Posts Tagged ‘diabetes’

I chose last Saturday for my return to running because it was the anniversary of when I started a Couch to 5K program to train for my first race (2011). It felt amazing to run after being off pretty much since summer, even though the reality is that I have to rebuild my running base from the beginning again. As much as my lacing up again is good news, it isn’t all of the news I have to write about today. In my last post I mentioned that I had something to share about an opportunity to make a difference that is tied in with a Spring Race.

Back in mid-October I wrote a blog entry that illustrated how very important it is for people, especially women, to advocate for health care when it comes to matters of the heart. I often share the link on twitter and, a few days after, I received a direct twitter message from Seanna at Running Well. She told me how moved she was by my experience at the hospital and asked me if I would consider being a Run Ambassador for a new running event being held alongside the Becel Heart & Stroke Ride for Heart on June 5, 2016. It is a Run/Walk along the Gardiner Expressway in downtown Toronto. As far as I know this is the only run to ever be held on this particular street. There are 5K and 10K runs as well as a 5K walk. Even better, it’s a family friendly event.
I didn’t even have to think about it.


RFH_F16_Ambassador_Facebook_1200x1200_v1I didn’t take this decision lightly as I have a tough road ahead when it comes to rebuilding my fitness. There are so many positive reasons to take this on that saying “no” was not an option. This run is for an organization that is close to my heart because I am a survivor and because of my family’s history with heart disease. I would love to have my story inspire more people to take the first step and do something to change their lives. While I hope that I have been able to do that already, I’m always game for other opportunities to help people find their fit side. Of course there is that message that my experiences send about the need for all of us to be proactive in our own health care whether that be with heart disease, diabetes, or any other health challenges we face. Running has been such a big part of my healthier life and being able to share that motivates me to keep moving forward.

I will be running the 10K. My goal is to run strong so I’m starting with a 5K program and then I will jump into a 10K program once my 5K base is solid. With the event being in late Spring it gives ample time to do this well.

It is my hope that people will choose to train alongside me using social media. I would love to have you share your efforts with me too because I find it very inspiring. You will find me on twitter and instagram as @innerpossible plus on DailyMile. I will be posting all of the fit things I am doing to work back up to the 10K distance and using the hashtags #RideforHeart, #CreateSurvivors, and #RunforHeart. You may also want to follow @TheHSF on twitter, Instagram, and Periscope.

If you’ve never run before, seriously consider this race as your first event. Running is a wonderful way to get active and events, such as this one, are fun. If you decide to do this, please send me a note. I would love to offer my support and encouragement. If I can do this, you can too!

Registration for the event opens December 3rd, however, I will be sharing a discount code soon. Stay tuned!


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A week ago I completed my Cardiolite Exercise Test at the cardiology lab. My heart rate was a little elevated so I reached the 85% of max a little sooner than I usually do. No worries… it stands to reason after having two interventions in as many months, not to mention running on a 14% incline is nothing to sneeze at.

On the weekend things took an interesting turn. On Halloween I was taken to the ER at Hamilton General with similar symptoms as before when I had a 90% blockage. Let me say that the ER is a very strange and unusual place on Halloween especially when there is a full moon and a time change causing the nurses to have to work 13-hour shifts amidst the craziness. On Sunday I was transferred to the cardiac ward and scheduled for an angiogram to see what was causing symptoms that the doctors believed to be unstable angina. At first I shrugged off the discomfort and figured it was from running so soon after coronary intervention.

This brings us to Monday evening post-angio. There was nothing wrong from a cardiac perspective and anxiety had also been ruled out as well. The two places where I have stents are “widely patent” which in layman’s terms means that they are clear and blood flow is really good. The one bit of scarring that has caused a blockage they can’t do anything about is “well collateralized” which means I have new arteries handling the blood flow. That’s a good thing. So what was causing this pain? It turns out, or so we suspect, that I was experiencing a well-known side-effect to a blood thinning medication called Brilinta (ticagrelor) although there was some differences of opinion between my doctors. I started on this medication three weeks prior by the same doctor who I ended up reporting because he didn’t take my heart condition seriously. This certainly didn’t help my confidence levels that the medicine was the right one for me. On Tuesday morning I discontinued the Brilinta against the wishes of the doctor on the cardiac floor at Hamilton General. Instead I took a loading dose of the blood thinner that I was on up until early October. With that, the pain has completely vanished and I feel better than I have in months.

