Wednesday, 6 August 2014

Grim Reaper 40 mile race 2014, a success of sorts

So, Thursday 31st July, kit bag by the door, running kit checked, nutrition checked, medical box checked, camelback checked, tent checked.  In reality it had all been checked at least 5 times already but I checked it again anyway, and still nothing wrong. 

The one place there was something wrong however was the achilles. About a week before the race I’d posted on facebook that I rated my finishing chances at 60:40, and it had survived a 98km bike ride the day after.  Another week of rehab and I was optimistically thinking 75:25.  This had the potential to become my bogey race after two DNFs in previous years, one in awful conditions of torrential rain for 12 hours before and then for 12 hours of the race (it has longer events than 40-mile as well) and then in very hot conditions, similar to this, but with training disrupted by my diabetes diagnosis.   This time though I was determined to finish.
The nutrition and insulin strategy had been discussed with the Diabetes Specialist Nurse at the hospital and based on recent performance we’d settled on 1 unit basal, a good breakfast with no bolus and keep an eye on it before and during the race, taking my half-unit pen with me just in case.  The risk with the pre-race strategy is that I’d drift too high with no bolus, the optimal point being around 8-10mmol/l to allow a drop in the first 5-10km and then hopefully a steady rate through the race, eating to the meter.   Of course there was always the possibility that adrenaline would kick the blood sugar higher as well, but to be honest this race has always been pretty low key for me.

So it’s an early start this one, a race start of 9:30 means 5am wake up, 6am departure and 7:30 arrival to get my tent set up, change into the race gear, get race head on (that starts 3 days before really), check and re-check bloods etc, but that early start means a quiet start.  No-one else up at that time of day, all mine.  
I arrived right on time and already found a big tent city, luckily room for my small one right at the front, part of the strategy to minimise the rest time and distance from control tent to my tent.  The basic format for this race is a 10-mile lap around a country estate on a mix of roads, hard packed trails and mud/field edges, electronic timing at a control tent and points on the course and returning to your tent each lap for as long as you want, but the clock keeps ticking.
In my case I had my prepared nutrition and hydration strategy, tuned to my race strategy.  Over 10 miles, I was banking on around 2 hours per lap, so 80g carbs plus a bit just in case.  That was in one of my boxes, elastic bands around each bundle of bars and gels.  The camelback would be filled with 2 litres of Nuun hydration solution, which at 500ml an hour (by long standing experiment) should last me 2 laps.  The plan was at least one or two hard, fast (for me) laps until the achilles could take no more with a very quick back to the tent, grab the next bundle and off again. After that run/walk or whatever would get me to the end.  Of course I also had plenty of carbs in reserve and a plan B and C if necessary, but mentally I was prepared for pain and lots of it. 
Pre-race the blood sugars went a bit like this
5am Waking 7.0 (high in rebound from a hypo the night before, why then of all times?)
Breakfast 45g carbs, no bolus, 1 U basal
+1 hr, driving 6am 9.7
07:30 – 12.2  - I’m getting a little twitchy here with the novorapid pen
08:30 – 7.3, not quite sur ehow that much of a drop happened on that little insulin
09:00 – 7.3 – a quick fig roll just in case
Race briefing over, assemble at the line, another wait for the cows to be moved, another quick test on the line 09:20 – 6.1 what happened to that fig roll? Half a 9-bar for luck.

Lap 1 – intention run it hard, but maybe not as hard as I did, completed in 1hr 32 including the return to the tent for supplies, a record for me at this event and not far off training pace for a 10-mile run.

5km laps were 26:47, 27:37 and 29:00 so slowing a bit but also reflecting easier terrain early in the lap. Drinking at the 5km tests and where I was walking the uphills and more difficult sections.  BG was pretty much behaving itself with 5km tests of 9.2, 7.2, 6.7.  A total of about 70g carbs taken during the lap, so that would be about 45g per hour, pretty much right on schedule.

Quick return to the tent, pick up the next bundle of food, and out, no need to refill camelback or bottles, time check and off I go.

Only problem was it was just starting to warm up now, but I still wanted another faster lap while the achilles was holding up.  On the first lap it had really not been painful but there was a bit of discomfort moving around between heel and lower calf, but nothing worth worrying at.  Second lap it really started to bite; not so much the achilles but more so casuing other issues.  If I kept myself landing fairly flat footed in the middle, the 6mm drop Inov-8 TrailRoc’s were aiding the achilles, keeping that eased, but then the gait was throwing more strain onto the hip flexors and quads as I began to discover.  Towards the end of the second lap the early pace was beginning to tell, and I was thinking about going onto a yomp style 1km run/1km walk for the next two laps. 

