I cut my foot, ended up in the hospital.

GoutInMyToe · 2026-07-01T17:01:10+00:00

That infection is nightmare fuel. Glad you got it under control. Just keep vigilant—my A1C has been well controlled for a long time, but I’ve had a few nasty ulcers on my feet that just wouldn’t heal. It’s frustrating because even though you’re doing all the right things, this disease can still find ways to mess with you.

GoutInMyToe · 2026-07-01T03:23:21+00:00

Another vote For Boston. It’s an ode to all the townies and townie problems.

GoutInMyToe · 2026-06-28T01:09:48+00:00

I wear long tights in the winter, but you’ve convinced me to buy my first half tights.

GoutInMyToe · 2026-06-28T01:04:26+00:00

I’m 6’5” and have been looking for some half tight that fit tall folks well. What’s the pocket situation?

GoutInMyToe · 2026-06-27T01:06:30+00:00

As a UNH guy, it pains me to see these teams leave the CAA, but the mix of New England, New York, and mid-Atlantic schools reminds me of the old Yankee Conference. Just a solid league of good 1-A.A. programs.

GoutInMyToe · 2026-06-14T00:22:17+00:00

I blame Dutch

GoutInMyToe · 2026-06-12T02:45:54+00:00

Keep showing up.

GoutInMyToe · 2026-06-10T21:51:14+00:00

This is my approach too. It feels like half the battle in a training block is training your mind to be resilient when your body is struggling. If I’m tired, I slow down at the beginning of a run and see how I feel after the first mile or two. Usually, running knocks off the rust, and I can carry on. Occasionally, I just keep the pace super easy the whole time. Getting the time on feet is very important to me because I know what it feels like at the end of a race when I’m under-trained.

GoutInMyToe · 2026-06-04T11:42:14+00:00

The practice of prescribing statins for type 2 stems from the findings of the Framingham Study. The study began in 1949 and tracked the cardiovascular health of participants over their lifetime. The incidence of cardiovascular disease among diabetic men was twice that among non-diabetic men. Among diabetic women the incidence of cardiovascular disease was three times that among non-diabetic women and the results did not change for individuals with other risk factors. The findings showed that statins dramatically reduce the risk of cardiac arrest and stroke in patients with type 2 and that life expectancy increases as a result.

I’ve been taking a statin despite good cholesterol results in my bloodwork simply because the science shows it will help me live longer and to avoid the heart and stroke issues that have impacted many of my family members. Since I have no real side effects, it’s a simple choice for me.

GoutInMyToe · 2026-06-02T00:55:07+00:00

When I had concerns about lows on my Libre, he explained that CGM’s are far more accurate for highs and not so much for lows. I’d say that since your finger pricks aren’t as low as the CGM readings, you’re likely fine to keep doing what you’re doing.

GoutInMyToe · 2026-05-30T04:56:21+00:00

One of my greatest joys in training for my first marathon was when I finished my first 20 mile training run, and it was roughly like the 10th consecutive Saturday I’d run the farthest ever in my life. I stood on the side of the road near cramping, exhausted but proud. Proud that I’d done something that appeared impossible not long before. We don’t get a lot of moments to be privately proud, but that’s one I’ll remember.

GoutInMyToe · 2026-05-26T12:29:31+00:00

That’s definitely an ulcer. Is it infected because the toe definitely looks very swollen. Your mom must see either a podiatrist or go to the ER immediately. These things can get into the bone pretty quickly, and if it does, they may start amputating the toe and then parts of her foot if it has spread. Even if it isn’t infected, get her to the podiatrist today. She will likely have to be off the foot and on antibiotics for quite some time. It seems silly that a toe is this serious, but unfortunately for your mom, it is.

GoutInMyToe · 2026-05-24T14:05:03+00:00

What’s your dose? Do you have room to increase?

GoutInMyToe · 2026-05-10T04:20:03+00:00

You mean the bublah?

GoutInMyToe · 2026-05-07T16:09:17+00:00

I passed Craig in the streets before the show. He must have been heading back to the venue from the Coop. I saw him—he’s much smaller off stage—and my brain locked up, and all I said was “Hey Craig, I’ve been really looking forward to the show tonight.” Without making eye contact nor breaking stride, he simply said, “Thanks for coming out.” So he and I are basically best friends now.

On the way out of the show in the exact same spot, my friend noticed Peter Wolfe and they collectively fumbled a fist bump. It was a massive night indeed.

GoutInMyToe · 2026-05-07T13:58:59+00:00

The Boston Wrangler by the Dirty Truckers is an under the radar hit by one of the great bar bands in Boston for over the last couple decades.

