Wow, happy 10 year mark! That's encouraging for more people than you might realize and undoubtedly very encouraging for you personally. I know medical care helped a lot but congratulations to you for staying the course. A retired breast cancer surgeon told me that, in her opinion, if she could only persuade patients to make one dietary change, it would be to eliminate sugar. As someone with a nasty sweet tooth, it's a challenge but I'm telling myself it gets easier and am sure it will.