These guys are the real Alpine runners

Alpine running in Chamonix

Alpine running is a name given to moving fast in a mountain environment. It’s a blend of climbing, running and skiing: whichever is applicable to the terrain. It’s normally done “fast and light”, taking minimal equipment, to aid the speediness.

Given that I like climbing, skiing and running but will never be able to invest the time to become a really skilled Alpinist on technical accents, I think I’ve found a niche! I’m going to tell my friends that I’ve become an alpine runner. They will tell me that I’m doing “not-trail, not-running”, and that I’m going “not particularly fast and not particularly light “. I’ll say I’m still learning.

Running Skiing
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Diabetes diagnosis and how participating in clinical research can help

Guys hospital research unit hosted a group of MPs and Diabetes UK staff for a tour of their facilities today. Guys has a world class research facility and does more for diabetes research than I could do justice to here. The number of dedicated staff supported by sophisticated (and expensive) machines gave me renewed hope that we can beat type 1.

I was asked to speak about my experience of being diagnosed and of participating in a clinical trial. I’ve written about my diagnosis quite a bit in the early days of this blog,  but with the benefit of hindsight,  I thought I could summarise my experience with a few pictures.

Diagnosis
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Travel with diabetes

Type one diabetes shouldn’t stop us from pursuing our dreams. And it shouldn’t stop us from more mundane things like going out for dinner or getting on a plane. But travel does bring its own challenges for a diabetic, particularly one with as small a brain as mine.

(I wrote about my first diabetic travel experience here)

Kit faff

When traveling, one has to remember to bring all one’s kit. Do I have enough test strips? Do I have enough insulin in my pen? Do I have spare insulin in case I lose my pen? Do I have enough long acting insulin? Do I have spare batteries for my blood tester? Do I even have my blood tester?

Remembering the diabetes stuff is only half the battle of course. After the triumph of packing my diabetes stuff, my brain is liable to let its guard down and forget something equally as important. Like my passport. This is where marriage comes in. “Have you packed your passport?” says my wife. To which I reply “OMG no! That was close. I’ll never do that again.” Which shows that my lack of memory is matched by my lack of self-knowledge. Of course I’ll do it again!

The next challenge is to remember to take my diabetes stuff off the plane with me. I seem to be incredibly inept at this simple task. I flew to New York in September and left my insulin pen on the plane. After spending about an hour on hold to various different lost property offices I gave up, and (with relief) fell back on the spare insulin pen I’d brought with me. I vowed never to leave my insulin on the plane again.

Undeterred by this fiasco, I returned to the US this week: to Houston, Texas. I took my insulin off the plane this time. But left my blood tester behind! What an idiot! Since my diagnosis, I’ve tested my blood before bed every single day. The risks of a night time hypo would be much higher if I inadvertently went to bed with low blood sugar and no midnight snack before hitting the sack. So I was scared to go to bed, sans test, after a meal out and a total guess at insulin dosage.

Luckily they have 24 hour pharmacies and blood sugar testers are available without a prescription. They are also cheaper and suffer from the American insistence to persist with imperial units. My first year result was 138. What the hell is that supposed to mean?! Is it high? Low? Enter Google. Apparently it should be between about 75 and 145 so that was pretty good for bed time!

Blood sugar of 106. What the hell does that mean? Turns out that 106 is spot on. Which is more than can be said for most of my readings later.

Blood sugar of 106. What the hell does that mean? Turns out that 106 is spot on. Which is more than can be said for most of my readings later.

Food

Armed with my new blood tester I could go bravely into new culinary lands, dosing myself up with insulin as I went. When at home, I always make my own breakfast and normally make packed lunch and my own dinner too. So most of the time I know exactly how many grams of carbohydrate I’m eating. Eating out is more difficult because I don’t know how the restaurant has prepared the food. Have they put sugar in it? What’s the sauce made of?

Eating out abroad is often a different kettle of fish because the cuisine is less familiar, meaning the carbohydrate estimate is even more of a guess.

I’ve really enjoyed the food in Texas here. But boy do they love sugar! For example, we checked into the hotel and they gave us a freshly baked cookie. That’s a lovely touch, but not healthy. I used mine as emergency hypo treatment so ate two small bites one morning.

