Type 1 Ultra

endurance sports in the weird and wonderful world of type 1 diabetes

Ultramarathon nutrition for type 1 diabetics

This post is long overdue and has just been written on a long haul flight to the US. It needs mention of Babybel cheeses and hydration but other than that, I think it should be helpful to type 1 diabetics wondering how to approach long runs. Bulletpoint: condition yourself to do more with less.

There is a fascinating discussion finally taking place around what we – ‘we’, as in ‘everyone in the developed world’ – treat as nutrition. Having just watched That Sugar Film I think there is a chicken or the egg discussion to be had around whether that film started the wave or has jumped on the crest. One thing is sure, though, a number of lifestyle writers and blog-based journalists have been inspired by its content, even if they are now writing without acknowledging it as a source.

So, to my point: race nutrition for type 1 diabetic ultramarathon runners.

Niche huh? And what the f&%# does that have to do with the unfolding mainstream discussion around calorie sources as a contributor to health problems, rather than the chronically simplified discussion around calories in, and calories out? Read the rest of this entry »

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Coast2Kosci 2014 Race Report, by Roger Hanney

Here’s my race report from Coast2Kosci, run just last weekend. I’ll soon be writing an article for http://www.Type1Ultra.com which focuses on the diabetes-related elements of this run, specifically nutrition and insulin management.

run, eat, sleep, run.

Writing race reports after properly long runs easily turns into an exercise in self-indulgence. Let’s face it, there’s a reason the whole world’s eyes turn to watch Usain Bolt run for 9.5 seconds but generally glaze over when runners talk about feeling a second or third wind at the second rising of the sun.

So, Coast2Kosci 2014, short version – ran smooth, hobbled a bit, got wet, how fun was that?!

Coast2Kosci 2014, longer version.

It would be fun to one time read a race report where somebody really complained about their crew. Something along the lines of, “these guys couldn’t tell a sports drink from a ginger biscuit. I called them Team Guantanamo because they frequently blasted loud noise at me and wouldn’t pass the water, choosing instead to leave me in uncomfortable positions when all I wanted to do was go to the toilet.” This is not that…

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Would you want a cure?

If you were living with a medical condition that you had accepted as part of who you are now, that you even could embrace as you would a friend or a pet or even a troublesome family member – what would you really want to do on finding out there might be the first thread of a real possibility for a cure?

It seems a simple question. Surely, if you could have a cure, you’d want to. Wouldn’t you?

But that act of hoping for a cure – wanting your condition erased… isn’t that like admitting you haven’t really got comfortable with it? That you maybe haven’t accepted or embraced or adapted at all? Read the rest of this entry »

Filed under: exercise and type 1, Type 1 diabetes, , , ,

Incredible Writing About The Type 1 Experience

Fear is a good thing. Fear of failure, fear of mediocrity, fear of consequences. A large element of living successfully with type 1 comes from beating fear – the fear that others, ignorant of what you’re capable of, project on to you, and your own fears about what might happen when you do things you haven’t done before. If we don’t beat this fear, then T1D wins and we lose. Spontaneity gets sucked out of life and imaginary barriers become reality.

But those are the nice fears, the fun and challenging fears, the fears that need to be laughed at, toyed with, and trampled.

The real fear is about the damage that comes when we lose our grip. Tight control is elusive, numbers go up and down. It’s sometimes a roller coaster, often a dance, and occasionally a steady flow. But everyone with type 1 thinks about the big stuff – kidney and eye damage that can come in the medium to long term. And we all know that type 1 consequences can claim lives in the night. And we all think it won’t happen to us. What are the odds?

But we need to remember that this is not just science but art, Read the rest of this entry »

Filed under: Hypoactive, Type 1 diabetes, , , , , , ,

Training tips for diabetic runners, from Missy Foy.

 

Missy Foy going fast in 2001

Missy Foy is the gold standard for endurance runners with type 1 diabetes. She was the first type 1 to qualify for Olympic Marathon trials and in 2005 she ranked top 10 in the world for 50 miles (80km). Earlier in the year when I was preparing for HypoActive’s AcT1vate conference in Victoria, I asked Missy for some tips to pass on to Type 1s wanting to run endurance. One of the main reasons I asked her was that she was my most important source of advice and inspiration in initially taking on the marathon myself, post-diagnosis. (RH)

Her advice is well worth reposting here. Hopefully some of the attendees at tonight’s presentation on Overcoming the Challenges of Type 1 will integrate some of these into their own management strategies.

Missy Foy’s tips for T1s training running and endurance Read the rest of this entry »

Filed under: exercise and type 1, Marathon running, type 1 & ultramarathon, Type 1 diabetes, , , ,

Don’t just run with type 1. Race!

Igor Stevic is a US-based type 1 who doesn’t just run ultramarathons, he runs them fast.

His blog is called Life is short… Running makes it seem longer… and as luck would have it, just as I’ve set up Type 1 Ultra on Facebook (please drop by) Igor has gone and run a smacking time at a 50-miler (80km) road race in the US and shared his post with us.

