Anterior Tibialis Tendinitis

My running the past two weeks has been inconsistent, due to a recurring and extremely painful left lower leg injury. I have been trying to diagnose it myself, and think I've found the answer (isn't the interweb wonderful?). I think I have something called Anterior Tibialis Tendinitis, most likely caused by an extremely tight soleus muscle. I should have kept massaging the soleus in both legs during the latter stages of training for the Charlottesville 10-Miler. By restarting my soleus-targeted massaging (using the wonderful devise by www.tptherapy.com) the pain has started to subside. I ran 6 miles yesterday virtually pain-free, and hope to rebuild slowly and maintain the massaging 2-3 times per day throughout my next stages of training. My fingers are crossed in hoping that the pain will stay away, and I can continue to run throughout the summer and fall.

Trail Running

My new favorite love? Trail running. This week I ran three 4-mile loops, mostly groomed trails near our house, and my knees and joints are quite happy. There are so many advantages to "going off road":
1) No traffic
2) Nature in abundance
3) Softer and kinder surfaces
4) Body works on twists and turns of trails, thus strengthening the "support" muscles not often exercised when running on straight pavement surfaces
5) You must slow it down, which has its benefits.
I encourage you to hit the trails this weekend and give it a try. This month's "Trail Runner" magazine (May 2010) is dedicated to beginner trail runners, so pick it up and give it a whirl.

Running For Fun

I am focused on running for fun right now and I must tell you it is, well, fun. I have a schedule that is fairly loose, running four days a week and keeping it around 18 miles per week. Last Saturday, I biked to Mint Springs Park (about 4.5 miles one way) and ran 3.5 miles of trails (very slowly) then biked back for a total of nine miles. It felt good to do something different. I am also running more miles "off-road." Mt blood sugars have been a little irregular, but I attribute that to too much snacking than anything else. Happy spring running, everyone!

Recovering

Dear fellow runners and people managing diabetes: It is now ten days since the ten-miler, and I feel good. My recovery runs have been fine, following the advice of Runner's World magazine so I am running four days a week, but using slow durations runs (20, 30, 20, 30, 30, 40, 45, 50 minutes over two weeks) as my guidepost. I have not been running for distance or speed, just easing in and listening to my body. The body has not complained too loudly, and the soreness I feel is not race related, at least that's what I think. I will begin building back slowly and maintaining my running, but I might mix in some combination trail biking and trail running to spice things up. I definitely feel better when I run on softer surfaces. Looking forward to watching the live streaming of Monday's Boston Marathon. I'd like to see Ryan Hall win in the men's division. He is awesome. Sorry that Kara Goucher is not running this year, but maybe we'll see her again in Boston before too long.

The Charlottesville 10-Miler Race

Friends, family and colleagues have all been wonderful, and politely asking me "How was your race?" I have hesitated in answering because I'm not yet sure. The race itself is a wonderful event, great atmosphere, well organized, a true fundraiser for the local food shelters, etc. But the course itself? It's brutal. The hills are sneaky tough, but I ran them fairly well, never stopping at any point in the race. So here is a summary of some race stats: Pre-race blood glucose was 262 (a little high from eating a light breakfast and purposely not over-bolusing two hours before race-time), post-race glucose was 122 using a 50% of normal basal rate for 90 minutes. I finished the race with a chip time of 1:30:07, about 2.5 minutes below my training target rate. The course measured 10.15 miles on my GPS watch, which leads me to believe the course is a tad longer than 10 miles. I am sore. Next time I run the race, I will bring my own small water bottle. It is too chaotic to run by tables and attempt to drink out of cups while one is running, and it does slow one down! I am looking forward to recovery runs this week, staying on track for about 20 miles per week, and finding some new races for the fall. I might run some shorter races for fun, just to keep me honest on speed work. Happy spring everyone!

Tapering

The Charlottesville 10-miler is only three days away! My training plan calls for running 4 miles (Monday), 3 miles (Wednesday) and 2 miles (Thursday). This process of backing off my mileage is considered by many a standard method for allowing the body to be fully ready for race day without incurring injuring. The process of "tapering" also allows the body to recover a bit from the intensity of training for 18 weeks. My experience is that my legs muscles begin to "coil" up--in a good way, and they usually feel fresher and stronger on race day. Blood sugars usually run normal during this week of less intensive training. I am still doing strengthening exercises on my off-running days, and my appetite it still good--but I need to make sure I don't pack on extra pounds during the final week. If you're running this historic race, good luck and I hope to meet you at the finish line. If you are still training, hang in there. The final weeks of training are usually tough, but very satisfying during your final taper weeks.