Lap 2 played out like this (5km splits and BG)
31:06 / 8.9
31:08 / 7.8
32:44 / 6.0
43:23  / 6.0 – this one included the lap 2-3 transition and a camelback refill, taking about 4 minutes, plus a bit of lap 3 walk/run.

Total carbs about 40g in 1hr 46, so pretty low by any standards, but eating to the meter seemed to be working OK. At this stage a quick remark with Keith, the organiser cemented the walk/run strategy in my mind.

Lap three started to get really tough, hot, no cloud cover, humidity increasing all the time.  Added to that the pain in my quads was spreading to hip-flexors and ITB, but the walk 1km/run 1km was pretty much stuck to apart from increasing the walk on one field margin section of pretty hard going and uneven ground, only to have the next run on easier ground extended a bit as well.  To be honest this was now getting bloody painful, but I knew that having done the best part of three laps and having DNFd twice, it was going to take a lot to stop me completing that last lap.  It was hurting, but I was in a better mental place than ever and prepared to go through any pain and out the other side.  The thing that really sticks in your mind during these things is the other people, all going through the same personal trials as you but every one of them in this race full of smiles and chit chat as you pass each other, no matter who’s going faster or slower, makes no difference.

So Lap 3
36:36 / 6.3
39:32 / 7.2
49:03 / 5.6 – including a 6 minute transition, refilling camelback and a short rest this time
Around 50g carbs in 2hrs 05, so still around the 25g per hour mark, much lower than most people would predict.

Lap 4 has no other way to describe it than 10 miles of pain.  Quads on fire, hips on fire, brain on fire; I’d been drenching my Texas Longhorns baseball cap every lap at the control point and it was giving me about 15 minutes of cooling before it was dry again. Oddly enough although my head was roasting, I kept getting waves of cold throughout the race and waves of sickness as well, but that’s all part of the fun.  The run/walk was becoming fragile now and was erring towards 1250/750 and then later in the lap became run when I could and walk when it hurt too much.  The odd thing is that throughout these last two laps I was able to maintain the same running pace as always and a pretty decent pace as well at around 5:30/km or a 9-min mile, the only thing was I couldn’t keep it up and it was as if my legs were just switching off.  I also ran out of water in that last lap with about 4km/2.5 miles to go, which was not at all ideal.  I’d checked in before the start of this lap and was lying 19th, but I knew I was passing others. My walk was quicker than some people’s run and as always I was passing people I’d seen go past me on laps 1 and 2 and with a quick word established that they were also on the 40 miler.

5km laps and BG
39:46 / 7.8
34:53 / 6.8
44:50 / 8.7
06:02 / 3.7 – no idea where that came from, but this was a very short section following, mainly due to an odd course measure (I did a total of 65.7km vs 64)

Total 55g carbs in 2hr 8 mins, so staying at that 25g/h including a gel for that 3.7 outlier.
 
Eventual total time 7 h 50, finishing 13th of 107.  I’d passed 6 people on the last lap, or they’d pulled out with less than 10 miles to go.  Considering the achilles problems going into this I was chuffed to bits to finish where I did and ran over the finish line a very tired but happy man.

 
Then the recovery started, coffee, eggs, ½ bagel and PB and plenty of nuun hydration salts and water. Post race BGs

Straight After    7.4 – 22.5g carbs
+30min             10.7
+75 min            9.9
+105min           8.6
+3hr                 6.8
Dinner              7.2 – 45 g carbs, 1 U bolus (would normally be 3U)
+2hr                 6.4
Evening           6.7 – 3.5 unit basal (normal is 4.5, but adjusted for increased sensitivity post race)

Total for the race about 240g carbs, so around 30g per hour while racing, much lower than any text book would suggest. I think the reason for this is my years of low heart rate training which have effectively trained me to utilise my fat burning/fat reserves very effectively at these moderate pace for long durations.

And the next few days? Ouch!

I went down to see my sister in Hampshire for a few days and being bothered about potential insulin sensitivity and erratic blood sugars I asked the other half to drive. Only trouble was that sitting still for 2 hours had my lower limbs seize up completely so when we stopped at the halfway mark for lunch I had to take over.  The next two days were not fun with stairs being a particular problem, but just walking along my quads would occasionally fail to fire on demand, threatening to dump me unceremoniously on the floor.  I was also finding other things not working well, such as my shins which were in agony and both ankles.  I also found a very unexpected piece of chafing on my rear end.