His approach to management on the run is quite different to my own (RH) as I pump and turn down, whereas he uses slow acting insulin and doesn’t reduce his dosage. The detail with which he talks about his management on the run gives a really good guide for anybody wanting to better understand his approach and perhaps consider what it might offer them, and whether they might modify it or copy it directly.

One final note to Australian and New Zealand type 1s reading race reports from the US. The glucose measurement system used by Americans is in a different unit to how we measure blood sugar, and the ratio is 18:1. If an American says that their blood sugar is 90, that is what we would refer to as 5.0. Otherwise Igor would be in a coma rather than perfectly controlled, so don’t get confused  :)

To read about Igor’s run, please continue here

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100km to go to halfway: Octember’s first 100km race report

As you’d have seen from this post just over a week ago, I’m launching my diabetic self headlong into a serious challenge of personal endurance. In 20 minutes I’ll race out of the house to get a last bit of bodywork on my calves before the weekend. It seems that they are already copping the brunt of things, as I may have got a bit eager to hit a certain time goal 60km into last weekend’s 100km on the Hume and Hovell track near Wagga Wagga.

So, I have just posted my race report on the first of 4 running challenges for the month. 2 down, 2 to go, 1 still to write up, and 2 still to run.

Bring. It. On.

http://hokaoneoneaustralia.com/2013/10/25/still-100km-to-get-to-halfway-octember-pt-1-the-great-ocean-walk-100/

Filed under: exercise and type 1, Marathon running, run like you stole it, trail running, type 1 & ultramarathon, Type 1 diabetes, , , , ,

Confessions of a diabetic ultrarunner.

Every night when I go to bed, I make sure that there is some carb source beside the bed – a juice box, sports gel, halva, whatever. But I practise finding it in the dark, so that if everything goes out the window and I get the dreaded creeping night time low I’ll have half a chance of sorting it out.

I’ve just run my 2nd 100km event in two weeks. I’ve got a couple of niggles to work through with Physio and maybe yoga before next weekend’s road 100km. I might not make a personal best time goal, but I’ll get it done.

The thing though that plays on my mind is how erratic my blood sugars have been today. The day after a higher intensity long run is always a bit up and down. Travel is probably involved, which usually means long spells of sitting down, which means insulin not getting as active as it should, if at all. A lot of eating is DEFINITELY involved.

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But I’ve also just had to really dose extra to get sugars heading down from a high high before sleep. Is it bad tubing? We’ll, I’ve replaced that – always fun to stab yourself just one more time – just in case. Did I count carbs badly? I don’t think so. Has the insulin I used for an intramuscular injection ‘gone off’? Well, that’s hard to tell unless you have a lot of spare time to use it, wait, test, reuse, and retest. Am I just a lot less sensitive today? It would go against conventional wisdom to be significantly less sensitive after sport, but conventional wisdom also knows that type 1 can work in mysterious ways.

So?

So I watch my sugars finally respond to insulin and start coming down, so I can prevent longer term effects of the disorder and not wake up feeling sunburnt from the dehydration, as fluids from organs are redirected to dilute blood glucose levels that are way too high.

And I reach out to make sure I know where the juice box is so I can find it if I need it, when movement will be an act of will.

Filed under: exercise and type 1, run like you stole it, trail running, type 1 & ultramarathon, Type 1 diabetes, , , , , ,

Big Octember, the 474km Ultra Challenge begins

Hit the ground running yesterday, for the first 30km at least!

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Awesome scenery all day as we ran 100km from Apollo Bay to the Twelve Apostles. Such a lovely group of runners and supporters in action all day, it was hard to feel anything but grateful as we kept the ocean on our left and punched on along beaches, brutal staircases and switchbacks, rolling fast sections, and National Parks death traps. More on those later.

Here’s a tiny portion of my day at the Great Ocean Walk 100s.

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Filed under: exercise and type 1, Hypoactive, Marathon running, trail running, type 1 & ultramarathon, Type 1 diabetes, , , ,

Running 4 ultramarathons within 1 month with type 1 diabetes

Hi, this is Roger. The aim of Type1Ultra is to bring you a variety of information and news relating to type 1 diabetes in endurance sports and especially ultramarathon. Advertising is not the aim, and once I have a few tasks out of the way the aim will be to feature some of the other type 1s out there doing extreme things.

However, I’ve just put this clip together explaining what I am doing in the next month. Saying that you’re going to do something and actually getting it done are two very, very different things – so let’s see how this goes. Hoka OneOne has been an essential part of my running and this was cut together to feature on the Hoka OneOne blog. Sorry for corrupting the purity of cyberspace with any kind of commercial message, but if you can ignore the highly advanced subliminal marketing techniques, you’ll hear from a Type 1 who’s discovering the joy of launching himself into adventures whose outcomes are uncertain.

Filed under: exercise and type 1, Marathon running, run like you stole it, trail running, type 1 & ultramarathon, Type 1 diabetes, , ,