"The Boomerang Effect" Revisited

So I am trying to learn from my past. After Saturday's successful 12 -mile run, I decided to back off my basal rate yesterday (for 24 hours) and today (for another 24 hours) to 90% of normal. This is to hedge that I do not go low with my blood sugar levels 24-28 hours after an intensive and lengthy workout. Blood sugar levels yesterday were excellent (no lows!) and so far today they are running equally good as well. I am very excited about my road race in less than two weeks. I should be in the best physical condition for a very demanding 10-mile course. I have been training for the past 16 weeks, and last week I ran 28 miles total--my largest weekly mileage ever. Good luck with your own training and diabetes management.

The Dangers of "The Boomerang Effect"

On Saturday, I ran 11 miles and felt good--both in terms of results as well as in managing my blood sugars. My pre-run reading was 137, post-run 124. I set my basal rate at 30% for 2 hours for the length of the run, running the distance in a comfortably slow aerobic heart-rate speed of 10 minutes per mile (1:50:03). But two days later, I had low blood sugar readings almost all day long, particularly later in the afternoon. At 5PM my reading was 56, so I quickly downed a Glutose tube but still felt "out of it." I was able to walk to our office vending machine to purchase a regular Coke, drank half of it, and checked myself 15 minutes later. The reading was still only 58. I finished the rest of the Coke (39 grams of total carbs!) and my blood sugar eventually got to 72. I remember my endocrinologist telling me that there is a phenomenon known as "the boomerang effect." The type-1 diabetic body can actually become hyper-efficient at utilizing insulin post long-runs, and this can continue for 24 to 48 hours. What this also means is that one should closely monitor one's blood sugars and even consider cutting back one's basal rate (I did not) for some period of time after prolonged and intensive physical activity. I had forgotten about this potential effect, so the next time I run 12 miles (in two weeks) I will lower my basal rate slightly for 1-2 days post run and reduce the risks of low blood sugars. CHECK WITH YOUR DOCTOR before making any changes in your insulin regime or increasing your exercise program. Happy running, now that spring finally looks to be on its way in Virginia.

Barefoot Running and Diabetes

I believe the hype is real. If you have ever been injured as a runner, it begs the question: "Why do nearly two-thirds of all runners in the U.S. end up injured each year?" It's not normal, right? How can an activity that is so good for you be so bad for you as well? If you haven't heard of Christopher McDougal's book "Born To Run" you simply must read it. Furthermore, Professor Daniel Lieberman at Harvard is conducting research that sheds new light on why barefoot or minimalist shoe running is more natural and, perhaps, could reduce the rate of injuries (check our barefootrunning.fas.harvard.edu). As someone with type-1 diabetes, I really need to take good care of my feet. Even though I am in excellent health, I've read the scary stuff about foot problems and it makes me leery about pounding the road with no foot protection. The best advice I can give is ASK YOUR DOCTOR. I plan to do so on my next appointment. And I am also a big fan of shortening your stride so that you can mimic the effects of barefoot running: Try landing on your mid-foot and not your heels. This has really helped my (left) knee. So, before you go whole-hog on the barefoot running thing, ask your doctor. Perhaps the soundest advice would be to at least try a minimalist shoe or running flats to help transition your feet to a more natural running form. If you are running without injury, don't change anything right now! Consider yourself lucky, and keep up the great work.

Diabetes in the Workplace and School

Let's face facts: We do not introduce ourselves to others as we should. It's normal to hide diabetes. It's a little embarrassing and a lot weird. I hid my diabetes for years, until it was too late and I ended up in the emergency room. Don't make the same mistakes.

In 1981, I had the worst insulin reaction ever. I was working as a summer employee at Kodak in Rochester, NY, and I made a few cardinal mistakes that fateful day. I woke up late, gave myself a rushed injection of insulin, and headed out the door with no breakfast or food. I was so rattled I did not realize what was about to happen. Later that morning, I was sitting down, shaking and barely able to speak. I vaguely remember a few co-workers asking me if I was okay, and I think I mumbled yes. Somehow, I was able to walk to the cafeteria, get in line for food, and by the time I was at the register I collapsed on the floor and rushed to the emergency room. A few days later, my mother had to intervene because my supervisor was concerned about my driving the mail route at work. I was transferred to a walking route. I was not fired. I was okay. But it could have been avoided. I was dumb. I was 20 years old, and I did not take seriously my responsibilities as someone with diabetes.

