Sunday, December 17, 2017

Ypsomed Omnipod Support

I recently ran *coughs* the Wendover Woods 50 mile race where I talked about how my Omnipod had failed at around mile 32. You can catch up on that here.

In the days after the race I contacted the mylife Support line to discuss the failure.

The issue with the pump on the day was simple, it is designed to work between 4-40 Celsius. On the day the temperatures were struggling around 2-3 Celsius. Coupled with the fact that I was wearing the pump on the outside of my upper arm the pod was very exposed. Had it been on my stomach it might well have done better as there would have been some insulation from my body. They also suggested that in similar circumstances wearing a strap or bandage around the pod on the arm would have given it a little more protection from the cold too.

They then replaced the pod with absolutely no quibble.

Continuing excellent service and support for the Omnipod.

Monday, November 27, 2017

WW50 - why was it so hard?

There are three answers to this. 

I’ll start with the biggest factor. Simply, I wasn’t fit enough. That might sound an odd thing to say considering I did finish it but I was really under cooked for this. There’s reasons for this and mainly it was following a summer of low mileage. 

In June I went into hospital with kidney stones. The stone was too big to leave but the hospital couldn’t remove it as they didn’t have the right equipment available. I had a stent fitted and was put on list for the removal of the stone and also the stent. While I could run with the stent it was uncomfortable and I would pee blood afterwards. My running through this was massively reduced at around 20 miles a week. Not enough to train for a hard 50.

I had the 2nd part of the operation on October 6th, 7 weeks before race day. In that period I did manage to get my mileage up to a maximum of 45 miles in a week but not consistently. I also focussed on the distance and while I was running hills they were nothing like those in WW.

Not that I’m doing that race ever again but if I were, and if you are considering it, you need to train hills. Not run-able hills but hills where you are scrambling on all 4’s. Then once at the top run straight back down again. I lost the ability to run down hill more so than moving up hill. 

There were times, particularly through the 4th lap where I thought it was over and I wasn’t going to make it. I was really struggling and yet summoned enough to do it. That comes down to experience and sheer determination. I went deeper and darker than I have ever gone before. This must be what people talk about when they say that when your body tells you you’re done you actually aren’t. There’s more in you and you need to tap into it. I definitely did that through this race. It’s kind of awesome to have done that. As much as I wanted to quit I didn’t. 

The second thing was I underestimated the course and the challenge it presented. It’s advertised as 50 miles with 9,500ft of gain. My Garmin showed 51.7 miles and closer to 11,000ft of gain. I trained by running 15miles with around 1,200-1,500ft of elevation. Nowhere near enough. What was I thinking!!

The third thing was the issue with my diabetes that I have written about here.

The combination of those factors nearly saw me DNF. The closest I have ever got to those three initials. 

So what about the race? 

It’s amazing, Wendover Woods is a beautiful wood. Lovely scenery and an unbelievably challenging course. The first lap, the only one I probably enjoyed(!), was a real treat - running in a new place in really great conditions was a real treat. The course was incredibly well marked (although I did go wrong twice!) the aid stations were great. The people working those stations were AMAZING. It was a long day, it was an incredibly cold day and yet they were there smiling and helping everyone with such enthusiasm and care. Just AMAZING. 

Finishing in the dark was pretty cool too. My new head torch was a real win on kit with 300 lumens being perfectly adequate (Petzl Actik). Also my Salomon s-lab 12 litre vest that I work out of the packet was every bit as awesome as the 5ltr version I have. They say you shouldn’t wear kit you’ve not tested but it was fine. 

At the finish you get a medal (probably the heaviest ever) and t-shirt. There was lots of congratulations and support. There was soup too - pasta, vegetables and potatoes. Importantly it was hot and savoury.  

Looking around and there was lots of disrepair. Broken people all with beaming smiles. 

Ultra running might hurt but it’s worth it. 

