Monday, July 27, 2009

Week 2 - Austrian Alps to the Dolomites

Day 6 Biberwier(Lemoos) to Wattens

This marked the beginning of riding in alpine terrain with a nice gentle one to start - Fern Pass

Followed by Kutai at the other end of the spectrum it was brutally steep with some stretchs of 18-20% grade and and a consistent 12% average, it climbed several thousand feet over 18 miles. We stopped to rest at a Volunteer fire station about 9km up as a rain downpour began. We waited it out sitting in the shelter of the firestation and finished the climb. And descended into Wattens in sunshine.

This was our first true taste of how the Austrian's like to build their roads. Recovery zone on the switchbacks with brutal grades along the stretches between the switchbacks. Unlike the Italian's, who build gentler grades between the switchbacks but brutal grades through the switchbacks.

Day 7 - Wattens to Mittersill


We meandered in the beautiful valley passing through Schwaz, then Fugen and a climb up Gerlospass. I had heard much about Gerlos while teaching skiing in Australia as many of the Austrian instructors including the Thredbo Ski School director at the time Roland Wanner were from Gerlos. The side we climbed was definitely the gentler version. It has high alpine Moors (a nature-conservation area) on the top of the pass. Then we plummeted down to the view of Krimml Waterfalls – the highest waterfalls in Europe (part of the Hohe Tauern National Park) and into the Krimml Achen Valley. If we had come from the other side up through the KrimmlValley the road is steep with many switchbacks. The Gerlos Alpine Road has only been open to traffic since 1964, when the Province of Tyrol and die Tauern Power Stations connected the road between the Pingauer Höhe and the community of Gerlos during the construction of a gigantic reservoir.

As we stopped at the information and viewing area on our way down we learnt that above the Krimml Waterfalls there is the Krimml Achental valley, the longest and most elevated Tauern valley. Upstream of the top stage of the waterfalls the trail becomes flat, with beautiful Alpine pastures. One of the side valley's branching off the Tauern Valley is the Windbach valley. The Windbach valley has one of the oldest crossings over the mountains of the Krimmler Tauern, the historical ”Säumerweg”, a mule track into the South Tyrol Ahrn valley, the route farmers would travel with their herds.

The road connection from Salzburg to Tyrol, however, has an even longer history

http://www.gerlosstrasse.at/en/gerlos-alpenstrasse/geschichte/karrenweg-zum-goldschatz.htm



Day 8 The Grossglockner to Heligenblut

The next day we set out for an even bigger adventure as recommended by the hosts at the Gausthaus we stayed at in Mittersill. The Grossglochner, an experience that should not be missed. Thus, we set out for the Grossglochner, the highest peak in Austria, on a day where the weather was a little questionnable - we stopped in Bruck for coffee and free internet which could be found at most MacDonalds in Austria (I always knew Micky D's would be good for something). The weather was holding but not improving, so we forged on.




We arrived at the Gates to the national park to be told by the gate attendant we should not go up. At this point we had already climbed 5km of 12% grade and Stephen was not turning around. The road climbed from about 700 meters to 2500 meters over 22km. The weather held for quite a while but then we hit 2000 meters and things got ugly.

http://www.grossglockner.at/en/


"The Grossglockner is more than just the highest mountain in Austria. It is enveloped in the aura of an extraordinary personality, cast on all who fall under its spell.“.... As a popular excursion destination it is the epitome of an impressive natural experience for many people: size and power can be felt here, one is subject to the fascination of the eternal ice and the elemental force of nature." For us as we climbed this 22km pass from 700m to 2500m, at about 2000 meters the clouds blew in, it started sleeting and the wind was icy cold.





The views would have been spectacular - except that the clouds covered most of it. There were moments of clarity where we had glimpses of magnificent glaciers but only for a few brief moments. We arrived at the first Alpine Refuge bitterly cold and wet, things were ugly. Stephen had the strength to forge on, without his will power I would have been beside myself. The height and magnitude of the glacers was amazing, despite the lack of views.


We put on everything we had except the fleece pullovers we had brought for cold evenings. This included one of our most valuable purchases - plastic helmet covers, undershirt, jersey, 2 sets of armwarmers, vest, shell jacket, gore tex jacket, leg warmers, plastic bags on our feet and headbands. Oh an did I forget to mention the glove overmits I brought for emergencies.


