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Living Well With Diabetes

Writings, discussions, and information about living with diabetes

Alaska Tour Wrapup, part 5

I had coffee recently with a good friend that I hadn’t seen since just before my bicycle tour to Alaska. He wanted to know all about my tour. One of his questions caught me by surprise. He asked, though not in so many words, what it all meant and what I learned from it.

Except he didn’t care at all about the things I’ve learned and shared in previous “Alaska Tour Wrapup” articles. For example, important lessons about my insulin pump and making a smooth transitions back to work. Those easy and obvious things. Harder and more nebulous is what did I learn about myself? That’s what he really wanted to know.

It was an excellent question. I think I babbled something about how it was too early to tell which is an admittedly inadequate answer. A better non-answer would have been to say something about Alaska being the forty-ninth state I’ve bicycled in. Even better would have been to assert that I wanted to show that people with diabetes can do whatever they set their minds to doing. That’s an admirable mission, in my opinion, but it didn’t answer his question.

So, I’ve been thinking about his question quite a bit in the last couple of days. I came up with several things I learned about myself. First, I learned I dislike touring in traffic. When I recall the days when I toured through cities, I know they were definitely more stressful for me. One of the things I like about touring and bicycle riding in general is the meditative aspect. For many years, I’ve known that I do my best thinking and my mind seems clearest and calmest when I’m bicycle riding. When I’m touring on a busy street, instead of a clear and calm mind, I have to occupy my mind with negotiating traffic and making sure I don’t get myself run over.

With that in mind, you’d think the very best days on the tour would be the days when I was fortunate to ride along comfortably pedaling and meditating on a remote and little-used road. While those were very good days indeed, they weren’t what I consider the best days on the tour. When I think back to the very best days of the tour, I think about the day I spent with friends in Wilsonville, Oregon; the day I explored Guemes Island near Anacortes, Washington; the six days on the ferry to and from Juneau; the time I spent in Juneau and Sitka, Alaska. These were the high points of the tour. Interestingly, these were also the days when I did less bicycling. In fact, the best of the best days were those in which I did very little at all. Guemes Island SceneryThey were the days when I was able to simply experience what the world had in store for me that day whether it was sipping coffee while sitting in the sun on the deck of the M/V Columbia, watching a long line of tourists disembark from a cruise ship moored in the Juneau harbor, listening to the enormous silence of the Mendenhall glacier or sitting in the grass of Schoolhouse Park on Guemes Island as dozens of starlings flitted endlessly in search of a meal.

I’ll have to remember these peaceful moments of inactivity next time I’m faced with throwing one more “personal project” onto an already long list of projects.

Alaska Tour Wrapup, part 4

It was yesterday when I was originally composing this post and I was in my favorite coffee shop just a mile from where I live. I was enjoying a cup of coffee and some quiet time before hopping on my bike to go to work to face my first full day there since returning from my bicycle tour to Alaska.

The occasion of returning to work is a good time to share with you my plan for transitioning back to work after my two-month absence. Returning to work after an extended absence is something I’ve done three or four times over the course of my working career. Sometimes it goes well and other times not.

The times it hasn’t gone well, I’ve tried to return to work too quickly. So, for me, that’s the key thing: don’t try to return to a normal working life too quickly. With that in mind, if you’re ever faced with returning to work after your own big adventure, here’s my advice to you: don’t run your vacation balance to zero, if you can avoid it. You’ll need some extra vacation time to use during your transition back to work. I ran my balance to zero on my recent Alaska Tour — I actually have a negative balance at this point — and now I’m having to make up some time by working extra hours. Doing this during a transition back to work is not fun.

My plans for returning to work involve gradually increasing the number of hours I worked each day and taking advantage of weekends or holidays. Specifically,

  1. Spend some time at home. Get re-acquainted there first. On this tour, I returned on a Sunday and I spent two days (Monday and Tuesday) resting at home.
  2. Go part-time for a while. In this case, I spent Wednesday and Thursday working a four-hour shift instead of a normal eight-hour one. The most important thing about working part-time is:
  3. Never, ever work in the morning. This is the most important part of working part-time during the transition. The rationale for this is not complicated: to work in the morning puts you at risk of ending up there for a full day.
  4. Ramp up to a longer shift just before a weekend. The weekend will give you some time to recover from that longer day of work. For example, I ramped up to a full eight-hour shift yesterday (Friday) and now I have the Labor Day weekend to relax before having to face another full day of work.

I am fortunate to have a manager who was willing to work with me on this plan. Besides the schedule described above, he has helped by not dumping me into a big, time-critical project immediately. That’s been a big help. So far, my transition has been going smoothly.

Besides the transition to work, there’s also a transition back to the complexities of modern life. I call this re-compression and as much as I’d like to bicycle tour the rest of my life, I have to re-compress eventually. Maybe it’s a good thing to not be able to bicycle tour all the time because without experiencing one extreme (modern life), how can you appreciate the other?

