my ever wise and patient sister, Beth, I decided I should offer it to the nurse educators at my endocrinology clinic for human use. They have an ’emergency supplies’ area for patients who are in between insurances, aren’t/weren’t covered for health insurance, or don’t have enough money for their prescriptions even if they were covered. The clinic happily accepted it, and I feel good today knowing that the insulin I donated will keep someone from having to urinate 46 times a day, blurred vision, headaches, and a general feeling of malaise.

Ice Cream & Sandwiches

My blood sugars have been terrible the last 3 months. Highs and lows, peaks and valleys. It could be a number of things, but it’s probably a lot of things combined. Here is the list:

  1. Basal rates not right
  2. Crossfit
  3. Inaccurate carb counting
  4. Change in schedule
  5. Stress

Last night I teared up about it and decided to take a hot shower to help me calm down. After the shower, in the process of putting on my shirt, my pod ripped off my arm. At that point I just broke down. I put my face in my bath towel and cried. But it didn’t really help anything. I still ended up going low two times in the night even after I lowered my night time basal rates significantly.

Today I’m flying to Chicago with my sister. The TSA swabbed my hands and pod for explosives. They did not find any. I had to laugh.

Basal Rates

For readers who don’t have diabetes, this post might not make any sense. I’ll give a brief explanation, so that if you decide to forge on and read that perhaps you can sympathize with me.

When using an insulin pump, you have settings called basal rates. Basal rates are how much insulin the pump gives you in little bits all throughout the day. The pump is always giving me tiny amounts of insulin. The pod makes a quiet ‘click’ when it delivers, and I can hear that click once every 20 seconds or so if I listen closely.

Here are my current basal rates (time frame: units):

12a-3a: 1.5
3a-6a: 1.35
6a-9a: 1.4
9a-12p: 1.1
12p-4p: 1.0
4p-12a: 1.1

That’s six different rates during the day. I feel like that’s a lot. I was going low between 3a and 6a, so (on the suggestion of Dr. K) I added the chunk of 1.35. It used to be at 1.4. The somewhat OCD part of me just wants to change the whole 3a-9a chunk to 1.35 to keep it at 5 rates.

I think the pump allows up to 20 rates. Nuts. Why can’t I just be at 1.0 all day?

3rd Pod

I just put on my 3rd pod. Everything went fine. I put this one on my back, but on the opposite side of the last two. The cannula insertion definitely hurts more than single pen injections. I’ll deal with it, though.

The only issue I’m having is when I dose (bolus) for say 40g of carbs, but then 10 minutes later decide to have another 40g. The pump doesn’t want to give me the full dose since I still have insulin on board. I remember the nurse educator from Insulet telling me how to get around this. I think I have to manually enter the right dosage for the extra 40g. This has happened 3 times in the last three days, and I’ve ended up super high because of it.

I also need to fight the urge to mess with my own basal settings, although my dawn effect needed to be addressed, so I set my higher daily basal to start at 3am–right about when my liver starts pumping out glucose. I’ve been waking up super high because of this dawn effect.