A few key take-aways: 1) TELL your supervisor, co-workers and everyone close to you that you have type-1 diabetes. Don't be shy. They will not judge you, and they will understand; they will not feel sorry for you, and they could help save your life. 2) ALWAYS CARRY some fast-acting GLUCOSE with you. Since that fateful day, I always have both glucose tablets in my pocket and a gel-pack in my backpack. If you are unable to check your blood-sugar and feel weird (sweating, unable to think straight, heart palpitations, etc.), eat the glucose with some water right away. Better to have your blood sugar run temporarily high, if you're unsure, than to crash low. 3) Keep glucose or carb-rich snacks in plain site for others. My wife is a master at spotting lows in me. She tells me to sit down (which, in my stuporous-state, often leads to arguing or even yelling from me! Who am I when my blood -sugar runs low?) and she faithfully gets me some fruit juice. Minutes later, I am usually back to my "normal" self.

Remember, YOU ARE A PERSON WITH DIABETES, not a diabetic. Stay strong, stay healthy, and check your blood sugar regularly.

The Devolving Human

For me, running is one of the best ways to stave off the inevitable: We are, as a species, devolving quickly into globular blobs. We spent way too much time in front of TV or computer screens, or behind the steering wheel of an automobile.

Today's Wall Street Journal article, titled "Why Evolution Is Making Us Fatter" explains it all. The science suggests that despite the recent increases in humans spending time sitting, the body is going through a separate evolutionary process that makes us less mobile. That is a terrifying idea.

I am convinced that if we rise up off "the couch of doom" (thank you Steve Runner!), we can live a better and healthier life. Evolution may have other plans for us, but we do not need to look like the adults in the movie "Wall-E" in the process.

My 4-mile run this morning was terrific. Blood sugar pre-run was 137; post was 72. One hour after breakfast 128. Stay safe out there, run long, and check your blood sugars.

The Return Of Uncle Chubby

Okay, so I am not overweight. And I do not want to get obsessive about a few pounds. But what the heck? I'm running 20-25 miles a week, with 10 mile long-runs, and my weight is going the wrong way! I cannot figure it out. Ultimately, I would like drop five pounds by race day (April 3), to increase speed and lower the strain on my hips and knees. Will Girl Scout cookies ever go away? Will I be able to resist the large scoop of peanut butter? And can I actual "just say no" to the nightly work-week glass of wine (not unless work gets a lot less stressful . . . hello, large bequest needed!). These are my challenges. I will strive to drink more water to quell the hunger and get the double benefit of staying hydrated. I will eat more fruits and vegetables. I will get more sleep. And, I will reveal my results within. Wish me luck. Run long, and check your blood sugars. [You can see my running stats at www.buckeyeoutdoors.com and look for the username runrobrun]

Work stress and running

This was a fractured week. I got my 4 miles in on Monday, but then my left knee felt weird. Then I traveled to Arlington, where the snow is still high and the trails covered in ice and snow and, hence, unsafe for running. I could have brought my Yak-Traks, but given the uncertainty surrounding my knee, I took two days off hoping to get back on-track later in the work week. Thursday and Friday I got my 6 and 3 milers in, with no apparent discomfort to the knee (knock on wood).

Work has been insane, and running had been my salvation. The time I spend running provides me with a great sense of accomplishment, peacefulness and comfort. I am really looking forward to this weekend's long run, as the temperatures look to be back to normal for this time of year in Virginia (maybe nearing 50!). Blood sugars have been running fine, and I am glad that most of the Valentine's Day cookies and candies are nearly gone.

This is a great time of year to get outdoors and get to your running. The promise of Spring will be with you in each passing mile, and the early birds will greet you with their warbles and whistles. Enjoy the trails and stay safe.

