My advice is on the personal level. Sit your wife down and have a long conversation with her regarding the pro's and con's of your plan (including the cycling). Be as detailed and thorough as possible so she understands.
If you hide it and have a reaction from something, you will hate the mistrust your secret will create and if it is life threatening your wife not knowing may not be able to tell the paramedics what is necessary and you could lose your life.
Granted, these are worse case scenario's, but your family needs you alive and well... So be responsible and a MAN. Outside of your wife, keep it a secret, but make sure she knows.
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