Once again there were issues with having to be aware of my condition and voice concerns to a doctor from the cardiac ward. He was going to prescribe a medication to help with the symptoms rather than remove the medication that was triggering the issue. The thing is what he wanted me to take lowers heart rate considerably. As a runner, my resting HR already sits around 50 bpm and if it were to be lowered further that could be actually a bit dangerous. When I spoke up the doctor realized his mistake and agreed. This puts me back at the realization that so many people would have just done what the doctor said without question. Being educated about my disease and advocating for myself has proven to be such a vital thing.

I came home after that, on Tuesday, and called my cardiologist, Dr. J.’s office. His assistant spoke to him about my refusal to take the Brilinta, my return to the other blood thinner, as well as the results of my Cardiolite Exercise Test. Yesterday morning when I was having tea with a dear friend I got that call that he felt going off the Brilinta was a wise choice. She also relayed that I had done very well on the treadmill, my heart is stable and I can resume running, cycling and most things at the gym in a few weeks. The only reason I can’t return immediately is that they did the angio on Monday via my femoral artery and I need a bit of time to heal. I can also resume weight training in late November or early December.

I have a few tidbits of running news.

I’ve signed up for the 5K distance at the Mercedes 10K race in Oakville on April 24, 2016. My husband Bryan will be running the 10K and it we will so some of our weekday runs together.

The other bit of running news is wonderful and it involves another Spring race… but I can’t share the details just yet. As soon as I am able to make things public I’ll post my news. What I can say is that a tremendous and exciting opportunity to make a difference has sprung out of the heart health hurdles I’ve had to jump these past months. I’m going to take this wee bit of down time to make a realistic training plan with the mind and there may be some shoe shopping… oh and my running playlist could use an update.

It’s all part of moving forward with strength, courage, and strong spirit… i mua.

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You might be wondering why I chose “leaving the comfort zone” as the title for this entry. It seems fitting given what has transpired in the past seven weeks and I believe pushing my limits is what saved my life.

In my last post I had shared the wonderful news that the doctors felt I should be able to run again. I was still fearful that the Cardiolite Exercise Test results were going to reveal something entirely different that would mark the end of certain fitness activities for me despite how confident the doctors were about my continuing to run and cycle. I couldn’t get it out of my mind that I had a heart attack, although a very mild one. September 8th finally arrived and it wasn’t soon enough for me. After seeing the kids off to school I headed to a meeting with my cardiologist so we could go over the results. It was the longest drive. Every second went by like a minute and every minute seemed like an hour. When we got there I waited with nervous anticipation. Finally, Dr. J. came into the room with a gentle but huge smile on his face.

So here’s the scoop…
There is a new lateral defect and the existing mild defect found after the procedure in 2014 has become slightly more intense. The new defect is very mild and reversible so it’s likely from what happened in early August. The surgeon wasn’t able to deal with all of the blockage because of the location in my heart where the minor artery, the one originally stented, connects with my left circumflex artery. The scar tissue extended into the left circumflex. The surgeon had to choose between the two arteries so it means that I may experience some discomfort. That’s the bad-ish news.

And the good news… first and foremost there is no progression of the heart disease. This was merely a very atypical restenosis of the stent caused by my body creating scar tissue and because of the position of the scarring, as I mentioned above, it affected two arteries making it difficult to deal with in the angioplasty. The restenosis is unusual because this usually happens in the first three months or so and not 14 months later. What can I say? I’m medically weird.

It gets more interesting. When I wrote my last blog entry, I mentioned that my body had caused an additional artery to surface so that it could provide more blood flow to the heart. This collateral artery is basically creating a natural form of bypass. What causes this? Getting out of my comfort zone when running, cycling and hiking. Pushing my limits compels the heart to increase demand and then the collaterals start to do their thing. It is fascinating because most of us have capillaries waiting to turn into collaterals but it won’t happen without endurance types of exercise. If you’d like to learn more about this please read the full article Natural Bypasses Can Save Lives by Steffen Gloekler, MD; Christian Seiler, MD that was published in Circulation from the American Heart Association.