The first full day in Houston was an amazing culinary experience. For a start, the service in an average American restaurant is far superior to what we’re used to in Europe.  We started the day with breakfast burritos. Yummy! Then for lunch on to a very unpromising looking Vietnamese place in an old industrial unit

next to a dilapidated parking lot. The egg rolls (kind of like spring rolls) and fried rice were mind blowing. And the noodle soup with chilli, herbs and bean sprouts was also delicious. Dinner was Tex Mex. Another massive pile of meat, with sauces, tacos, washed down with copious tortilla chips.

As usual, I avoided sugar where I could. But nonetheless I used over twice the insulin I normally do and still had off the charts blood sugar most of the time. I’ve really enjoyed being in Houston, but it’s no surprise that it’s not just the buildings and cars which are twice as big as everything back home.

Exercise is always important, but for a diabetic all the more so because it increases insulin sensitivity and blood sugar control. So I’ve squeezed in yoga (Americans love yoga!), running and lapping the stair case of my 20 storey hotel. Not as beautiful as a mountain but still good fun in a weird kind of a way. And it has definitely helped me weather the sugar onslaught later that day.

Working hard in the stair well.

Working hard in the stair well.

Rodeo!

We managed to time our trip with the opening night of the rodeo. What an experience! We joined 72,000 others in an enormous stadium set around a muddy field where cowboys performed the most extraordinary stunts.

There was a lot of riding angry bucking animals like bulls and horses. Teams of two cowboys would race reach other to lassoo a baby cow (a steer). The most extraordinary one was a race to gallop after a running steer, jump off the horse onto the steer’s back and then wrestle it to the ground by its horns. Insane mentalism! The commentators loved to point out how much money these guys had won: they are multi million dollar athletes! One guy had won $600k the week before just from holding on (reeeal taaaiight) to a bucking horse.

Some of the best entertainment was a load of young students (none of them athletic looking) who had to chase down a steer each from a group of fifteen steers released into the football pitch sized ring. The crowd roared as each unlikely looking student somehow managed to wrestle a bigger faster steer to the ground! The commentator proudly announced “all these students are members of the FFA.” That’s Future Farmers of America.

The best bit was the young cowboys. These are tiny (think six years old) boys and girls who compete at holding on to a running sheep (reeeeeal taaaiight). They were braver souls than me. Many were trampled as they came off the sheep.

I’m writing this on the plane to a snowy New York. My book, notepad, phone, insulin pen and new blood sugar tester are all in the seat pocket in front of me. What are the odds of me getting them all safely to my hotel??

Diabetes Management Uncategorized
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A snapshot of diabetes care in the UK

I watched the History of Everything last night. It was a brilliant film, and another reminder that there are plenty of things in life worse than having type 1 diabetes.

I watched the Theory of Everything last night. It was a brilliant film, and another reminder that there are plenty of things in life worse than having type 1 diabetes.

I had my annual eye scan last week. After missing my first appointment due to diarising it for the wrong day (cue pangs of guilt), I turned up at Homerton hospital on a damp Thursday morning to have my eyes photographed.

Retinopathy is a common problem for diabetics. High levels of sugar in the blood vessels damage the eyes over time, eventually leading to blindness. A 2002 study showed that almost all American adults with type 1 diabetes for 20 years and 60% of adults with type 2, had retinopathy. It is the leading cause of blindness in the under 65s. What horrific statistics!

Diabetes Management
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Skiing in Le Grave

Every European off piste skier dreams of visiting Le Grave at some point in their life. This winter has been a strange one so far. Lots of avalanche incidents, so we’d been sticking to safer low angled slopes when ski touring (including a really fun day with Bet and others in Megeve). So in some ways we weren’t even that excited to visit this steep skiing Mecca – would it be safe enough to ski anything anyway?!

Skiing
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Monte Rosa skiing – Orestes Hutte

This time last year I discovered two things:

(1) skiing with type 1 diabetes is not only possible, but I have been able to push my own personal limits in exactly the same way as I did before the diagnosis.

(2) the Monte Rosa ski area, and the best hospitality EVER at the Orestes Hütte.

After starting 2014 there, we had to finish 2014 there too. The snow wasn’t as good as last year, but we still had loads of fun exploring the area on skins, found some fun couloirs and had an amazing last day. Every skier should visit the area and the hut. 

Skiing