Sunday, November 26, 2017

WW50 - Omnipod fail

The WW50 race is the hardest run I have ever done. To call it a run, for me at any rate, is wrong. I walked a lot but was forced to by circumstance. That I completed it is quite something as there were points I didn’t think I would.

I’ll start with the main problem I had that nearly meant a DNF (Did Not Finish / Did Nothing Foolish / Did Nothing Fatal*). I am type 1 diabetic and was using an Omnipod insulin pump. 

At mile 32 it alerted as it had stopped working. This meant no insulin being delivered. I had two choices, turn back and sort an alternative or continue forward. Turning back I knew would mean a DNF. The effort to get back to the start and go again would be too great. I decided to press on.

This meant that I was not getting any insulin so my blood sugars would be going up. I would be in this position for around 2.5hrs minimum. I made the decision to press on but to not eat anything and to only drink water. This would help if ketones started to build up. It also meant that energy would be an issue. No calories going in would be an issue but no carbs going in would keep my blood sugars from spiking.  

The aid station was 3 miles or so beyond where I was so if things were bad by the time I got here I could get a lift off course.

I got to the aid station, checked my sugars . 11.1.

Not brilliant but not a number that meant I needed to stop. My bottles were replenished with water, I took an s-cap (salt tablet) and set off the 4.5 miles to the start/finish. 

The s-cap was so that while drinking pure water, as opposed to tailwind, I didn’t deplete my sodium levels over the same period. 

Walking again!

My thinking around only pure water was that no insulin would mean that as my blood sugars rose so might my ketones. As one of the thing you do once you start treating your ketones is to drink plenty of water I thought I’d pre-empt that. I also thought that my sugars maybe wouldn’t rise as much as if I was doing something sedentary as I was being very active. 

I’m not sure of the correct term and I’m pretty sure it isn’t accurate but I’d say that my metabolism was in overdrive and maybe that would help?? That’s probably wrong and anyone that can point me at an article that could explain that would be great. 

On my way to the start/finish I preoccupied myself with planning what I would do when I got there. Get my drop bags and give myself 1.5units of levemir and 0.5 units of novorapid. If my blood sugars had crept up then I might need to drop out of the race. 

My plan and also excuse were set. I say excuses as I genuinely considered just dropping out. It was hard out there. Now it was also cold and dark. No-one would criticise me for dropping out because of my diabetes would they. It would be a get out that would go unchallenged. 

But I figured out that isn’t me. The urge to quit was strong. I was tired, cold, hungry and in quite a lot of pain. The pain though was not dangerous pain. It’s pain that tells you you’re working hard not that something is broken. 

As I got close to the start/finish line I knew I’d finish (blood sugars permitting). As much I was hurting I knew I’d regret a DNF even more. I also knew I wouldn’t take the soft option and hide behind my diabetes. 

This is a new experience for me. I have not been pushed this hard and consequently have dug that deep. 

I reached the start/finish at the end of my 4th lap. I checked my sugars and got my drop bag; my sugars were still at 11. I took this as a win. I injected as planned and set off again.

Walking.

Now my appetite was gone. I didn’t want to eat anything and couldn’t stomach it. Moving forwards. A blood sugar check showed it to be 6. I had to eat. I dug a flap jack out of my bag and kept walking. 

I was now being over taken regularly although only on downhills. I was catching people up on the ups and they were disappearing from my view on the downs and flats. 

At the aid station there were chips! Described by the people manning the station as ‘Luke warm’ they were the best chips ever! Restorative if only for being savoury after a day of sugar. 

I left the aid station walking up the hill. 4.5 miles to the finish with a lot of hills. I knew I’d get it done. I was still walking but I did just that. 

I crossed the line having done it. 

50 miles and close to 11,000ft of elevation and for the best part of 20 miles barely anything to eat. 

I had dealt with a significant issue and dug deeper than ever. I won’t do that race again but I’m glad I did. 

*delete as appropriate.