My best friend is a T1 since he was 2 years old.
His parents began shots way back then.
He started his own shots when he was 9 or 10.
He is now 50 years old, and over the last year his vital kidney function has declined from 40 to 30 %.
His kidney doctor nearly started crying when she explained the news to him, as there was so much more she wished she could really do for him.
She explained that in a couple or so years, he would require dialysis.
My friend called me - and thought that it was the 'end of the road for him'
Dont worry I explained, you will surely be around with us for a long long long time.
(He just wanted the re-assurance from someone other than his doctor,
who I am not sure he really trusts (especially if they nearly broke down and cried!).
They did explain to him that a kidney transplant is an option for him down the road.
And at that rate, perhaps even a pancreas transplant at the same, which they said would 'cure' his diabetes.
I confirmed with my friend that a kidney transplant surely is an option,
but am not really knowledgable about pancreas transplants.
PS I explained to my friend that with the joy of gaining new life if he receives a transplant,
there is the sorrow of a life lost of the donor at the same time .