Showing posts with label CGM. Show all posts
Showing posts with label CGM. Show all posts

Wednesday, March 18, 2009

After the Tour _ Now What?

There is a lot to catch up on, work for one thing, sons surgery and planning the rest of my cycling adventure. Oh yeah...and figure out how to get BS in control.

Lets just say I have had a few set backs, one being Mint Girl Scout cookies... I love these cookies and have no control in pacing myself. BUT.... they were not involved in the next few set backs.

The weekend before the Tour de Cure, I went for a group ride with an incline. The problem was I was going to meet up with the group at a certain point closer to my house. I called the group leader that morning made arrangements, only thing was we got our wires crossed and by the second call, they were already 1/2 way up the hill. The issue was I waited 30 minutes for the group to come by while my BS began to elevate. Normally by that time, I would have been already riding and using up the carbs I had eaten for breakfast. Then to top it off, I hiked up the hill as fast as I could. When I hit the top, BS were not registering on CGM because they were too high. I eventually brought it down again, but the same thing happened today.

Normally, I ride Tues, Wed or Thurs, with some combination of 2 -3 days... I may ride all 3 days or just ride 2. Well, today not one of my alarms went off today, except my husbands, which was set 45 min after mine. I get a little stressed when this happens, especially when I have only 15 minutes to eat, get dressed, get on bike and meet up with the group by 7am. By the time I got into work today my BS were in the high 300s. I am wondering if anyone else has this type of reaction to stress or when your adrenaline gets pumping. I took 10u of humulog to get it back to normal... It was if the insulin wasn't working or I had serious issues with counting my carbs, which was 1/2 of a protein shake that I gulped down to have something to help with the insulin I had already taken.

My BS are like a roller coaster, everything seems fine and then I eat and it shoots up like a Roman Candle firework. I have never seen a trendline stay level through out the day. I am also getting challenged with allergies. My regular commutes which have been easy rides in the past have now become a struggle and my legs feel heavy. I don't know if I should just ride it out or stop and take a week long break. I am taking antihistimines as well as a decongestant along with an anti - asthma medication only for the days I ride (sports induced). Still I struggle.

I am riding again tomorrow, because it just feels so great to be outside, to ride, to be cold then hot, to roll into work after a great work out and then shower and get ready for the day ahead. My attitude becomes even more focused on possibilities instead of challenges, but when I have a morning like this morning and no amount of insulin seems to fix the problem, I worry. Eventually it all straightened out again, well at least until I ate again. Hmmm maybe I should become a breatharian and live on air, I am sure I could control my basals better than my boluses then.

Ok, good news for tonight my BS is at 139, the bad new is I just ate and it is on an upward trend. Ugh! Heading to bed for a 6:45 AM start to my ride tomorrow seems tiring given that I know I could end up with some night time highs... Guess I will take a couple units of Humulog and sleep until my lows or my CGM alarms signals me to wake up. Thankfully I still feel my lows and get woken out of a sleep with serious sweating. Makes it hard to tell the difference between a low or early onset of menopause! Ha.... ain't it all fun.

Here's hoping I get to sleep through the night and wake up on time tomorrow.

Cheers
Penny

"Quiting is never an option for a diabetic"

Sunday, March 8, 2009

Riding in the Tour de Cure



First I want to thank everyone for their support, so many people contributed their time and money, without this support I would have never done this ride. I met all my goals, I raised $2840, I earned my Diabetes Victory Jacket, I rode the Tour de Cure in a Red Rider Jersey, I improved my time, I made new friends including other Type 1 Diabetics and I rode the Tour with really great friends, (ah Priceless). Talk about a successful event.

All good things are not without some challenges and this ride had a few. First, it was not the best of conditions but it could have been much worse. We had a lot of wind and the morning chill felt like winter all over again. I followed my morning ride routine and ate 3 pancakes, Tbs of almond butter with a special treat, my husband made me coffee. Ahh heaven! Took 3.5 units of Humalog and set my alarm for 7 am to remind me to take my Levamir while on the road to the Tour. My support friends and I met around 6:15 am then headed to the ride location about 45 min away in Rancho Sahuarita.

Arrived at the site, took 4 units of levimir, which was less than planned, but it was all that was left in my pen. (Note to self: make sure you have enough supply of insulin when leaving the house). As we were unloading the bikes, we quickly realized how cold the day was going to be. Glad I wore my riding pants, arm warmers, jersey, head band, gloves and jacket. I kept most of all this on until about the 40 mile marker. I was at the start when I realized my BS were very high, ~288. I kept thinking I should take a shot. BS stayed high up until the 20 mile mark(first rest stop) when it began to go down, and down and down. It was looking good as my goal was to remain at 152 for the majority of the ride. I stayed above 160 most of the way through.

The 2nd 20 - 30 miles were the most difficult, an 8 mile climb up Mt Hopkins. Ugh! It felt like it would never end. This is where my legs started burning and my back went into small spasms.
Even one of my experienced support riders, Gary, said "This isn't fun!" but we pushed on. I just new if I made it to the top of the hill I would feel great. I did, a little fatigued, but great. Great support at the top of Mt Hopkins with Ibuprofen for the spasms and 2 Girlscout Cookies for the spirit. I also finished my PB&J and my first bottle of perpetuem. We were ready to head down when another Type 1 asked me if I was 'Penny' from the Trek Bikes of Tucson website.
We talked for a few and then it was off to finish what we started, even though I knew one of my support friends had been cussing at me the whole way up, I couldn't hear her but I knew. Soo in all fairness, she is not a big fan of hills in general and I know the main reason she was there was for me. So Colleen, a big shout out to you and your continued support no matter what I put you through. Steve and Richard, awsome job pacing and keeping us moving forward. Mary thank you for your lifetime of friendship, support, perseverance and 'Can do' attitude. My husband, Tabot, and daughter, Sedona, were at the last rest stop to cheer us on. It was great to see them ringing bells and yelling. Wow! I truly am blessed.

