Although runners of all levels are welcome at the New York City marathon, its course is unrelenting-a 174-foot ascent in the first mile, another steep climb in Queens, and 26.2 miles of hard asphalt that stretches from Staten Island to the Bronx and back down.
Many of you probably record your blood glucose in a diary or logbook, which you bring to your healthcare team on routine visits. This logbook has been an important component of diabetes treatment programs since the days of Dr. Elliot Joslin (Joslin Diabetes Center), the late pioneering diabetes specialist. Dr. Joslin believed important events in a person's life and diabetes treatment should be entered into a diary that both that person and his health care team could refer back to for treatment decisions.
Exercise for people with diabetes is crucial for good glycemic control. Type1s can reduce their insulin doses and type 2s can reduce the risk of numerous complications. But exercise for people with diabetes also requires special attention because it has special risks.
I know a young man. He is only 17. He appears to be a typical, everyday, run-of-the-mill teenager. He wears pants that are a size too big. His hair is in a crew cut. He drives a 1986 Nissan pickup with the windows down and the stereo blasting. He winks at the girls while sitting at the red lights and has a charming half-grin when he smiles.
Jay Leeuwenburg is an imposing, 6-foot, three-inch, 295-pound physical specimen which goes a long way in his field of work as an offensive lineman in the National Football League (NFL). Even before Leeuwenburg was a teenager, he weighed as much as 170 pounds. At the age of 12, however, he began losing weight at a rapid pace, and eventually whittled away to 130 pounds. Upon seeing a doctor, Leeuwenburg discovered he had type 1 diabetes.
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