After diagnosing me, Cynthia grabbed a nice big picture book and flipped to a page with the following picture:
Wednesday, April 18, 2012
Meet Your Iliotibial Band
After diagnosing me, Cynthia grabbed a nice big picture book and flipped to a page with the following picture:
Thursday, March 29, 2012
Get Lucky Half Marathon Race Report!
Saturday, March 10, 2012
Training through Illness.
Now, whenever I notice a brief illness coming on, I stop riding my bike for my work commute. I postpone any training I'm doing and rework the schedule. Basically I try to minimize any stress on my body that may distract it from battling the illness.
The result is that I'm no longer digging myself into a deeper hole training, because that's all that happens when you're sick and training. The illness doesn't linger for a prolonged time either. I usually find within a day or two that I'm feeling well enough to start training again. And lastly, because I get over the illness so quickly, I can usually maintain my training schedule and only miss one training day at most and then pick up where I left off and fully attack the schedule rather than gutting it out sick with no benefits of that training block.It's mostly a win-win. And as of today, I'm not doing my 14 mile run, but I can already tell my symptoms are getting better and plan on heading out tomorrow. And even better? The weather will be nicer tomorrow too.
Sunday, March 4, 2012
Transitioning to Vegetarianism
As a child, I was considered a very picky eater. I hated vegetables. I’d preferred to stay away from fruit. Mostly, I just wanted pizza and soda. Even during my teenage years after I’d been diagnosed as diabetic, I continued to mostly eat terrible foods. I’m really not certain how I got over it. One day I just started buying groceries and cooking for myself, and I began looking much more closely at everything that was going into my body.
This transition to caring about what I ate also coincided with completion of my bike ride across America. It is mostly true that you can ride your entire bicycle across the country all while eating mostly junk food. I didn’t quite do that. Mostly I ate a bunch of whole grains, peanut butter, jam, nuts, veggies when available, and a lot of pasta. Oh, and Clif Bars (yes. I can go on at length about qualities of each and every flavor). And the pasta was probably mostly a result of it being very cheap to make a lot of, as I was eating 5,000-7,000 calories a day. But I began eating less and less meat just because it’s a pain to obtain and cook when you’re beating it down the road 70-80 miles every day. But the point is I felt great without it. And so I when I finished the trip, I continued not eating much meat.
And then, one day, I was grocery shopping and decided I was going to stop eating meat. Granted, I considered the idea for a long time, but that was it. The important key here is the reason why it was so easy for me to quickly make this decision: I had already arranged a nutritious diet around eating very little meat. I did not just remove meat from whatever I would normally eat. I replaced my regular sources of meat with a lot of protein and iron sources that were not from meat. And iron and protein are mostly what meat provides to our bodies.
In practice this means a lot of beans, nuts, and leafy green vegetables (think spinach and broccoli). It’s not that difficult when you are making sure that you’re eating healthy. And most of us know what that means. We just don’t always do it. So, I’ll refrain from rambling on about that.
There is a caveat to add here. There is a difference between iron from meat (heme) and vegetarian (non-heme) sources. Non-heme iron is not as easily absorbed by the body as heme iron is. So, vegetarians often have to eat more iron than non-vegetarians. There are certain ways to help get around this. Consuming vitamin C with your iron helps your body absorb it better. Sometimes, you just have to take an iron supplement. Mostly you need to pay attention to signs of anemia and go to the doctor if you’re afraid you’re showing signs for anemia.
My point here is that transitioning to vegetarianism shouldn’t be made quickly. You should consider carefully why you’re doing it (something I’ve chosen not to go into here) and how you’re going to make sure you get the iron and protein you will no longer be getting from meat. Making the transition slowly helps a lot too. I was on my “meat seldomly” diet for over a year before making the leap to vegetarianism. But if you’re not careful, you may end up like many people I’ve known who tried to eat vegetarian and then ended up giving up on the diet (because they thought all they could eat were PB&J sandwiches) and/or became malnourished. I think it’s a great decision to eat vegetarian. Just make sure it’s an informed, healthy decision.
Sunday, February 19, 2012
Heart Rate Training Nick Hill Style
I’ve been training with heart rate monitors (HRMs) for about 3 or 4 years now. The idea is that either by checking your pulse or using a chest strap that detects your beating heart, your heart rate can be measured and transmitted to some device (usually just a watch) that gives you continual updates. I first started to think they might be something useful after riding those stationary bikes at the college gym that had a HRM integrated into the system. But I also hated riding a stationary bike. So, while I was racing and training for my bike ride across America, I opted to buy the cheapest HRM I could find and started using it for all my workouts.