From what I understand it takes three to six months for these vessels (collaterals) to come to full-fruition. While they are tinier than regular arteries, it is possible for dozens to form and increase health to the heart. You have to exercise at a certain level for this to happen. My cardiologist explained if further. “Let’s say you are driving to your city and there is only one highway because no one bothered to build side roads. If there is a traffic jam you just sit there and wait. You will be at a standstill until the roadblock is cleared because there is no other route. Now, if someone had built side roads you could simply get off the main thoroughfare and continue on your way. The arteries in your heart are like that. If you are sedentary and sit on your butt you will never build up these collaterals and when there is a blockage. Whammo! Too late!”

The prognosis… Dr. J. wants me to run, cycle, and go to the gym. Even if I get some discomfort or angina, I’m to work through it, within reason of course. There is definitely a fine line and I’m not to push so hard I have a heart attack. It will require being attune to what’s going on in my body. The physical demands should cause more of these collaterals to surface thus improving my heart even further and continuing to help me battle being a diabetic with heart disease. As the collaterals increase any angina will start to disappear. I asked about the gym and lifting and I asked about hill training. He said as long as I listened to my body, that I could do whatever I felt up to doing. The only thing he suggested was that I wait until the New Year to run any races. So with a copy of the test results in hand, I left his office feeling a wave of overwhelming relief.

If you have been putting off exercise, please take my story to heart and stop procrastinating. Get out there! Find a fitness activity that you enjoy, are medically cleared to do, and be kind to yourself. Leave your comfort zone!


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It has taken me three weeks of soul searching to decide if I should post this on my blog. This is a very personal account and it’s difficult for me to put it out here for the whole world to read. I finally decided to go ahead with it because I’ve been quite open about everything thus far and maybe, through the sharing of my journey, I can help someone else who might be experiencing something similar.

As many of you know I underwent a PCI in March 2014. I had a blockage in a small artery and it was discovered, thanks to having a fit lifestyle, before there was a heart attack or any damage. Time passed and I tried repeatedly to train for races earlier this year. I couldn’t seem to train well. I knew I had lost cardiovascular ability but I assumed it was just because I hadn’t run enough. My blog posts spoke of anxiety when I ran but it wasn’t anxiety and what happened next was a bit of a shock to both my doctors and to me.

indian head cove

indian head cove

The first week of August we vacationed at Bruce Peninsula National Park. The first night at Cyprus Lake was simply awful. I had aches in my right arm that I attributed to shooting a 9mm at the range a few days before. I felt fatigued all week but continued to enjoy hikes on the rugged shorelines of Georgian Bay. I had been burning the candle at both ends for weeks so I chalked the exhaustion up to that and pushed through. My neck and left shoulder were a little sore but I figured that was from sleeping on the ground in a backpacking tent. We ended up having a wonderful week and the fatigue eventually passed. We came home, unpacked, and started to settle back into our routine.

Early Sunday morning (August 9th) I went to the gym with Carla. I overslept and basically grabbed an energy bar on my way out the door. I wasn’t feeling the best but I figured a good workout would energize me. I did my usual warm up on the bike but it was much slower than usual. Then we did upper body with free weights before going to the machines to do legs. When I was on the leg press machine I had some mild heartburn which I attributed to the energy bar and being in a reclined position. I was quiet on the ride home which is unlike me. When I got home the heartburn wouldn’t go away even with multiple doses of an antacid. I went to lay down for a bit because the fatigue became extreme. Finally the heartburn stopped, nausea started, and I napped. I got up for a light dinner and felt slightly better but I was still beyond tired.

At 11:20 pm I made the decision to get Bryan to drive me to the ER. I packed some essentials because my intuition told me this was my heart. I was admitted immediately and it was suspected, due to elevated Troponin levels in my blood, that I had suffered a very mild heart attack. What!? I thought maybe I was having warning signs but was utterly shocked that this was an actual heart attack. Where was the gripping pain? The sudden collapse? I mention this because often women don’t have obvious symptoms and a lot comes down to intuition. I knew things weren’t right and I had known since that night at Cyprus Lake. I was ticked. I had worked so hard since I started running to prevent heart disease from being such a big factor in my life, yet here I was.

The next step was to find out why and I was admitted to the Cardiac Ward. Less than 48 hours after arriving at the ER I was transported to the Cardiac Clinic at Hamilton General Hospital to undergo an angiogram to see what was happening inside my heart. I was terrified and thought that I had done all this hard work for naught… thinking the heart disease has progressed. So, what was the cause? A new blockage? Not exactly. The original stents (two drug-eluting stents that overlapped) that had been placed in an offshoot artery last year had closed because of my body creating scar tissue inside the foreign object. This is called in-stent restenosis… bleh. I have other names for it!