Four days later though, a 2 hour bike ride at an average 18.5mph (28.5kmh) was tough on the legs, but the HR was solid throughout.

Mission very definitely accomplished.  Now for 2 weeks off running and then a 4-week campaign before my next event a fast road half marathon.

Plus a couple of piccies, tent farm, castle, assembled throng of loonies


Thursday, 10 July 2014

playing around with fasted training, and a right pain in the achilles


Right, lets get the achilles out of the way first.  Never had this one before, but of course it comes out of the blue 5 weeks before my major race of the season.  Thinking about it, there were a few signs but I thought it was pointing more calfwards.

After the success of the Yomp, I was on a bit of a high, and was carrying on with the next training progression, longs runs were planned to start drawing down and tempo, hills and speedwork staying in ready for the HM in september. 

So I went and did some hard hill reps (by hill I mean slope, in the Fens) pushing the pace if not the elevation.  I was feeling a twinge in the lower calf, attributing it, correctly to the slope and speed, but not understanding the importance.  Yoga the next day really helped, so I ran again, this time on quite a hilly golf course while I was on a training course, learning to be kidnapped.   Same again, this time extending into the achilles, usual thing, massage and mobilisation exercise, no runing the next day (tuesday as no time).

Back home on the Wednesday, easy 10km planned, got about 2km into it, felt a twinge, by 3.5km it was very painful, ran another 500m and stopped completely.  Only problem, I'm now 4km from home with a duff achilles.  What to do?  Turn roudn and run home again.

Result, inability to walk on Thursday - given a pain scale of 1-10, I was on about 11 or 12.  5 weeks and 1 day to a 40 mile race - oh fcuk.

Quickly try and arrange a visit to my sports injury therapist on the Monday, handily he's relocated to London and I was flying from City that evening and had reasons to be in London that afternoon.  Start aggrissive rehab on my own as well, lots of stretching and eccentric calf raises and leg massages.   Superb therapist, £40 for an hour and 20 mins of excrutiating pain, took it from about 5 to about 3 on the pain scale, gave me some great rehab advice and more importantly some hope that I might be able to stand on the start line on 1st August and get round. 

Having religiously followed the rehab programme, I'm now up to 3 x 15 each side x 3 per day calf raises and some single leg squats, yoga is also helping massively.  Cycling is OK, fitness still good and even managed a 1.8km run.  So now, 13 days later, 3 and a bit weeks to go, I've had two almost pain free days (soon rectified by more calf raises) and am starting to think positively.

Off to Austria next week, no running but I'm planning to hire a bike for at least a couple of days, get up in the hills.

Now for the fasted training bit.

I'm sure there are plenty of you type 1's out there that share my experience of blood sugar dropping off a cliff any time you exercise with just the merest hint of bolus insulin on board.  In my case even though they say the duration of effect is 3 hours, I've crashed this way 5 or 6 hours later when just going out for a quick 10km or so. 

The other aspect of this is of course the need to feed that drop with carbs, adn if you are using carbs, then there's something else you're not utilising and that's fat.  So fasted training.

Essentially training with no bolus at all, pre breakfast, just the merest hint of basal to keeep blood sugar movement in the right direction (you also need a bit of carb metabolism to make the fat burn work) and maximise the fat burn.  Remember after all that in a non pancreatically-challenged individual, your normal metabolism would be heading towards ketosis overnight and allow you to do this easily.  Unless you are in full dietary ketosis however, you're best sticking to steady state stuff early in the morning.

Three tries at this so far, twice on the bike and one on the run, all worked well.

Bike 1
60km in just over 2 hours, pre breakfast
1U basal, waking 4.6,
fig roll 12g  up to 6.2 pre ride;
45min 4.9 10g another fig roll;
90min 4.2 23g;
120min 5.4;
breakfast, reduced bolus
So two hours of exercise on just 45g carbs

Bike 2
only a short one this time 47km in 1 hr 37,
1 unit basal, no breakfast
No carbs at all during the ride
Bolus afterwards reduced by 1/3 again.
Sorry, didn't record any more details this time

Run 21km in 1hr 54min, approx 27min per 5km split

BG at begining of split / carbs
6.7 / 15
5.8 / 8
5.9 / 8
4.7 / 10
4.8 / 10
Total carbs abou 50g in two hours vs the normal recommendation of 60g /hr, also allowed me to reduce bolus at the next meal by about 35%.
It may not work for you, and needs the discipline to get up early and do it, but you may find that it has great benefits