There are a lot of ways that you’re supposed to use the information you gain from a HRM. They’re all related to this idea of a max heart rate and a bunch of other info determined from equations that are not entirely accurate. As such, I almost completely ignore them. So, then why in the world do I use a HRM?
It lets me know how many matches I have to burn.
Over the years I’ve been able to ascertain a rough region of my heart rate that corresponds to my lactate threshold just by measuring my exertion, pain, and heart rate (I know it’s not the proper way to determine lactate threshold). And so as I run, I can keep an eye on my exertion and how many matches I have to burn via a HRM. It ultimately means I have a better idea what’s going on with my body. And that knowledge helps me dole out my exertions a bit more carefully, so I don’t get burnt out halfway through a run. Additionally, I know that if my heart rate is lower for a given pace and distance than it was a week ago, I now have a tangible artifact showing an increase in strength. This makes my Garmin Forerunner 110 a great device for me. I can monitor my heart rate while knowing what my running pace is and search for correlation.
If you’re interested in training with a HRM the way I do, my (proceed at your own risk) advice is to grab a relatively cheap HRM (usually no more than $50-60). Then over a series of workouts begin watching your heart rate to see how it goes with an exertion. A great way to do this is with interval training, where you briefly (no more than 2-3 minutes) go all out and watch your heart rate to see you at what point you begin physically breaking down. Back off for a few minutes and repeat the heavy effort. With time and consistency, you’ll be able to paint a picture of your body’s limits and can begin stretching them to improve your fitness. It’s kind of a fun thing.
Additionally, after painting this picture, you can then begin using the HRM to understand how much effort you are/should be putting into a given workout. For example, on my LSD runs, I know around what levels I should be keeping my heart rate at and can keep myself in that region.
Aside: I think it is really easy to get “teched out” with regard to using too many data devices during exercise. I think it’s important for you to understand exactly what you’re looking to get out of using a HRM or GPS watch or whatever else device you have. For me, I settle for the simpler devices because they fit with what I want in my training. For you, that may mean a more elaborate device or, perhaps, no devices. It’s all up to you.
Tuesday, February 14, 2012
Winter Running Survival Guide
But it means that if you’re going to train for a spring marathon, hate treadmills, and working out indoors, you’re going to have to deal with some freezing temperatures. And possibly some slippery ice. Oh, and just being cold. But wait! It’s not actually that bad.
Everyone has their own methods for surviving cold weather running. But there are a few guiding principles that I’ll outline with my own practices.
- If you’re warm when you start your run, you WILL be drenched in sweat by the end of it. I promise. It’s better to be a little chilly at the start and warm up through the run. A good rule of thumb is to dress as if you were going for a walk with the temperature 20 degrees higher. So, if it’s 20 out, dress like you’re walking in 40. I prefer to be a little cooler than most when I run, so I usually opt for adding 30 degrees rather than 20.
- Layering will save you. If you get hot, you can remove stuff. But also, it means you don’t need to go buy that new fancy whatever for the special winter weather. Just throw on a long sleeve shirt, a windbreaker, and possibly a baselayer, and you’ll be good into the teens. And be aware that the pocket of air between your layers even acts as insulation. It’s like an extra free jacket! (sort of...)
- Head, fingers, and toes! Wear a cap. Cover up those fingers with gloves, and make sure your socks keep those toes (and ankles!) warm. On really cold days, I wear two pairs of gloves even. For that inch of ankle that’s bare between your tights/pants and your shoe, make sure you have a few pairs of socks that will cover that up. Sure, I love no show socks, but covering that inch of skin makes your day so much better. Additionally, a neck gaiter is nice on the really cold days.
- Keep your feet under you. Probably the worst part of all the cold weather running is when sidewalks and streets freeze over. Usually it’s not an issue. Mostly, I just pay attention, run during daylight, and skip over sections of ice. But what saves me in those instances when I can’t spot the ice is keeping my feet under me. So, don’t over-stride. Besides being bad running form and possibly doing a number on your knees, it puts your feet in front of you causing you to apply a force parallel to the ground. What that means is you’re more likely to lose traction and take a dive. Keeping your feet directly under you means most of your weight applies a force perpendicular to the ground, rather than parallel to it. Consequently, you stay on your feet. Trust me. I have a (few) physics degree(s).
- Knowing that you’re training for an end goal keeps you getting out there and toughing it out. So, sign up for a race. It doesn’t have to be a marathon. But just a 5K, a 10K, or whatever keeps you motivated and out there running. This is true for me now, and even in the past when I did track in high school and cycling in college (and cold weather cycling is muuuuuuch worse than cold weather running).
