The Adventures of Now

exploring the mix of fun, fitness & health…as a diabetic


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Riddle Me That: A1C Drop

A1C_3

Do you see that 8.4???

Now some may read that as : 8.4?! What are you doing, eating chocolate cake for dinner every night??

I wish.

I read it as : 8.4?!!! WAHOOOOOOO!!!!

For a little comparison, my last A1C level was 9.7

And that was during the summer when I was at my most active / training for a marathon.

So riddle me that. 

My A1C level drops to the lowest I can remember it ever being and it’s while I’m at my heaviest weight and least active.

I can not explain it.

And that’s no dainty little drop either given my levels seem to have been permanently stuck above 9.

Which means the secret to perfect blood sugar control in my life has yet to be revealed.

As the doctor wrote : “needs work”

Well, I’ve been “working” on this for the past 24 years.

I have an appointment with a doctor at the Joslin Clinic (despite my hesitation) coming up in April, one that was recommended by a friend of a friend who works within the pediatric unit.

As part of their all-inclusive package I’ll also get an eye exam and 1:1 meeting with an educator. Sounds like fun.

(ohhhh flashbacks to the DE who basically wanted to strap me to a chair and insert an insulin pump right then and there – she was a real winner in empathy) 

I also have an appointment with another PCP  – one that looks more at the root of the issues at hand vs. just the systems.

I’m ready to look past just the numbers and start digging around to what’s really going on with my health.

The new office even has doctors focusing on sports therapy!! I’ll be looking at some other sports doctors options before I book an appointment …plus should probably start working out again first. But it’s still a nice idea that it could be all in one practice. #itsthelittlethings

So I can look back and try to figure out what brought my A1C down but realistically – I’m not so sure I’ll figure it out.

Fickle silly little disease.

Quick, hand me a pen so I can add “A1C under 9” on the goal list so I can cross that shiz off!

Until, you know, I get the next round of blood work done.

Better make that a pencil.

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Fueling: 6/30

BS: 77 @ 6:15a

– 2s bread w. SB (no honey) [34 carbs] + 2 chomps @ 6:30a –

Insulin: 3u @ 7:07a

– 7 mile walk / run –

Felt great during the run despite the heat.

BS: 201 @ 10am

Alternative could have been to skip the chomps and aim at 27-30 carbs + coconut water throughout run. 

Because of the whole phone debacle it was an hour before I got home.

BS: 212 @ 11:15a

Had (flavored) greek yogurt and vitamuffin before rushing to catch a train [40+ carbs].

Did same insulin formula as in the past – 10u.

Had the perfect summer lunch put together by a friend :

Salad with chicken & avocado + fruit salad. Midway of eating it I went to 51 @ 1:32p. So I had to slices of bread (16 carbs) + GT. (stupid blood-sugar ruining a perfect meal)

Laid out in the sun …. 68 @ 3:36p. Went for the OJ

95 @ 5:02p (they’re going to have to up the number of strips I get …)

We went inside for fruit salad + chips and salsa (and I was really mindful of how many chips).

298 @ 7:06 … WTF ?

Was reminded to alway make sure you have enough insulin before leaving the house … I had 3 units. So not cool when we’re baking!

We went to a diner for dinner  – I went for Omelet / skipped the carbs.

Then I gambled and did insulin once I got back to the city at midnight without doing a blood test first (which is just stupid) and went low (duh).

Aside from the late night, I felt like it was a really balanced day (I finally had that cupcake once I was near insulin) I was annoyed to have Glucose Tablets & Orange Juice crash the party.

And that is a day in the life of a (/this) diabetic.


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{Weekend Recap}: Team Run & NJ

On Saturday Team For Kids had an open house  – including a fun run. I think I need a headband / arm band / t-shirt saying “I’m Diabetic” … it would save me a lot of time. Growing up in a small town where you knew most of your peers since pre-school, I forget that it’s not branded on my forehead for everyone to automatically know.