We forged across a couple kilometers between 2300 and 2500 meters then the road plummted down into the little town of Heligenblut. Stephen had a flat and we were wet and cold. We decided to call it a day and found an empty gasthaus and purchased groceries right at closing.

Day 9 Heligenblut- Lienz - Toblach/Dobbiaco to Cortina D'Ampezzo

This day was a long one but incredibly beautiful. We finished the decent from the Hohe Tauern through Hochtor, then into Lienz. Here we caught a section of the Drau bike route a well travelled route, usually ridden in the opposite direction to us where cycling tours ride almost all downhill from




Lago di Misurina

Over Passo Tre Croci and into Cortina


Day 10 Cortina the surrounding passes

We decided to stay 2 nights in Cortina - a beautiful town tucked in the Dolomites with spectacular peaks jutting out in a 360 degree view. Of the multiple roads leaving Cortina there is only one that does not go straight uphill. This is the route we left via on Day 11 due to predicted bad weather.


Some of the 360 panorama from Cortina D'Ampezzo


However on this day we were going to embark on a 75-80 ride with several passes. First we climbed the early part of Passo de falzarego and then turned to climb Passo de Giau. The climb was awesome with spectacular views of the Dolomite formations. Down the backside of Passo de Giau we determined we had definitely ridden the easier side, which had been humbling nevertheless.



The View from Passo de Giau the first of many epic views of the Dolomites. This pass had an epic climb from the other side also one we might have to return to in the future.





We were already cooked at this point and realised we had bitten off more than we had bargained for. We decide to return back to Cortina via just one pass versus 3 so climbed to the summit of Passo di Falzarego. A spectacular winding road.










Passo Falzarego then dropped us all the way back into Cortina.

Again with spectcular views of this Beautiful town, rock underpasses, veiws of cable cars, ski jumps and more.

Day 11 - Cortina - Valle di Cadore - Feltre

The weather dictated a change in our original plan to spend several days in the Dolomites. The prediction was for heavy rain so we headed to the lower lands for a couple days to avoid climbing passes in bad weather or having to sit inside and wait it out. We followed sections of the Via Claudia Augusta Route - The Via Claudia Augusta follows a route blazed by the Romans 2,000 years ago, a heritage still vivid as you ride across wagon wheel scars and by age-old ruins. It bears witness to the fascinating building achievements of the Romans, and to the history and events of the Roman era and of the Middle Ages.
http://en.wikipedia.org/wiki/Via_Claudia_Augusta

We rode down Valley into Valle di Cardore, down into some spectacular canyon-like roads. There was some heavy industry in the valley from mining. The road was fairly quiet with a heafty headwind as we dropped in elevation. Then the valley opened out into a more hilly valley terrain. We would our way through the hills avoiding the rain that had settled into the Mountains. The roads were awesome, quiet and a gave us a true taste of the real Italy.



We arrived in Feltre to discover it is challenging to find accommodation in bigger towns and cities that is affordable. The tourist information office was super helpful and we found an affordable hotel. To get to it we wound our way through the cobbled streets and walls of this super culturally oriented Town. They have a university and some excellent Italian language courses, not to mention Feltre is one of the towns that is an entryway into the Dolomites.
Day 12 - Feltre - Trento - Bolzano - St Ulrich

We departed Feltre again with grey skies and the chance of rain. Once we passed through Trento we had the pleasure of a wide and super nice bike path all the way int Bolzano. A hopping city where we sat in the Piazza enjoying a break in the rainy weather. Stephen indulged in the glories of Italin Gelato. We then continues up valley, after a short rainstorm planning to stop before heading back up into the Mountains. The weather started to improve and as usual our short day got extended as we started the climb back into the Dolomites.


The town of St Ulrich was a beautiful ski town - we stayed in a super nice Guest house with the name of Panoramik- the hosts were excellent.

Another castle along the bike path from Bolzano to San Michele

Day 13 - St Ulrich - Corvara (Val Gardena region)

This was an epic day with 4 passes and the awe inspiring views of the Dolomites. Words cannot express how incredibly nostalgic this scenery is - you have to ride it to believe it.

We started with Passo de Sella followed by Passo Perdoi then down for coffee and up over Passo Campolongo.

Then we arrived in Corvara to light rain, found a great guesthouse to stay in, the rain stopped and we did the final climb up to Passo di Gardenia.






Climbing up to Passo Sella





Passo Perdoi







This region of Italy is called the Alta Badia Region


Day 14 - Corvara - Bruneck - Toblach - Lienz


We returned to the Drau bike path from Toblach to Lienz we got to ride 47km all downhill this time. Stayed in Lienz to do a bit of housekeeping and rest since we had not taken a rest day yet.