8 Mile

The goal between now and April 3 is to run eight miles every other Saturday, and on the other weekends build up my long-runs to 12. Saturday morning. All started well, until I checked my blood sugar upon wakening: 61. Rats. I treated it with a full pack of Sport Beans and fifteen minutes later added eight oz. of apple juice (with ground chia seeds). The goal today was to run eight slow miles (aerobic heart rate of 136). I really look forward to these long run days. They are not as difficult as they were a year ago, and running them slower helps me from fatiguing and getting injured. It was a great run; cold, but great. I dropped my basal rate to 30% for 90 minutes. Post-run, blood sugar was 121! Average pace: 10:05 per mile. Average heart rate: 144 bpm. Looking forward to snow melting (it will take awhile) and to keeping strong and injury-free. I should add in some core work and push-ups on my non-running days (have not done it consistently).

Using a log book

This morning, as planned, I got in 3 easy miles (9:00 ppm). Thank goodness the wind was not a factor; the forecasters originally had predicted wind chill levels in the single digits. Instead, I was able to run virtually wind-free in 29 degree temps. Blood sugar was low upon waking: 51. I treated it with 5 Dex-4 tablets, water, a small glass of OJ, and waited 30 minutes before running. I dropped my basal rate to 50% for 30 minutes, and my blood sugar was 107 post-run.

One of the most effective tools I have found for running progress, injury and diabetes management is recording ALL of your runs in a log book. I use two sources. The company Nathan makes a great, compact spiral-bound log book which is undated and lasts 365 days. I have used these in each of the past 3 years and it really helps motivate me to get in all of my runs and monitor my progress. It reads like a runner's diary, and it is a big help when I need to learn from past experience about what works and what does not in making sense of my running and its impact on my diabetes management.

Another useful tool is an on-line log book. I use a free website at http://www.buckeyeoutdoors.com/cgi-bin/training/traininglog?guest=runrobrun
Feel free to see my progress at this website. I am also a lucky member of the "Running from the Reaper" online team. We are admirably lead by Nigel from Staffordshire in the United Kingdom. Nigel also produces a great podcast, "Running From The Reaper", available at iTunes (also for free!). Enjoy.

Half-Marathon Training 101

• You need at least 18 weeks to train properly and reduce the risks of injury.
  
• If you are currently running only 1-2 days a week, I suggest increasing your days gradually and get to four days a week, always running on Sat. for the longer runs.
• The Saturday long-run is the most daunting. Don't worry about it. You'll be amazed at how long you can run. Remember, run these days at a slow, conversational pace. The other days you can step it up a bit, if you wish.
• Your total weekly mileage should never increase more than 10-15% from the previous week's total; your long run should never be more than 50% of your weekly total.
• Yoga is good, so is post-run stretching and rolling (use a 36" hard foam roller). I now never stretch before a run.
• Your first mile should be your slowest of any part of your run--get warmed up properly. Don't worry about speed.
• Try to practice the "30/20" rule. Count how many times one foot lands on the pavement during a twenty second period. If it is less than 30, your stride is too long. Practice shortening your stride, so you look like you're running a quick march. Try to have your feet land underneath you, landing on the middle of your foot. Try not to land on your heel or forefoot. Your knees and joints will thank you later.
• Try to get as many of your runs in during the morning, since most races start early in the morning--you'll want your body to be used to running at that time of day.
• Go to a really good running store and get fitted for new running shoes, if you haven't already. Your knees and joints will thank you later.
• Hydrate, hydrate, hydrate. Try to drink at least 60 oz. of water every day. Real fruit juice and milk count; coffee and soda do not.
• Try to eat 60 oz. of protein every day. Oikos organic Greek yogurt is excellent; so are local eggs, grass-fed beef, pork, turkey, chicken and local fish. Try making sandwiches with protein-packed potato bread (made by Martin's). Eat a lot of fruits and vegetables and whole grains. You will be burning a lot of calories, so keep it balanced, eating five small meals a day, if possible. Otherwise, three medium, and 2 healthy snacks should work.
• When your runs start getting to be 60 minutes or longer, you should start experimenting with gu's or gel's, needed usually every hour of running--with water I don't like most of them, so I use Sport Beans at mile 8 by Jelly Belly, with water. These will help give you a boost for the final push.
• The last 2 weeks are "taper" weeks, after you have done at least 12 mile long run.
• Don't worry too much if you feel tired during your long runs. Occasional walking breaks are okay, It is better to take a break before you feel exhausted, then you can resume running and feel fresher at the end. (My first 12 miles I conked out at mile 11, huge hills, bad night's sleep, etc.) But two weeks later, I finished my first half-marathon race!
• I found the Shamrock Half-Marathon beginner's training schedule to be excellent. Check it out at: http://www.shamrockmarathon.com/Primary_Navigation/Race_Info/training.htm
  