Anyway, we headed to the back 25 which was not so bad, a nice downhill ride, hitting high speeds and nice coasting. We kept a nice pace, but I had kept the group a little long at the first two rests, almost 45 min total, too long. When we rolled into the finish the festivities for the most part were over. The good news, I cut off 2 hours from the first time I rode 60 miles :) and BS were not my worry. Very nice to have the Dexcom 7 to manage my BS trends. This along with some alarms I set on my watch, I was able to time my food intake and water.

All in all, it was a great ride, with great wonderful friends and family. I look forward to riding next years Tour de Cure!

Saturday, February 28, 2009

A Saturday Ride with a nice Surprise!

The day started with a great blood sugar of 152, I dropped my Levamir 2 units (8 instead of 10), I ate my 4 rice pancakes, a tbsp of almond butter and 1/2 of a banana. Took 4 units of humalog via a pen and headed out. I was to meet the gang at 8:30 am. All was in place and I was waiting at 8:15, ready to hit the road as soon as I saw the pack come up in traffic. Well, 8:45 went by and I began to call. Unfortunately we had a disconnect in the communication the grp was a mile ahead of me on a hill and a lot faster.

Unfortunately the delay in riding and then heading up a hill climb first thing got my BS rising.
By the time I was halfway up the hill my continuous monitor was shouting at me that my BS was too high to read. Odd thing was I felt fine. I didn't feel like I was in the over 500 range. I stopped took 2 units of humalog and met up with the group at the top of the hill. Wow over 20 people were waiting and I was out of breath. The original plan was to go 50 miles, but given BS were out of control I opted for a shorter ~ 35 mile ride. I felt good riding after the first 40 minutes, but up to that point I wasn't sure if I should ride or go home. Fortunately, I have a few cyclists who support me and ride with me no matter how it is going. I checked my blood sugar at Sabino Canyon and found that my BS was in the low 200s, not the 'High' that my CGM was reading. My readings seem to be so far apart sometimes even though I calibrate my meter 2 - 3 times a day. Wonder if anyone else has theses types of problems? Anyway, I was glad to know it was at 200 and that my insulin on board would eventualy catch up, which it did. So I forged on.

Three of us took the shorter route and two of us, Colleen and myself headed for coffee by UofA.
That is where the big surprised happened. Colleen and I were outside having coffee when I realized all the Shootout Cyclist were returning from the Sat ride and who should be at the front... but Phil Southerland, Team Type 1, founder and racer who is training in Tucson after racing in the Tour de California. I have been following his twitter since I saw him ride in the Tour de California. Would love to talk with him and learn how he manages BS through all his travels and rides.

Re-invigorated, I went back up First Ave, to take on the hill one more time before heading home.
It was a great ride and BS evened out. I ended my ride at the Trek store to get some advice on my seat. When I ride over 30 - 40 miles, I start to get a lot of pain. Let's just say, Heather, a female pro rider, was very very helpful! :) Plus she had some ideas on managing my BS and food intake as I have been a little worried about the Tour de Cure 100K ride next Sunday. We discussed how food metabolizes and I will need to plan ahead when to eat, eating when hungry is too late. Ex: Is a hill climb coming up? When was the last time I ate or drank carbs?? Do I have enough resources to finish the ride? Eating halfway into the race is too late to reap the benefits. So it sounds like I should eat up front while maintaining carb intake throughout.

All in all it was a great day for a ride!
(sorry I need to get some more pictures, would have been great to post one with the Team Type 1 riders today, I even had my ADA Jacket on!) More pics to come

Tough Week in Traveling with Dexcom

Not sleeping well, traveled to Silicon Valley, airport issues and only one day of riding. All this contributed to sporadic blood sugars and frustration throughout the week.

While I was on the road this week and only having been on the Dexcom Continuous Monitor for 2 weeks, I was not sure how it should all work when going through the airport. In Tucson's airport it all went fine. I requested a pat down so I would not take the receiver or the transmitter through the metal detectors. Everyone was very cooperative and friendly. Once on the plane, it was smooth sailing through the first day.

The second day was interesting, beginning with heading into work and the company's buildings (11 in all) which are all wireless. I set up my laptop to begin to take advantage of the site's state of the art technology as well as the culinary specialties... Well, the culinary specialties started the rise in BS but it was the wireless environment that interrupted my readings getting recorded on my Dexcom. Not sure why, but hardly any reading recorded throughout the day. So, I spent the day testing and taking alot of shots. I was trying to be discrete but the insulin pens still draw attention especially when I was using it every hour or so. It drew some attention and questions. Most folks didn't realize I was diabetic and they were surprised given my level of fitness (not pro but fit). If they only new how frustrated I was during this point in time.

Well, the saga continues... As I headed to the airport, I asked again to get a pat down. One of the security assistants told me to wait, which I did. He then told me to walk through the metal detector which I thought for some reason he turned off. Well he didn't but what he did do is call for a female assist. Great... Well at this time my Dexcom did not provide any readings that night and throughout the following day, until I changed my sensor.

Word to other Diabetics, not sure if this is typical but Dexcom Tech Support recommended I not go through the metal detector unless absolutely necessary. I never had a problem with my pump at the airport but it wasn't wireless like the CGM. To make it worse, airport security was not familiar with the continuous monitor like they were with my pump. Need to get cards made by Dexcom to explain the CGM and how airport security should handle the situation.

Until the next post,
Stay well, stay happy, stay healthy