Corvara and Cortina were lovely places if we win the lottery one of these towns will be our second home :)

Saturday, July 4, 2009

Bicycle Touring in Europe as a Type 1 Diabetic

After finishing a most amazing 5 week vacation in Europe I have so many memories, spectacular scenery and laughs to reflect on. It was an incredible experience riding with my husband Stephen; deciding on routes and passes to climb, finding places to stay each night and learning how to work outside my usual controlled and predictable daily schedule.
The Dolomites in all their spectacular glory


One of the Many spectacular passes we climbed in the Dolomites




We rode approximately 3000km (1850 miles) in 27 days with one day off (we actually rode 25km even on that day) and a couple of shorter days where we rode less than 80km. We did 2 century days (160+km/100miles) in our third week and averaged around 80-130km (60-90 miles) a day for the rest of the time. Our journey included total elevation gain of over 32,000 meters (over 100,000 feet).

Check out this link for the GPS track of our route

http://www.gpsies.com/map.do?fileId=hyrqsmgbzpayeiza

There is one word to describe how we felt upon arriving in Bad Wiesee, Germany which was the end point of our tour - "Cooked" but extremely happy.


What were the challenges?

The biggest challenge was needing to keep my insulin cold and having to ask people each evening at the places we stayed - including guest houses, hotels and inns - if they could put my insulin in their fridge and the ice pack we carried with it each day in the freezer. This is kind of tough when you dont speak the language - this included German, Italian, Slovenian or Czech depending on what country we happended to be in at the time. But I got brave and did it. We used our IPhone translation app and managed to get across the message that it was medicine and needed to be in the fridge. It all ended well and I came home with no frozen or ruined insulin or Symlin.


Late in the second week of the tour I did experience some extra high blood sugars which seemed to last all day. On day 2 of highs I took a closer look at my bottle of Apidra and realised it was cloudy and had gone bad. This is the bottle I generally dont keep refrigerated as it is the one I am using all the time. From this point I kept it in the pannier bags with the ice pack to try and avoid any further problems.


Finding places to stay - we did not have any reservations and played it day by day. We usually had a destination in mind but nothing set in stone in case weather turned inclement or we simply did not go as fast as we thought we would. We would then arrive at a town where we knew we were done and start knocking on doors of Gasthauses, Pensions and the occational Hotel when we were desperate. Often if we arrived in a town early enough the Tourist information offices would be open and they generally had great listings of open accommodations. We would find a few in our price range and ride there to see if they still had rooms. Generally at the time of year we were there it was pretty easy to find availability, however as soon as you go into larger towns and cities it was more difficult. One Sunday evening just outside of Graz, Austria we had checked several places and were not having luck finding anything affordable. We passed through 3-4 towns with no luck, it was after 7:30pm, Sunday so no stores open and we still had no bed and no food for dinner. We did find a nice place thanks to the Owner's of a guesthouse that was full - they referred us to a neighbor down the road - we had a super nice place to stay then dinner and straight to bed. The evening accommodation hunt was often our time of tension as neither Stephen nor I like knocking on doors asking for a room, but we survived and for the most part had excellent accommodations along the way.


I was on severe luggage/weight limitations as Stephen was carrying 2 panniers with all our gear. This included 2 t-shirts, 2 pairs of shorts, undies & socks and one extra set of riding clothes. Then syringes, test strips, insulin for a month plus extra in case of breakages, Omnipod POD's and an ice pack for the insulin. I decided to take only the bare minimum number of Omnipod POD's to just last the days we were away and if necessary I would just have shots if there were any malfunctions. I went only 2-3 days without a POD the whole trip which was great, definitely makes dosing with short acting insulin much more convenient.

The beautiful Town of Cesky Krumlov, Czech republic


How did I manage my food intake and insulin doses?


What is my normal regimen so you can see what I changed.

Omnipod Basal Rates
10pm-8am 0.05 units
8am-10pm 0.1 units


Apidra

Morning Apidra dose - 2units extended, .75 immediately then the remainder over 1.5 hrs
Lunch Apidra - 2units
Dinner Apidra - 12 units extended - 5-6 units immediately then the remainder over 1.5-2.5 hours.