I was taken to the surgery for the angiogram and possible angioplasty.  I’d been here before so I knew what to expect, however, the procedure wasn’t as simple as it had been for me in 2014. They had problems going through my wrist and had to abort because of oozing and resume by going through my femoral artery. That went well enough from what I can see in the surgery report. They fixed the restenosis by using something called a Pantera Lux Paclitaxel Releasing Balloon. This is a relatively new solution that has only been approved in Canada for a short time. It is a medication coated balloon that is used to open the stent back up. The balloon is inflated and then removed leaving the medication behind.

After the surgeon did the angioplasty he came to talk with me. The doctor said he didn’t see any damage and his interpretation is that this was very severe angina and not a heart attack because there was no damage. When I questioned him about his opinion vs what the internist at Brantford General said, he put it this way… “If you gently bump another car in a parking lot and there is no sign of damage whatsoever is it still considered an accident? That depends who you ask.” Either way, it was a good thing I hadn’t delayed going to the hospital any longer than I already had.  The surgeon also mentioned that an additional artery had started forming. Creepy. We all have these lying dormant in our bodies but because of a relatively active lifestyle one of mine came to life, so to speak, in order to compensate for the restenosis. He informed me that they couldn’t fix the problem with the blocked stent 100% because it also affected a secondary spot and that I may experience some some discomfort when I run but that if I could exercise through it this “new” artery will continue to grow. That could eventually eliminate the symptoms and improve my heart health even more. That seemed promising.

Here’s where it got a wee bit scary. Three hours post-procedure the nurses went to remove the shunt from the artery in my leg and I started to hemorrhage. They applied pressure until the bleeding stopped. Then the ladies left the room and within 5-minutes I was screaming for them to come back because I now had a hematoma on my upper thigh the size of an American football. The nurses applied pressure to reduce that and tipped my bed so my head was at the floor. About this time I passed out so I’m not sure what happened next. When I awoke the nurse helped me to get up and walk around but the pain in my leg was excruciating. I looked down only to see one of the ugliest and biggest bruises I’ve ever had. Finally at 5 am I was transported back to Brantford.

my bruise - 2 weeks later

my bruise – 2 weeks after

My bruising from the hematoma was so severe that they were concerned about micro-aneurysms and clots. I was sent for ultrasound on that leg and also for blood flow on my left leg. Everything came back inconclusive although they had a hard time seeing sections of the bruised thigh. The bruise went right up to my hip and was starting to creep down my leg. I had to find a balance between walking enough to prevent blood clots and dealing with the pain of a growing bruise. I managed. I had a few other issues while at the hospital and was finally released the afternoon of the sixth day. I was happy to be going home.

When I arrived home I immediately called my own cardiologist to make a follow-up appointment. Rather than see me first and then send me for tests, Dr. J. decided that I should have a Cardiolite Exercise Test on the treadmill so I did that day before yesterday. The doctor didn’t pull me from the test but at almost 11-minutes I asked to stop because of hypoglycemia. Silly diabetes. Thankfully I had reached 87% of my maximum heart rate which was more than enough for their purposes as they only needed me to get to 85%. I felt good and it was really nice to run again but I won’t really know anything until I meet with Dr. J. next Tuesday. Then I will have a clear idea of where I am at with this and if there are further issues.

So that’s the scoop. If this was indeed a heart attack it was uber-mild. Once again, I was very fortunate and listening to my body played a big part in this. I’m doing everything I can but I’m also battling genetics which makes this a really tough fight. I’m grateful that this was not a new issue in another part of my heart and that the disease has not progressed, as far as we know. I’m relieved that all the fitness and nutrition wasn’t for naught.

I’ll share an update once I see the cardiologist in a week but I’m quite confident that this is not an issue of if I can run again but more a matter of when I can run again. When I do start back it’s not going to be easy but as Bethany Hamilton says… “I don’t need easy, I just need possible.”


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If you’ve been following my blog ramblings for any length of time then you’ve read about my battle with heart disease. If not, let me get you up to speed. If you already know about my journey then feel free to skip ahead to the update.

My History

I have horrible family genetics when it comes to premature coronary disease causing death and there is also a history of diabetes. Couple that with my former self being severely overweight and sedentary… well you have a ticking time bomb. That would have been the case but I decided, after watching family member after family member suffer from heart disease, that I was going to change my life. I lost weight. I lost a lot of weight. Then I was diagnosed with diabetes. I became even more proactive about my health and reversed the need for diabetes medications. I fought for my life and fought hard.