My approach : my body / my feelings / my disease/ my decisions / my responsibility. But that doesn’t mean that I can’t learn from others and it’s basic courtesy regarding liability for me to inform all of the coaches … plus it’s for my safety.  Not to mention it’s a pretty large part of why I’m doing this! My body & I have had some battles and we’re about to go up against a whole bunch more – training for this marathon (just as important as the marathon itself ) is for my body & mind to prove to each other that it can be done. Diabetes is just along for the ride.

That said, while I made a stupid move and ran my blood sugars high (I couldn’t go low on the first run – how lame would that be!) …it wasn’t the diabetes that dropped me to the last one to finish, it was my stupid hip. .::Sigh::. But moving my way to the back had me getting to know all three coaches. And now I’m even more psyched for training runs.

I ended up running in Central Park (score – a new route!), walking back through it from NYRR office to my apartment and then going back to meet a friend. Triple CP in one day.

That night I limped my way out to a girls night which took a slight detour to a girls slumber party in Hoboken when a friend had an allergic reaction.

That would mark my first stay in New Jersey. Sunday morning we laid out at the park (um Hoboken Park? I have no clue what it’s called) it was pretty looking into NYC and I saw lots of runners around the quad.

When I finally reached home (not to self: always carry extra needles & both insulins) I discovered I didn’t have my keys. After meeting the roomie in the East Village to grab hers I finally got back to the apartment at 6pm (and found my keys on my bookshelf…).

Headed to Target I decided to walk the trip … along the East River.  Definitely got my share of vitamin D and water views this weekend. Being Mother’s Day & summer weather, everyone was out to play and there were a ton of BBQs & block parties that had me smiling.

As I made my way back from Target I realized it was already 7:45pm how did that happen?!  I had one last workout due on my GymPact . My gym closes at 9pm – both locations. And I still had both set of keys. I quickly changed and booked it to the gym by 8:20  – perfect timing to get my 30 min in. The roomie made it back to the apartment at the 20m mark, so I had to hop off the elliptical to let her in. Instead of running back into the gym 10 min before they closed I decided to finish out the pact by running (jogging) a few blocks around the gym. Totally counts!

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Moral of the story: sometimes those #short&sweaty workouts that you cram in between things are the best ones. Especially when you don’t have time to debate it and you go off pure adrenaline rush.


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{Weekend Recap} : Actively Eating & Outdoor Fun

  Saturday morning started off bright & early at 8am. It was my third year doing the EIF Revlon Run/Walk for Women in honor of a friend’s mom.  While there were a few runners in our group, the rest of us took the opportunity to slow down to a casual stroll and chat.

We ended it with the annual BBQ which included “flip flip scrabble cup” and break out dance routines :

After picking out horses (I took Take Charge Indy – it sounded powerful….and I had 2 seconds to decide)  I switched from Derby to Cinco de Mayo :

Pinata Baseball on the rooftop leaded to jumping pictures … we weren’t very good at them.  Someone made delicious cupcakes with lemon zest – perfect recovery fuel for a < 3.1 mile walk.

…………..

Sunday was the first UGS/Athelta group run of the Spring season. Over 90 girls showed up!! I recognized some faces from the fall and there were a ton of new ones. I was really impressed with how the event was organized and even noticed little ways they improved from last year (raffle ticket inside of the goody bag? Brilliant! Sometimes it’s the simplest things).

I was hesitant at first to even go because of my hip & all the silly injuries but figured I could stick with the beginners and always drop down to walkers. With indirect peer pressure I ended up jumping in the intermediate group at the last-minute – a loose estimate of 9:30 min mile.

There was so many of us that even the intermediate group broke down into 3 groups. I ended up running with 5 girls and by the end started dragging in the bag – hip wasn’t too happy,  not to mention I was feeling the few weeks off from any cardio. But it was a good run & I’m glad I went.  During the group stretch I stepped away to do a blood test … so skipped stretching my first run back – way to go for injury prevention.

RunKeeper lied again so I didn’t get stats but we ran for 39:40 minutes and I think the coach said 10:15 min mile pace … something between 3.5 – 4 miles.

I then rushed to met a friend for brunch at Elmo‘s, shopping & The High Line.

Living in the UES I don’t visit it often and it was cool to see how much it’s expanded since I last went. Need to venture over there more often.