Lantus

AM 6 units
PM 16 Units



Symlin

Pre-breakfast 6 units
Pre-Lunch 8 units
Pre-dinner 10 units






The Omnipod extended boluses have also been my saving grace as I use Symlin - which I only used primiarily at the evening meal during the tour. Being able to extend my insulin doses has prevented some of the severe lows I have faced when taking Symlin, a full dose of short acting insulin and eating a meal. The symlin slows absorbtion of food into the blood stream to help with the post meal highs that I experience, however as I was learning how it worked I had a several severe post meal low blood sugars. The omnipod extended bolus has allowed me the opportunity to have the insulin delivered in an extended fashion as the symlin wears off and the food starts being absorbed. For me the Symlin slows food absorbtion dramatically for the first 45 minutes then it begins to go in and my short acting extended dose can then cover the absorbtion.

So how did I change things while touring?


I cannot believe how much food I consumed for the entire duration of our tour. I was eating at least double my usual carbohydrate quota at breakfast, lunch and dinner and dropped my lantus doses from 6 units in the AM to 4.5 and evening from 16 units to 13-14 units.


During the day my Apidra doses were about 50-70% of normal. It took about a week of dropping doses at the beginning of the tour and then stabilised so I kept the doses pretty much the same for the remaining 3 weeks. Usually 1.5 - 1.75 units for breakfast; 1 - 1.5 units at lunch and usual dose for dinner as my food consumption at dinner was usually quite large.


My control was not ideal - a little higher average than I would have liked but at the same time things were quite stable and with the stressors of foreign countries, using a more obscure treatment regimen and riding bicycles everywhere with not car for transport this was probably a "safer" strategy for me. My A1C was not really any worse than my last Dr visit but not any better so now that I am back home in a routine my focus is still get down into the low seven % then hopefully six % by next year. It is as always a work in progress for me that I am not as good at as most of my Team Type 1 compatriots - they are great inspiration for me to keep striving to get to the ideal zone.

I am a non red meat eater, or the other white meat - this is definitely a challenge in Europe as the staple seems to be Pork served in all varieties ham, sliced meats, salami's and sausage. Aquiring Chicken and turkey meat pre-cooked was expensive and definitely not great quality, so instead I resorted much of the time to cheese. We also ate the many fresh baked bread options from the amazing bakeries in every town, cookies and powerbars for food while out riding.

I consumed more bread and cheese than you would think was humanly possible throughout our Journey - now I will have to cut back and hope that I can bring my cholesterol back to normal. It has been a little above normal for the past year so I may have to make some major adjustments or start taking medications to keep it normal. That bums me out as I love Cheese which of course is not the greatest for High Cholesterol.

My weaknesses - cheese and butter. I use the cholesterol lowering type and try to eat low fat cheeses but this does not seem to be helping my cause. Anyway that will be the next project to address with the Dr when I go back to the Barbara Davis Center for my next appointment in July.


Coffee at Lago del Predil, Italy
after our climb through Triglav National Park in Slovenia
then Passo del Predil Italy and back to Kranska Gora Slovenia


What happened after the tour...

I returned to my normal insulin doses almost immediately after we had completed our tour. I definitely had a few days of highs as my body was trying to figure out why I was not exercising, just like when I finished RAAM. Your body responds with a state of insulin resistance as it is not sure how to work when you cease exercising all day and return to a more "normal" existence. Not that I would classify my schedule as normal but my body still has to adapt to normal versus 4-7 hours a day of riding my bike.

We returned to Colorado and I was back on my usual training schedule pretty quickly but oh boy my legs were pathetic. They hurt pretty much all the time when climbing for the first 3 weeks after returning to our 8150 feet living environment. I think my body needed time readjusting to altitude. Despite lots of fitness, that did not make up for not being at 8000 feet for 5 weeks and then suddenly returning. I expected to be able to go mountain bike and climb passes immediately, which was not really the case.

4 weeks later things are looking up. Legs have stopped hurting and Mountain biking is feeling a little more comfortable now. My A1C was not stellar but not really any worse than before I left. I definitely kept things a little on the higher end being in unknown places and not knowing what medical care would be like if something went wrong. Now I am back on track and trying to get it down again. Cholesterol is still high but not as bad as I thought it might be after 5 weeks of eating tonnes of Cheese, that is a relief.

Please send any questions you might have on Diabetes and bike touring to me at kerry.white@hotmail.com.

"Life is a journey not a destination..." Our trip was definitely an unforgettable journey and has left a longing in our hearts to return to Europe again, it is an amazing place for cyclists.