Public Health Collaboration Conference 2018: Achieving your optimal blood sugar target

Videos of the lectures given at the Public Health Collaboration conference 2018 which was held in May over the royal wedding weekend have now been released on You Tube.

You can see my talk, Achieving your optimal blood sugar target, as well as others, on the link below. There are a wide variety of lifestyle topics discussed. Happy viewing.

 

https://www.youtube.com/results?search_query=public+health+collaboration+conference+2018

#Type1Runs—Race Report

An oxymoron I know—the words ‘race’ and ‘me’ aren’t a natural fit. If what I did on Sunday 30 September could be described as racing, I challenge you to find that tortoise and it isn’t the one that beats the hare.

Anyway, here’s how the Great Scottish Run panned out for me. The annual race is the largest running event in Scotland and this year it attracted 30,000 participants in both the 10k and half-marathon.

I started in the pink wave (i.e. the slow coaches) and the start was snail-like thanks to the sheer numbers. No complaints from me there as a slow start is what every expert recommends.

Kingston Bridge

Running over the Kingston Bridge is something else—it presents the views of Glasgow that turn up in black backdrops on TV programmes, in films and books set in the city. You see the armadillo, the Finnieston Crane, the towering Hilton Hotel and the odd church spire or two, silent monuments to the man-made standing either side of the mighty Clyde.

The run always attracts the elites and the fastest man, Chris Thompson, finished in 1.02.07 with the fastest woman at 1.09.15. There was also a proposal at the finish line and the woman said ‘yes’.

 

As the fastest woman crossed the finishing line, yours truly was still at mile seven chanting the mantra “you can, and you will do this” over and over in a mind versus body competition. Thanks to clever tech, my husband was able to track my progress through the Great Scottish Run app and managed to cheer me on those last 50 metres over the finishing line, two hours and thirteen minutes after I started.

[Instead of missing my triumphant sprint to the end as happened at the last race.]

Diabetes care and exercise

And the diabetes care? Ahem! Everything I did points to how not to train for a half marathon and what not to do on the day. Dear reader, the furthest I ran in training was seven miles, although I had the odd day where I ran twice as per what ultra-marathon runners do in training. I managed to run the whole thing without even a toilet stop.

On the day, I woke up with super-high blood sugars thanks to a roll I’d eaten the night before. Yes, just one lousy bread roll rocketed my blood sugar levels through the night and my first test of the day was 18.6. I took one and a half units of fast-acting insulin and my basal dose, minus two units.

Super-high sugar levels made me wary of eating before the race, but I did have a Trek protein flapjack one hour before. Ping! As the race was about to start, my blood sugar levels went up again to 16.6. I knew I couldn’t start running on that, so I took one unit of fast-acting insulin and crossed my fingers.

Body feedback

I took my insulin pen with me, jelly babies and the FreeStyle Libre sensor—and, er, didn’t use it at all on the way round. I couldn’t be bothered routing around in my little pack to find it, and there is something to be said for relying on the feedback your body gives you. At the seven-mile mark, I decided I’d better eat a jelly baby or two, and at the nine-mile point, I accepted a gel from the SIS stall. From then on, I ate eight jelly babies spaced out for the rest of the run.

Blood test at the end said 8.3, rising to 11.1 an hour later and then plunging to 5.4 half an hour after that, at which point I ate a meal roughly 50/50 protein and carbs.

Lessons for another time? Do more blood tests during the race. Ignore the carb loading advice for the night before (or don’t do it with bread or flapjacks) and watch out for adrenaline. The nerves kicked in an hour before the run and that might have contributed to those high sugar levels, so the next time I might not lower the basal insulin rate as much…

Next time

But wait! There’s not going to be a next time, is there Emma?! Confession—having sworn I wouldn’t do it again, I’ve changed my mind. The Glasgow half-marathon is so atmospheric you can’t help but be swept up in running fever. Crowds cheer you almost all the way round armed with witty signs—my favourite was the one telling us we were getting in good practice for the zombie apocalypse—and the sense of achievement you experience at the end is… Indescribable.

And seeing as I proved I can do a half-marathon without ever running more than seven miles in training, the idea of doing it again next year appeals.