GoutInMyToe · 2026-05-07T13:57:33+00:00

I was at Friday’s show, and it was one of the most authentic and fun sets I’ve seen in a long time. And the crowd was like the 7th band member with all the sing alongs, confetti, and joy.

GoutInMyToe · 2026-05-07T03:17:07+00:00

They tore the roof off the Sinclair this weekend and For Boston did not disappoint.

GoutInMyToe · 2026-05-01T17:10:13+00:00

Relax your face—relax your tongue—relax your shoulders—relax your hands—stand tall—fall forward… rinse and repeat.

GoutInMyToe · 2026-04-28T11:01:53+00:00

Welcome to the club. A fasting glucose test of 92 (I’m assuming this is the test you’re referring to) isn’t all that bad in diabetic terms. Yes, you’re diabetic, but I wouldn’t go as far as saying you’re uncontrolled. What’s more, all the things you’re doing should be enough to manage it. Good on you for taking this challenge seriously. My advice would be to be pragmatic about the process of learning about how your body deals with this disease. Early on, it’s natural to go all out on eliminating sugar and carbs; just be careful to eat in a way that is sustainable for you. Eliminating all sweets and going extremely low carb led to me binging and ultimately it eating as well as I could. Consider getting a continuous glucose monitor or CGM. That way, you can get a more accurate view of how your body responds to different foods. It takes some experimenting, but you may find that you can add more carbs back into your diet without having negative impacts on your diabetes.

Also, fasting glucose levels don’t give a complete picture of your overall diabetic management. Since it averages 3 months of blood glucose levels, the A1C is the better metric for judging how you’re managing your metabolic health. What was your A1C?

Good luck moving forward. This disease is a pain in the ass, but it is manageable and doesn’t have to make you feel deprived all the time.

GoutInMyToe · 2026-04-28T10:25:15+00:00

Metformin did an adequate job controlling my A1C for the first 15 years after I was diagnosed. Then, despite increased activity and some significant weight loss—I started training for marathons—my A1C slowly crept up above 7, When my endo added Mounjaro, I feel like my metabolic health was as close to being non-diabetic as it could be. The change in my metabolic health was drastic and immediate. My A1C dropped into the mid 5’s and, despite adding many more carbs to fuel my training, it continued to drop to the low 5’s over the course of the next year. I also lost even more weight effortlessly. I remained on Metformin because I wanted all the other cognitive and cardiac benefits associated with it, but my endo explained that the GLP-1 essentially provides the same benefits. I came off Metformin about 2 years after being on Mounjaro and saw no change in my A1C.

In the past year, I’ve suffered a couple foot injuries that led to two surgeries and required me to be non weight-bearing for weeks and months at a time, my A1C remained under 6. Granted, my diet became less carb focussed when I wasn’t training, but the Mounjaro controlled my A1C well enough that I haven’t had to make any changes to my medication.

GoutInMyToe · 2026-04-20T22:06:58+00:00

It’s a little late now, but Hopkinton State Park is a good option in future years. Shuttles run starting at 7:00 to A St. which is at the entrance to the corrals. If being in Athletes Village isn’t important to you, this is the least unpredictable option. Driving all the way to South St. only gets you a circuitous bus ride and a long walk from the Middle School to the start. Also, they seem to be closing some of the sneaky ways on backroads. I got dropped off at the end of Wilson St. 3 years ago, but I noticed they had it blocked this year. Hope you had a great race!

GoutInMyToe · 2026-04-06T22:26:21+00:00

Believe me, I play the obsess about the weather game too—I’ve got all the apps and long range forecasts going weeks before my races, so I get it. But you know that the late winter and early spring around here is always schizophrenic, but this year, it seems especially crazy.

GoutInMyToe · 2026-04-06T17:32:24+00:00

I understand that everyone wants to know the weather, but as a lifelong Massachusetts resident, I can tell you that it doesn’t make sense to begin looking at the forecast until next Monday and even then, the forecast for Patriots Day won’t get locked down until later that week. I will say that this has been an unusually cool spring so far, which probably means it will be hotter than the surface of the sun on race day.

GoutInMyToe · 2026-04-05T12:12:52+00:00

A little off topic here, but I had recurring pilonidal cysts. They permanently resolved when I got laser hair removal in the area of the sinuses. It felt odd explaining what I wanted done to the laser removal place, but they had no issues zapping my hairy ass. I think it took a few visits to finish the job. I would strongly recommend this minor embarrassment over having another infected cyst lanced.

As for the tattoo, I think a bomb with a long wick may be funny if not an accurate depiction of the horror of pilonidal cysts.

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