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I over-corrected for brunch and ended up going low as we were heading back …which totally calls for 16 Handles. I tried the Greek Honey Yogurt flavor  – I’ll be sticking to Birthday Cake (my fav) & Blueberry (that makes it healthier right?).

Lots of friends, activities & carbs – the perfect weekend.


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When [will you run]

If running is important to you, then your mind-set shifts from Can I find time for it? to When can I find time for it? You think in terms not of Will I run today? but When will I run today?

– Scott Douglas, author of The Little Red Book of Running via Runners World

That was the quote of the day from Runners World this morning. Which I received after a battle against the snooze button (again) in which it won (again). I knew that I would cranky this evening that I was forced to run after work now that I’ve gotten use to just crashing. But since I skipped yesterdays 2 miles there was no getting out of tonight. Not quite matching the mind-set but getting there…

Opting out of Wednesday morning was fairly warranted – my blood-sugar was over 500 after soccer which I of course over treated and woke up 27. Those are about as bad as it gets on either sides. Of course drenched in sweat and 1/2 asleep I over treated again (yes, a reoccurrence) and woke up in the 300s …which meant no run.

So my excuse for not making up for it Wednesday night? Despite mentioning that stress-management was my daily healthy effort I had a very (very) emotional day at work that left me drained and in bed at 9:30. Why yes, I did lose to the snooze button after going to bed ridiculously early.

Anyways….I had the whole idontwannaaaaa thing going on but after having one too many handfuls of PB Cheerios I told myself I had to be out the door by 8:30. Luckily my sneakers still make me happy and lacing up was a little easier.

When I used to run at night I ran in the East Village where I was always dodging people, running around the Upper East Side is not quite the same and I opted out of running along the river.

RunKeeper was lying to me again, whispering in my ear that I was running 8 minute miles.

I remapped it when I got home and it was 3.75 miles with an average pace of 10:13. I’ll go with it, there were moments I felt like the entire run was uphill but had a really strong finish at the end.

P.S. I love that in NYC I can finish a run, cool down for a block and stop into the grocery store not caring if I’m flushed/sweaty/seen. Freezer is still broken and I was starting to play roulette not icing my knee & groin so I stopped to pick up a bag…and peanut butter b/c 24 hours with out PB is too long.

_________________

Your turn:

Are you a morning or night runner?

 

 


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New Shoes, New Love

After proclaiming to being a New Balance girl I’ve gone back on my words. Sunday afternoon I went to JackRabbit‘s to get fitted for a new pair of sneakers. Over the summer I went to Paragon Sports for an analysis and ended up with a pair of New Balance 770s. I didn’t love them but it was my first analysis so I assumed best. The pair prior to that had been a pair of Asics that I ordered offline {first time branching from NB}– and should have returned.

I’ve given Asics a new shot and think I’m in love.

Asics T256N 

At $110 they’re a bit pricier than any of the pairs I’ve scored off Joe’s New Balance Outlet or Zappos but I’m learning that sneakers are not the thing to skimp on – especially with my history of knee issues. I’ll save the deals for tank tops and capris.

I’ve only taken them for one run last night but it was by far one of my best runs. I had gone uptown to met a friend and while I had planned to go to JR right from there a blood-sugar of 37 (super low) killed that plan. Instead I headed back home to regroup …and over-treat. By the time I headed back up my blood-sugar was 412 (super high).  I knew that I was over treating at the time but was hit with one of those “consume all sugar and carbs until you feel better” waves. While bad blood-sugar games seem to be the new Sunday trend, I refused to miss out on the 4 miles I had schedule. Training wont really work out if I have to miss each long run. 

I did something I promised my doctor I wouldn’t. I did insulin before my run. With some oatbran (not quite a serving) + PB and 7 units it made a perfect formula.

During the summer I would get to a bridge to cross from York to the East River, I would always walk it and then pick back up. This time I held a consistent pace – my fastest consistent pace for 5 miles. While I had a slight nag to be mindful of pushing myself too hard with the blood-sugars the run was never a fight. There was no telling myself only one more mile, 4 more blocks, the next red light. Instead it was “well I’m not done yet, maybe I could go just a little bit further without losing momentum.”

And my blood-sugar after? 118. perfect.