 

Exercise games can aid weight loss in overweight children

USA researchers have proven that video games such as Kinect Sports and Just Dance can help overweight children lose weight and improve their cardiovascular risk factors.

Adherence to the programme of one hour three times a week was very high with 94.4 % sticking to the games. 46 families were involved with 23 families in the intervention and control groups.

BMI , blood pressure, total cholesterol and LDL cholesterol all improved in the intervention group.

The study was funded by the AHA.

#Type1Runs… or Plods

 

my feet in Sketchers

 

The half-marathon training continues… limps on, more like. My body repeatedly tells my brain this was not wise. Sheer stubbornness forces me on.

It heartened me to read of another type 1 saying her training veered between 20-mile runs that went well and three-mile runs that floored her. We juggle not only the effort of running with balancing blood glucose levels.

Too high and running turns into an activity that resembles wading through waist high treacle. Too low, and your calves seize up as your body goes on a glycogen hunt. Either way, both states bring you to a grinding halt.

Magic formula

The magic formula that is running with diabetes is akin to Google’s most complicated search algorithm. Factor in sleep, the previous few days’ average blood glucose levels, where you are in your cycle (if you’re a woman), what you’ve eaten, how much insulin you have on board, how much food you need before running, what foods provide the best fuel sources, how far your blood glucose levels drop and by what time spent running…

If you can work it out, you’re better at this lark than I am.

Exercise affects us not just at the time but for up to 24 hours afterwards. And if you’re exercising for more than an hour at a time, it becomes trickier to work out what you need to do with insulin and food.

Pilates and yoga

Bouts of activity that last half an hour to 45 minutes are relatively easy to manage. If you want to do more exercise than this, you can break your activities up—a walk in the morning and an easy jog in the evening, say. And plenty of Pilates and yoga thrown in for those nice stretch and flexibility benefits.

My vow is post September 30, I’m never doing a run longer than a 10k and my weekly runs won’t add up to more than nine miles, if that. Dear reader, I make myself accountable here.

Meanwhile, September 30 (the half-marathon date) hurtles ever nearer. Yikes!

 

 

Retirees are happier when they are active

An Australian study has shown that getting a good sleep at night and being active during the day was the most effective way to boost mood in retirees.

105 people took part in the Life After Work study. They were followed for six month before retirement to 12 months afterwards. They carefully logged their activities and their mood was measured.

The time spent on chores, physical activity, quiet time, screen time, self care, sleep, transport and work, all changed over this period of time. The most favourable substitution was replacing work time with physical activity and sleep.  Replacing work with screen time and social activity showed less effect on mood enhancement.

After retirement, depression, anxiety and stress all reduced.

Olds T et al One day you will wake up and won’t have to go to work: The impact of changes in time use on mental health following retirement. PLoS ONE.2018;13(6);e0199605.doi:101371/journal.pone.0199605. PMID:29953472

#Type1Runs—Race Report

Paisley 10k medal at The Diabetes DietAh, Instagram abounds with diabetics who perform superhuman feats of athleticism while battling their blood sugar levels at the same time.

Not me. I’m here as your bog-standard ordinary gel whose only prize ever will be persistence. Did you note I got a massive disclaimer in there before going on to write about my latest race?! I like to make sure I’ve lowered the audience’s expectations before I start.

Anyhoos, for those of you still reading, here it is. On Sunday, I ran another 10k in preparation for the BIG ONE (the half-marathon) next month. Conditions were much more promising than the last time. Back in June, Scotland experienced an unprecedented spell of warm weather. Plus, that course was hilly. And I woke up that morning with a blood glucose reading of 13.1.

Scottish summer

In theory, the Paisley 10k should have heralded a vast improvement. I’ve been running for longer, the back-to-usual Scottish summer conditions (dreich, grey and cool) were present, and the course is flatter.

Still sensing that disclaimer?

Bah, humbug dear readers. I added three minutes to my previous time. Not only that, the online system was cruel enough to remember I took part in the Paisley 10k ten years ago when I achieved my personal best. There it was, my 2008 time taunting me with its nine minutes faster brilliance.