I saw a cardiologist for a full work-up when I first started running. I had to push for this because it isn’t a standard part of a physical from a family doctor. I was diagnosed with left ventricular hypertrophy (LVH) and my aortic valve had a very mild stenosis. The LVH was likely due to my former size as it was reversing. Things were going swimmingly and I ran my first half marathon. Then I accidentally kicked a dumbbell and broke two of the toes on my left foot. After they healed I returned to running and my cardio was worse than it was when I was obese. It didn’t make sense. I thought something wasn’t right, that this was more than a setback due to the toe business. I went to the cardiologist and failed a treadmill stress test but before I got the results I decided I should go to the emergency ward. I still felt really off. Less than a week later I was at home recovering from what is called Percutaneous Transluminal Coronary Angioplasty. In other words, I had two stents placed in a branch off the left circumflex artery. You can read the whole story in the blog post named Fixing My Broken Heart.

I had to come to terms that no matter how perfectly I did everything, genetics will always play a role. My cardiologist, Dr. J. has explained to me that I am doing everything right and that is why I didn’t have a heart attack or heart damage despite having a significant blockage. He told me my heart was strong. I was cleared to run a full marathon but I was to avoid things like heavy lifting. What followed was months of anxiety. Panic would set in when I would run longer distances. I was stressed and upset. I dropped out of all my races including the marathon. I had worked so hard to prevent heart disease and I was very disappointed in myself even though I didn’t have control over much of it due to genetics. I was bummed.

The update

So, now that you have the background, here is what happened on Friday’s visit to Dr. J. I stressed for days about it. I went to my appointment expecting to be told that I had to limit things like weight lifting at the gym and serious hill training for races like Run for the Toad. What happened next caught me off guard. Here is how the appointment went…

I had an echo-cardiogram first, followed by an EKG and measurements for blood pressure, weight and abdominal circumference. Finally it was time to consult with the doctor. Dr. J. is a rather pompous guy but not so with me. Well, not since the first visit when he started to lecture me about weight loss and I handed him my before photo. He knows I’m really proactive and that I take his advice very seriously.

So I am still dealing with Familial Hypercholesterolaemia (say that five times fast) and that is something genetic which I have no control of. In other words, I will likely be on a cholesterol lowering medication for the rest of my life no matter how healthy a lifestyle I lead. Thanks Dad! We talked about some new research into a monthly injection that has had great success in Europe and is going through trials here. It won’t be available to me for several years but it could be an alternative that is less harmful to the body.

The verdict… everything is great… really great! I can go off the blood thinner in 60 days. No more polka dot bruising from having NERF dart wars with my kids. No more anemia! I asked about lifting heavier amounts at the gym. I asked about training for Run for the Toad and other trail races where there are wicked hills. When I heard his response I was compelled to ask him two or three times to be sure my ears weren’t deceiving me. I have the all clear for anything I want to try. He said run hills, climb mountains… whatever I want. In fact, I have NO restrictions whatsoever!! I had to completely restrain myself from doing a happy dance in Dr. J.’s office. NO restrictions!!

Much of the success of this appointment and all of what I have been through with my heart and with diabetes has been due to my dedication to having a healthy lifestyle. Losing weight in a healthy way, keeping fitness fun, and having a balanced way of eating has proven to be the best medicine. I may not be skinny but I am healthier than I have ever been.

PS I did the happy dance in the driveway when we got home… lol.

PPS I’m going to tackle Run for the Toad again. It’s redemption time!


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It is now day 11 of my Fall Challenge and I’ve managed to make some positive changes in working towards my goals. I am blessed to have a wonderful circle of support which is contributing to my success in making lifestyle adaptations.


Reducing my caffeine intake has been tough. I’m happy to say that I am down to two cups a day and even one on some days. I’ve been having a glass of water or some lemon verbena tea when the craving hits. Ideally I’d like to get the coffee down to one cup per day or less. Speaking of drinks, I’ve been making a conscious effort to hydrate properly.

I’ve been snacking on more vegetables especially the raw ones. Apples are in season so that has been my go-to sweet snack. Sometimes I have the fruit with a bit of cinnamon, a few pepitas, and some walnuts. Next week I’ll be introducing more legumes and soups back into our menu… maybe even together.

