Congratulations on all you've accomplished already. While I don't have any personal experience in your area (knock-on-wood), I have a good friend, John Brewer, who is an accomplished wheelchair/handcycle athlete.

Here's a place you might start looking for some advice, hope it gets you where you want to be:

http://www.handcycleracing.com/Training%20Tips.htm

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"...like every writer, he measured other men's virtues by what they had accomplished, yet asked that other men measure him by what he planned someday to do."

You might also want to contact the Challenged Athletes Foundation.

http://www.challengedathletes.org

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clm
Nashville, TN
https://twitter.com/ironclm | http://ironclm.typepad.com