Sprint finish

For those who want the numbers, I awoke on Sunday morning with a blood sugar of 8.5 (I’d knocked one unit off my basal rate the night before). Half an hour before the race, I was 8.1. I ate half a Hike bar before starting (10-15g carbs) and I finished the race at 11.1, possibly because I put on a sprint finish. Nothing like pretending your race pace is much faster than it really is.

I didn’t take insulin afterwards, ate the second half of the Hike bar and went off for a session in the sauna. An hour later, my blood sugar level was 4.9. A massive portion of battered fish and mushy peas later (I know, NOT low-carb), further low blood sugars and indigestion kicked in*… 3.3 one hour after the meal, 5.8 two and half hours later.

Lessons to take—eat more. Try something other than a Hike bar. Drop the daytime basal injection rate. Keep practising. Keep experimenting. Expect fluctuations and weirdness.

All shapes and sizes

Mass running events are special though. I’d recommend everyone takes part in at least one if they are able to—and these days there are loads of 5ks and even 3ks you can do. You see all shapes, sizes and abilities (and the two former don’t predict the latter), the crowds cheer you like a champ and even a slowcoach like me will overtake enough people to feel gratified**. The runners’ high exists.

Now, time to take off my medal. It is two days later after all.

Low carb diets ‘could shorten your life’

diabetes diet by Emma Baird
Avocado, mushrooms, bacon and salad – plant-based.

And now for something completely different… Last week, headline news suggested low-carb diets were dangerous—more likely to lead to an earlier death.

As it’s a rare week, some nutritional or lifestyle study doesn’t hit the news, I sighed. “Oh, whatever.”

I don’t have the skills or knowledge to interpret the data, but two websites I trust have commented on the studies (and more importantly, the way they were reported). You can read them here:

https://www.dietdoctor.com/all-over-media-low-carb-diets-could-shorten-life

https://www.diabetes.co.uk/news/2018/aug/new-low-carb-link-to-life-expectancy-should-be-interpreted-with-caution-99971624.html

 

*Was worth it.

**One of whom wore a tee shirt saying Vegan Runners. Just sayin’.

Half-Marathon Training – an Update

 

a picture of a blood testing machine on The Diabetes Diet
Post-run blood sugar today. Ten out of ten for me (for smugness too).

“Stone the crows, Emma! Wouldn’t have thought excessive temperatures would be the weather issue throwing a spanner in the half-marathon training, hmm?”

Good people, the woman who signed up for the Glasgow half-marathon in January uttered various predictions about running in Scotland. Most of them involved rain. As it turns out, my lightweight shower-proof coat has needed minimal use. Instead, I’m reaching for the sun cream and hugging the walls in a bid to stay in the shadows as I pound the pavements.

Smell that sizzling tarmac! Scotland has just reported its hottest June ever. Let’s give a shout-out to the poor polar bears in Aviemore.

Fortunately, I’ve discovered I can run in the heat. Again, not something I’ve had the chance to test out much over the years. When I trained for a half-marathon ten years ago, there were two hot days in May. I ran during them and hated it.

Blood sugar levels

But now? I’m okay. Running’s so bloomin’ difficult for me, the heat isn’t the thing that’s bothersome. It’s still the breathing, the adjusting of blood sugar levels to minimise low or high blood sugars and my reluctance to build up my miles

My half-marathon is three months away. I’ve yet to go farther than six miles. Most training plans are for 12 weeks, so there’s still plenty of time to add them up. I’ve found my ‘pace’, a super-slow snail-like jog. I’m hoping my general fitness will stand me in good stead, so that if the pre-race miles don’t stack up, those walking miles will cover ‘em.

I ought to join a running group too. Nothing like surrounding yourself with like-minded idiots people to spur one on. And they might know some different routes. I run the same roads all the time, favouring the reassurance of knowing at what point I draw on my reserves of energy and where I get excited because the end’s in sight.

Jessica Smith TV

Last week, when it was very hot (32 degrees), I exchanged outdoor for indoor exercise. I found an indoor jogging work-out on YouTube. “T’uh!” smug self said, “This’ll be easier than running out there in that heat.”

Not so! Ten minutes in and I decided I’d have been better off running outside in the blazing sunshine.

The heatwave here is set to continue. I’ll be training in high temperatures for a little while yet. Again, I’m hoping this magically builds up my fitness so that when I do talk myself into running more than six miles, it’ll be easy.