I’ve been better about checking my blood glucose every day but there is still room for improvement.


I’ve been walking every day and I started to train for running events again. I managed 28K the first week and I’m at 23K for this week already. I start a training week on Monday. One of my goals was to start running a minimum of three times a week again. That will happen this week and soon I will start increasing my distances with the eventual goal being a Spring half marathon. I still need to incorporate more core work and a daily yoga practice.


I’m working on this one. I have to constantly remind myself to straighten up especially at the computer. Strengthening my core should help.


I’ve been taking time to read and work on some hobbies. One of my loves is photography so I’ve been taking more photos especially on the way home from walking my children to school.

Lately I’ve been making a point to stay after school to watch my son’s cross country running and soccer practices. In the process I’ve reconnected with an old friend whose daughter and son are on the same team as my boy.

Sleep has been much improved likely because of the reduction in my coffee consumption. I actually put a time limit on the router so that I wouldn’t be tempted to work late into the night. That’s one of the downfalls of self-employment.

My desk is a constant clutter battle but I’ve managed to keep it clear for the most part. That said, I have to give it a good sorting out on Friday mornings. My family likes to pile things on it.

I’ve hidden the scale because, frankly, I get a little obsessed with it and this challenge is about mind, body, and spirit… not the number on the scale.

All in all things have been progressing well. I’ll post again in another week or two and fill you in on what other changes I’ve been working on and how my training is coming along. I’m certainly am happy to be back to running.


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on going low

Today was my first Saturday morning run in a long time and I was exuberant about it. I woke up with a lower blood glucose reading than normal so I made sure that I corrected that. It was getting hot and humid out so I decided I’d run on the treadmill instead of hitting the trails. The goal was 5K at LSD* pace. Things didn’t go exactly as planned and partway through my run, I started heading into hypoglycemic territory. 

For me, it goes something like this…

I’m running and I feel strong. Adrenaline goes up a little. As my blood sugar drops I start having coordination issues. I feel cool and clammy to the touch. Because I am running it is often hard to tell if the sweating is from a low or just the exertion. My heart rate goes up but that’s just like the sweating… hard to discern if it is from the run or not. I become fatigued and feel faint. I get klutzy and on occasion I will tremble. I show signs of confusion and my vision will often blur. Adrenaline goes up even higher. Many of the symptoms are similar to anxiety and sometimes I will get a headache. To someone who doesn’t know I am diabetic, I can appear like I am intoxicated. 

Today I was just beyond the 2K mark when I started to feel off. I was a bit dizzy and clumsy. I suspected hypoglycemia because of how I felt and because our little dog, Thomson, actually alerted me to it. Thomson comes and lays on the back of the sofa beside the treadmill when this happens. Sometimes, if I ignore him, he’ll start to whine and whimper. Today he was pacing back and forth on the back of the couch. That said, the only way to confirm that I am experiencing a low is to check with a blood glucose meter. I tested my blood and sure enough that was what was happening. My darling husband intervened with some honey before things got too out of hand and I continued to run.

Continuing on isn’t always a wise idea especially on a treadmill but I know my body pretty well. We agreed that I would finish out the kilometer and I would stop at 3K if I didn’t feel better. I should use the word “agreed” loosely. Bryan was genuinely concerned and reminded me of the injury I could sustain if I fell even though there is a safety key. However, I was cautiously determined to stick to my plan of 5K. He didn’t dare call me stubborn but I know he was thinking it because of the look of concern on his face. I assured him I wouldn’t push too hard. I promised that I would run to 4K and then check my blood glucose. When the time came my levels were on the rise again so I was able to complete the run.

I’m very happy I could get my full run in because I really needed this from a mental standpoint. If this had this happened on the trail though, I would have aborted the run and called home for assistance. Hypoglycemia isn’t something I wish to mess around with. It can be dangerous, and if not treated expediently can sometimes result in seizures, coma, or even brain damage. 

It has been quite some time since I’ve had to deal with a low on a run because the reality is that I haven’t been lacing up that often. I’m simply going to have to be a more careful now that I am back to a more consistent training schedule. Today was an important reminder of why I need to pay close attention to my body, nutrition, and timing of fuel. Despite this, I feel like I am back in the game both physically and mentally… I can’t wait for my next run. 

*LSD is a running acronym for long slow distance 

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