Getting "it" done

In anticipation of another supposed snowstorm, I awoke this morning to the smell of coffee and prepared for five miles (no hill or tempo components). Looping the Western Albemarle High School parking lot has gotten really boring, so I drove to Old Trail to find some clear pavement and a change of scenery. My pre-run blood sugar was 129. I dropped my basal rate to 50% for one hour and headed out for my run in 22 degree cloudy and still skies (no snow yet). It felt great after a slow first mile trying to get warm. I kept the pace up a bit without looking at my watch to see how I was doing--just tried to feel good and strong and not worry about pacing. It was one of my better mid-week runs, a bit slower than I expected (average pace per mile of 9:02). Post-run blood sugar was 82! I drank half a Myoplex protein shake, and bolused 3.3 units for my breakfast. Overall, a great start to the day. I am glad to be keeping up my miles, despite the rough Virginia winter. No running tomorrow, and only three miles called for on Thursday.

More miles, more exercise, better health

After another weekend of shoveling snow, I was able to sneak in a four-miler this morning, and keep "on-track" for my training. I made the mistake of forgetting to drop the basal rate on my insulin pump, so blood sugar levels were an issue post-run. Before my run my level was 70, so I drank 8 oz. of orange juice. Afterwards, my blood sugar level was 56! More juice, less bolus insulin with breakfast, and I rebounded an hour after my meal with 147.

I just finished reading "Born To Run" by Christopher McDougal. A great book that I highly recommend. It is funny, insightful, and controversial. While I am not about to go barefoot or use minimalist runner shoes, I do agree that shortening one's stride length and simply "enjoying" your runs without being a slave to your training schedule is a good idea.

Now comes more research showing that running more miles is better for your health. Check out this article and let me know what you think: http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2010/02/01/MNFC1BID8F.DTL Obviously staying injury-free is key, and something that I am working to do with each passing day.

Happy running, and stay safe out there on the road and trails.

Running in snow storms, part 2

This morning, I awakened to a slow but steady snow, just as predicted. Last night I had a decision to make. I would either take my chances attempting a long-run Saturday in terrible conditions (and perhaps 2 feet of snow) or scrap the long-run altogether, given the predicted and dire weather conditions. I do not own a treadmill, or belong to a gym, so it was either run outside or not at all. Then, it hit me! What if I move my long-run up a day (usually not recommended) and run it this morning before it gets really bad?

So that is what I did. I ran a surprisingly comfortable 10 miles in mostly good footing, at an average pace of 10 minutes per mile. My blood sugar was 147 upon awakening (slightly elevated, but that's okay given what I was about to do). I ate one pack of sport beans, drank some water, dropped my basal rate to 30% for 90 minutes, and off I went. It was a great run; I really enjoyed it; it felt almost magical in spots. The snowy landscape and relative quite really was peaceful and pleasant. I saw two other runners, and they seemed happy to be out before it got really bad. When I got back home, my blood sugar was 95. Yippee!

Be safe out there on the roads. There are a few boneheads who seem to enjoy driving very close to runners, as if it were some kind of target practice. I look forward to reporting back in a few days, as it seems highly unlikely I will be able to get out on the road again until Monday--my next scheduled run.

Changing infusion set sites

As an insulin pump user, every three days I need to change the location of where the insulin gets into my body--as per my doctor and diabetes specialist. Known as the "infusion site," a small plastic catheter is inserted into my skin and sits there for three days, with the tubing from the pump attached. It's a bit of a pain to deal with, but a heck of a lot better than injecting insulin 3-5 times a day.

Since I've been running, I have lost a lot of subcutaneous fat in my upper thighs and hips. That really only leaves the upper backs of my arms and abdomen as remaining sites for my infusion sets. During winter, I tend to use my arms more because I am more than likely wearing long sleeve shirts, etc., and that way the tubing or infusion set do not show to the public (I'm a master of tubing disguise). In summer, I'm pretty much an abdomen guy--and the literature seems right on this area of your body: You will have better and more consistent insulin absorption.

I have had no issues with infections, and I use a small band-aid with bacitracin after I pull out each infusion set. Remember to check your blood sugar within 2 hours after changing sites so you know that everything is working properly. I've had a few scares where I did not check things out, and ended up with a blood sugar of 400 later in the day! This is usually rare, but it can happen. Good luck with your own pump experience, and stay happy and healthy out there running with diabetes.

