Someone I know via a facebook group, though never met, and who has type 1 diabetes, attempted to climb Kili last month with Jagged Globe. She only made it to day 2 before she was hit with a stomach bug and was taken back down. I know just what D&V while trekking up a mountain feels like, from my Inca Trail experience, and it's pretty nasty, though I managed to complete my trip (mainly because there actually wasn't a possibility of going back). That I would definitely consider a failure, though of course, it was not her fault, just unfortunate. And it is in fact my biggest fear.
Jerry Gore (pictured right on the North Face of the Eiger), another online friend with type 1 diabetes, and a serious climber, recently attempted an incredible challenge to raise money for young Nepalese people with diabetes, by climbing three of the Alps' toughest routes: Divine Providence, Chant du Cygne on the North Face of the Eiger, and the Fish on the South Face of the Marmolada. You can read about his exploits here. He completed 3 climbs, but two of them were on different routes because of various problems, and he felt utterly disappointed with the result.

He later does, however, acknowledge his own success: "I would like to end this piece by saying I finished the climb easily and in control. I achieved an amazing route and all went well. But I can’t because I didn’t. We succeeded in making the right mountaineering decision. And for that I feel proud but we only just made it and it was silver at best not gold. But one thing for sure was clear to me at that time, sitting in a dark and damp forest alone in my thoughts - it was not my diabetes that had held me back, it was not the fact that I have to manually control my blood sugars and test and inject up to 10 times a day. Bottom line – Diabetes is a real pain in the bum, it can really depress and shut you down sometimes and inhibit you but if you have the motivation and insulin and equipment it is definitely and absolutely NOT an excuse to live an unfulfilled life."
Some wise words indeed. I also wonder if achieving the goal but hating every minute of it still counts as success. I think that depends on whether you look back on it with better memories. The Inca Trail was an achievement for me, despite the one tough day of being ill, because overall it was a fantastic trip. Toubkal was an achievement in that I actually reached the top, but my memories are marred by some lesser moments and by the fact that I felt no one else cared whether I achieved my goal or not. On the last cycle trip I did (2 weeks around Cuba) I met my goal of never giving up and riding in the support van (unlike at least half the group), so that for me was a huge success.
Ultimately, for me success boils down to whether I will look back on the trip and be proud. Jerry, while disappointed and dissatisfied, is clearly still proud of his achievement (and rightly so). My mum climbed Kili in 1962, and had a pretty tough time of it, but despite shrugging it off with a mere "it was awful, but I just got on with it, it's what you did", I know she's secretly pretty proud of her achievement (and I am very proud of her too!). So, if I don't make the summit itself, I'll be incredibly disappointed, but I know it's not wise to focus everything on making it, in case something happens that's out of my control, such as severe altitude sickness. But I hope, like Jerry, I'll at least be able to look back with pride and think of what I've still achieved. And of course, try again another time.
And as an addendum: I didn't make it quite to the top, but I am very proud of my success nevertheless and I refuse to think of it as a failure, though obviously disappointed.
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