- If possible, grow a beard. Sure, it keeps your face a little warmer, but mostly, it makes you feel more badass while running. Especially when ice forms on it.
Saturday, February 11, 2012
Treating Diabetes for Me
My current diabetes treatment isn’t quite the same as when I was first diagnosed. I no longer take insulin injections, but rather use an insulin pump to administer insulin into my body. It basically looks like an old school pager with a funny tube hanging out of it. That tube is connected to my body via a small plastic catheter at an infusion site on my stomach. On the other end of that tube inside the insulin pump is a reservoir of Humalog insulin.
Humalog is a type of fast acting insulin, like R. However, it is more rapid acting. Within 5 minutes of entering the body, it begins moving blood glucose out of the blood to cells. Its “efficiency” peaks about 45 minutes after injection and ceases any function after about 3 hours. R on the other hand takes about 45 minutes after injection to begin functioning at all. NPH, being a slow acting insulin, takes about 3 hours to start its job.
The strength of the pump is that it basically allows me to give myself tons of injections of tiny amounts of insulin. It accomplishes this by keeping that catheter in me at all times. Additionally, since Humalog is a fast acting insulin, if need be I can program the pump to alter my dosage with almost immediate results. With an injection, you have to either hope the amount of insulin you gave yourself earlier isn’t too much to incite low blood sugar (ie: hypoglycemia) or hope that it wasn’t too little to cause high blood sugar (ie: hyperglycemia), which may mean another syringe and injection. Basically with the pump, I have a little more inflexibility by way of having something attached to me all the time, but I get a little more flexibility in how I can treat my diabetes.
Now, to mirror the basal and bolus treatment I outlined with injections in the previous post, I administer insulin two different ways with my pump. The basal is done by continuously giving me insulin at a rate I program into the pump (usually quantified as a unit per hour, where a unit is scientifically recognized as 0.001 mL). This is important because sometimes you need less insulin at night than you do during the day or vice-versa. But ultimately it’s kind of a like an IV drip.
The bolus is taken care of by having the pump deliver extra insulin whenever I sit down to begin a meal. I do this by counting how many carbs I plan on eating and then using a ratio of insulin to carbs to figure out how much insulin to administer (eg: at dinner I give myself 1 unit of insulin for every 10 grams of carbohydrates I consume).
In between all of these measurements of insulin doses, I also have to keep an eye on my blood glucose with my (aptly titled) glucose meter. Ideally, I try to keep my glucose between 90-130 mg/dL (that’s milligrams per deciliter). That’s considered a roughly normal range and keeps me feeling all right without any symptoms of hypo or hyperglycemia.
There are definitely a lot of caveats and changes I make to this formulation given circumstances (eg: using my pump to treat glucose levels above 130), but basically this is my life with diabetes. I promise it’s not as bad as it sounds. If anything, I promise I can tell you the nutritional facts on just about any food you can throw at me. And it certainly hasn’t kept me from living a normal life.
Wednesday, February 8, 2012
My Diagnosis
I’m not certain what I did to piss off my body to the point to make it think attacking my insulin producing beta cells was a good idea, but I like to think I was innocent in the affair. What I do know is I was diagnosed with type 1 diabetes on June 2nd, 1997 at the age of 10. Fortunate to me, because my younger brother had been diagnosed far earlier in his life, my mother took notice quickly when I began exhibiting typical symptoms of hyperglycemia (ie: excess of glucose in your blood). Particularly, I was perpetually thirsty (nothing will quench the thirst of a burgeoning diabetic), and I literally had to urinate every 15 minutes. She checked my blood glucose level to find it was far above that of someone with regular insulin function.
I was consequently diagnosed with type 1 diabetes before hospitalization from DKA became necessary; by far, the most common introduction most type 1’s experience in their introduction to diabetes. From that point on, I began the regimen of twice daily injections of NPH and Regular insulin to act in the stead of the insulin my pancreas no longer made. NPH insulin is a “slow acting” insulin and acts to treat the base level absence of insulin in diabetics. Basically, this just covers the constant removal of glucose from the blood that any person requires even if they are fasting.
R is a “fast acting” insulin you take near a meal time that works to remove the sudden influx of glucose you experience when you eat any meal featuring carbohydrates (ie: bread, grains, sugar, etc.). There are different types of insulin and ways to administer it, but the typical prescription’s goal follows the outline above: You need to care for the base absence of insulin in the body, and then you need to also have the insulin care for the influx of glucose due to eating. Respectively, we refer to these different utilizations as the basal and the bolus. I’ll get back to these in the next entry.