Are Girl Scout cookies bad for you?

Every year at this time of the year, the requests for purchasing (and thus consuming) Girl Scout cookies comes upon us like a great wave of sugar and enriched bleached white flour. I will admit two things about this uniquely American phenomenon: 1) My youngest daughter is a girl scout, so I am required as a parent to engage in the selling of the beastly delights, and 2) I like Girl Scout cookies. So as someone with Type 1 diabetes, how do I reconcile these conflicts? This year I am hyper-focused on my training for the Charlottesville 10-miler running race, so I am able to "just say no" to the sweets more easily than usual. But I also understand that with the advent of the insulin pump and a lot of miles run and calories burned, I can have a cookie or two without any real damage done (the A1C's and daily blood sugars do not lie). Yes, I can discipline myself to just 1-2 cookies. They're good, but not THAT good.

Running in snow

This morning I awakened to 4-5 inches of snow (still snowing, by the way), air temp of 17 degrees fahrenheit, winds northeast 5-10 miles per hour for a windchill of 10 degrees. For the first time ever, I added Yak Trax Pros to my running shoes. They worked great! I ran 9 miles slow (ppm 10:13) which is what my training schedule called for today, for a weekly total of 21 miles. Blood sugar was 66 pre-run, so I ate 6 Dex-4 tablets, plus 1/3 of a Snicker's marathon bar. Post-run blood sugar was 107, and I used a temp basal rate of 50% for ninety minutes. It seemed to work well. Because it was so cold and snowy, I had a few issues with glasses fogging up, and my eyelashes icing over. Forgot to wear my heart rate monitor today, which would have been good to have the added data during my run (keeping at an average aerobic heart rate of 136). It was a good and adventurous run. Happy snow everybody!

Weird blood sugars and what to do

I got up this morning at 5AM for a 4.5 miler with (5X25 sec. 5K pace) hill fartleks included. My blood sugar at 5:05 was 212, not exactly ideal, but it must have been elevated because last night I had consecutive blood sugars of 66 and 61 at 9PM and 9:15PM respectively. I treated the first one with a pack of sport beans (25 grams of carbs) and 15 minutes later my blood sugar was 61. I then pulled out the heavy artillery and swallowed a tube of glutose (15 grams of fast-acting carb). I felt better, did some reading, fell asleep and did not check it again until this morning.

I gave myself 1 unit of insulin via my pump at 5:05 (in retrospect, I probably did not need it) and reduced my basal rate to 50% for 30 minutes during my run. Great run by the way, but my blood sugar was 70 when I returned at 6:20AM.

Lessons learned: 1) I do not need to bolus if my blood sugar is 150-250 before a run; 2) I will continue to reduce my basal rate for runs of 40 minutes or longer, track the results and learn from experience what works best.

Happy running, and check those sugars!

Chia seeds: Fad or real?

For anyone who has read "Born To Run" by Christopher McDougall, there are a number of interesting and enticing takeaways. One takeaway is the apparent benefits of eating Chia seeds. Not much has been researched on their effectiveness, but what the heck: I bought some anyway. I have been mixing ground Chia seeds (Chia Fresh brand from Whole Foods) with other foods for about 3 weeks, and they are good. I feel livelier in my runs, and they work wonders on keeping "regular." My left knee has also been feeling better, but that is probably the result of something else I am doing (new running shoes, calcium supplements, 30/20 shortened stride, etc.). Give them a try. FYI: They're expensive, but very good mixed in Greek yogurt or apple juice.

My blood sugars have also been very good but, again, hard to know if the "slower absorption rate" the seeds produce is the explanation. If you take prescription medicines that are "time released," check with your doctor first about adding Chia seeds to your diet--because you do not want the seeds to interfere with early stages of pill absorption in the stomach (such as thyroxine).

An intro to running with diabetes

Hello friends. Well, this is my first foray into blogging about running with diabetes. A bit about myself: I have type-1 diabetes, now for 36 years, and am in good control. I started running seriously about four years ago to initially lose a few pounds, but now find I am hooked. I will attempt to reveal some secrets and tips about how to run safely with diabetes, and use running as a way to stay healthy, keep your diabetes in check, and feel better along the way. Cheers!