Well Nursey isn't happy with me! I didn't get much of a well done for reducing my glucose levels from 23mmol/L to 9, she just wants to medicate me. My argument is that chasing remission is going to take time. It's taken 6 months to half the level to what would be regarded as pre-diabetes for a new patient, another six months and I could be there. I have already hit 6.5 on a number of occasions, but she thinks these are isolated incidents - so was 21mmol/L! I believe it shows potential, just a case of finding a way to stay at that level.
She did offer "social prescribing for diet and exercise." I asked for the qualification of the advisor and asked did it involve some prescription to a gym? She went quiet and I pointed out the mileage I pedalled at the weekend - 127miles. She then checked my BMI ( around 28), which is acceptable. Nursey not very happy, in fact very unhappy. She couldn't send me to fat clinic and and I seem to know more than her public health advisor about exercise.
I was offered a range of medications. It now appears that I can have metformin as my liver enzymes have returned to an acceptable level. She assumed I had cut my drinking. Well I had changed my drinking patterns - red wine changed to white, lager or light ale changed to stout. Yes Guinness is marvellous and rumoured to have many health benefits. I didn't tell Nursey that one. As for metformin, even the NHS admits to it having side affects and I would much rather have a sore arse from cycling than spending time running to the toilet.
As to the ride. I rode a AUDAX UK permanent course called The Wandering Wolves. This a 200km loop starting at Codsall and going out to Chester. See the FATMAP if you want details. This is fairly flat and I joined the course at Donnington. That way I didn't have to travel too far from home. I could have extended the route to start from home, but that would have left a long climb to complete at the end of the day.
The early part of the day was spent battling out to Codsall, for some reason this took ages and I arrived 45 minutes behind the control closing time. I did manage to make up the time on the next stretch to Market Drayton. The ride to Chester was ok, but the headwinds started and the ride to to Holt and Wem was a real battle with the speed falling away as I watched the Garmin. Then the rain started and I arrived in Wem in my rain jacket. I was so glad Pam had driven out to meet me at the last control with coffee and empanadas. This set me up for the wet ride back to Donnington.
I know the hills of South Shropshire can be tough, but at least they're scenic. The Cheshire Gap became so dull after the first 20miles. I never want to see another black and white cow or leafy lane. It all looks the same! But at least it is reasonably flat.
Monday was back on the mountain bike for an after work ride. I had planned to ride into work this week, but late meetings and rain put pay to this. Perhaps a ride around the Severn valley tomorrow. This weekend will also see our fundraiser for Shelter at home. I know many in the AUDAX community don't like sponsorship for events, and organised charity events have got out of hand. I don't need to ride for charity, but I wasn't going to miss the chance to raise some money.
Shelter is close to my heart for a number of reasons. I only avoid being made homeless by the skin of my teeth when my parents lost their house in the recession of the 1980s/90s. There was social housing then and families were kept together, we were okay. For anyone in their early 20s now I fear for how they could ever afford rent or a mortgage. I also can't believe how people are expected to live. The tented city under the flyover in Manchester or the guy with his furniture on Tower Hill in London. I will often give a quid to those sleeping out as a cup of tea or a shot could be a lifesaver. Even if it's put towards drugs I don't mind, a substance misuse worker told me opiates can stop the cold from feeling painful.
I can't help everyone out there, at least supporting Shelter goes some way to helping more people get somewhere safe to sleep. Or may even help prevent them from being put out on the streets.
No comments:
Post a Comment