But I guess this is the point where I should talk about how my life was never the same after that day or something. And I guess in a noticeable way it did change, but the truth is I’m a rather pragmatic person, even at the age of 10. Sure I had difficulties controlling my glucose levels at times, especially in my early teens (we’ll get to that later), but I felt better if I controlled my diabetes (which really means controlling your glucose levels). And there’s nothing to do about it for the present. So, I just sucked it up and got on with my life. That was a lot better than pouting about it.
Diabetes 101
There are two specific types of diabetes. They are known rather simply as Type 1 and Type 2. Type 1 is an auto-immune disorder in which a person’s body attacks and destroys the insulin producing beta cells of the pancreas. Type 2 involves the development of insulin resistance and/or a relative insulin deficiency.
As several of you are probably aware, the occurrence of either of these scenarios is a big deal. Insulin is the only hormone in the body that facilitates the removal of glucose (in so many words, sugar) from the blood and its passage into cells (eg: muscle, liver cells, etc.). There are many and several problems associated with not having insulin complete this task. If you’re ever in a doctor’s office, they usually get thrown under the umbrella term of “complications.” There are the “acute” or short lasting problems of diabetic ketoacidosis (ie: DKA, imagine your blood literally turning into acid), diabetic coma, or the very common hypoglycemia that can ultimately lead to seizures; then there are the "chronic" problems most people hear about that result in heart problems, blindness, and loss of feeling in one’s extremities (ie: feet and hands).
To prevent these complications, the goal of any diabetic is maintain blood glucose levels as close as possible to those of a person with normal insulin function. I am in no way equipped to speak on all the different methods for doing just that. And different methods work better and worse for different people. In general, they are all combinations of the same things though: Exercise, frequent blood glucose monitoring, finding the right balance of diabetes related prescriptions for you, and paying close attention to what food goes into your body.
It’s often a lot to ask of someone to take care of all those things. But as a diabetic, you eventually learn that they are necessary steps in order to live a good, enjoyable life. And that’s usually worth it.
Monday, February 6, 2012
The Plan
The real point is I barely know what I’m doing when it comes to training for a marathon. I have a few things going for me though. I’m not entirely a stranger to endurance events. In middle school and early high school, I was a tolerable mid to long distance track athlete. And in college, I raced (very poorly) as an intercollegiate road cyclist before packing my bags to ride my bicycle across America (note: east-to-west is the wrong way). But before two weeks ago, I had never run more than 7 miles at a time in my life. Nevertheless, here I am beginning the third week of my training plan.
Concerning my training plan, I’m following the Novice 2 schedule of Mr. Hal Higdon pretty closely. I haven't had the easiest time building up to the mileage necessary for the start of the plan, but I've gotten there and am getting ready to take it a little easier this third week.
Week | Mon | Tue | Wed | Thu | Fri | Sat | Sun |
---|---|---|---|---|---|---|---|
1 | Rest | 3 m run | 5 m pace | 3 m run | Rest | 8 | Cross |
2 | Rest | 3 m run | 5 m run | 3 m run | Rest | 9 | Cross |
3 | Rest | 3 m run | 5 m pace | 3 m run | Rest | 6 | Cross |
4 | Rest | 3 m run | 6 m pace | 3 m run | Rest | 11 | Cross |
5 | Rest | 3 m run | 6 m run | 3 m run | Rest | 12 | Cross |
6 | Rest | 3 m run | 6 m pace | 3 m run | Rest | 9 | Cross |
7 | Rest | 4 m run | 7 m pace | 4 m run | Rest | 14 | Cross |
8 | Rest | 4 m run | 7 m run | 4 m run | Rest | 15 | Cross |
9 | Rest | 4 m run | 7 m pace | 4 m run | Rest | Rest | Half Marathon |
10 | Rest | 4 m run | 8 m pace | 4 m run | Rest | 17 | Cross |
11 | Rest | 5 m run | 8 m run | 5 m run | Rest | 18 | Cross |
12 | Rest | 5 m run | 8 m pace | 5 m run | Rest | 13 | Cross |
13 | Rest | 5 m run | 5 m pace | 5 m run | Rest | 19 | Cross |
14 | Rest | 5 m run | 8 m run | 5 m run | Rest | 12 | Cross |
15 | Rest | 5 m run | 5 m pace | 5 m run | Rest | 20 | Cross |
16 | Rest | 5 m run | 4 m pace | 5 m run | Rest | 12 | Cross |
17 | Rest | 4 m run | 3 m run | 4 m run | Rest | 8 | Cross |
18 | Rest | 3 m run | 2 m run | Rest | Rest | 2 m run | Marathon |