In my experience, a bicycle tour is as much about enjoying a simpler way of life as it is about bicycle riding. After all, everything you have and use and worry about on a daily basis is reduced to what you carry with you on your bicycle. After most of my bicycle tours, I’ve experienced a short time just after returning when I’m appalled and disgusted by all the “stuff” I have at home. It’s not that I really have that much stuff, it’s just that I’m not used to it anymore. For example, I’ve got a closet and dresser full of clothing, just like most middle class Americans. When I return from a bicycle tour, I wonder why I have it all. For the past two months, I’ve lived quite happily with just two pairs of socks, two shirts, two pairs of shorts. Why can’t I continue to live that way?

The same goes for the rest of the “stuff” at home: books, furniture, appliances, cookware, electronics, cars. Why do I have so much of all of it? From past experience, I know this feeling is temporary and I get used to it all again.

However, I’m determined not to get used to my car again. If there’s one thing a bicycle tour makes very obvious, it’s that there are too many cars (and trucks) on our highways. Throw in the fact that gas prices are probably only going to go up from here and I have two very good reasons to make a serious effort to drop out of the car culture. I’d like to sell my car and then it’ll be bikes, buses, and walking for me from now on. Pat thinks I should hold off selling the car for a while and see how it goes. (She’s probably right.) I’ve been home for almost a week now and so far, no driving. I’ve ridden in a car once, but I haven’t driven. Even if I eventually fail at this and have to drive my car, I will have succeeded in reducing my driving significantly. And that’s certainly a good thing.

Alaska Tour Wrapup, part 3

One of the most important things I learned during my bicycle tour was about my new OmniPod insulin pump. Its PDM (Personal Diabetes Manager) which I use to do all of the programming of the pump (bolus delivery, basal rate setting, etc.) has a glucose test meter built into it. I learned to be suspicious of the test results it gave me because it can occasionally give wildly inaccurate results.

For example, on the third-to-last day of the tour (my 87 mile ride from Burley, Idaho to Snowville, Utah), I had stopped to take a glucose test. I got a reading of 403 mg/dL which is dangerously high (a normal reading would be in the range of 80-120 mg/dL).

It’s a good thing I didn’t immediately deliver a big correction bolus of insulin. Instead, I rinsed my hands well with water, and then re-tested. This time I got a 107 which is perfect. I must have gotten my hand contaminated with some glucose from something. It was probably my bottle of sports drink. This kind of wildly wrong reading happened on a number of occasions on my tour. What I learned over the course of my tour is this: while bicycling, always use one hand to handle the bottle with the sports drink and the other hand for glucose testing. To do otherwise risks contamination and a dangerously inaccurate blood glucose reading. Related to this, I learned to always re-test when I have a high reading that doesn’t make sense.

Alaska Tour Wrapup, part 2

Some of you will no doubt be interested in the diabetes-related statistics from my bicycle tour to Alaska. I’m afraid I lost most of that data when my OmniPod PDM (Personal Diabetes Manager) started failing as I was riding through Washington. On August 13, I returned it to the manufacturer in exchange for a new PDM. As a result, I only have data as far back as August 13.

Number of blood glucose readings: 171
Average blood glucose reading: 107
Average number of readings per day: 13.15
Maximum blood glucose reading: 293
(August 17, 5:22 PM)
Minimum blood glucose reading: 30
(August 20, 11:42 PM)
Blood glucose goals: 70-160 mg/dL
Within goal: 57%
Above goal: 15%
Below goal: 28%
HbA1c before the tour
(early June 2008)
5.9%
HbA1c
after the tour
??? (I have a doctor appointment in early September)

If there’s additional data you’re interested in, let me know. I’m not sure I’ll have the data, but if I do, I’ll be happy to share it with you.

Alaska Tour Wrapup, part 1

It’s difficult to summarize a two-month adventure in words. While I’m working on the words, I’d like to share with you some statistics.

In this first part, the raw bicycling statistics:

Total bicycling miles: 2847.4
Total number of days: 58
Total number of riding days: 49 (27 going to Alaska, 5 in Alaska, 17 returning from Alaska)
Total riding time: 215:52:09 (HHH:MM:SS)
Average speed: 12.9 mph
Maximum speed: 46.5 mph
Average daily mileage: 58.1
Maximum daily mileage: 94.27
Maximum 7-day mileage: 504.01
(August 18 – August 24)
Estimated total calories: 218857
Average heart rate: 111 bpm
Maximum heart rate: 164 bpm
Average cadence: 82 rpm
Total ascent: 99681 feet
(that’s 18.88 miles!)
Total flats: 0 (that’s a ZERO!)
Number of tires used: 2
(I rotated the tires once)
Number of bike chains used: 1

If there’s additional data you’re interested in, let me know. I’m not sure I’ll have the data, but if I do, I’ll be happy to share it with you.

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