At age 14, Mara, who is now in her 30s, was diagnosed with type 1 diabetes. A few years ago, she also learned she had celiac disease and was recently confronted with a rheumatoid arthritis diagnosis. All three conditions are autoimmune diseases, which happen when immune system cells mistakenly start attacking healthy tissue.

“With every diagnosis, there’s a lot to process. Like grief, there are ranges of emotions and you can experience them all at once,” she says. “But you learn to manage and keep moving forward.”

While Mara cannot ignore the constant decisions she makes about food, lifestyle and medication, she has hardly held back living. She’s earned a PhD in Ancient Greek and Latin and now works for a nonprofit supporting cancer patients. In her off time, she’s busy being creative in the kitchen, planning her next travel adventure, and spending time with her husband and her border collie-lab mix, Phoebe.

A Realist Finds Optimism in Research

Mara-in-a-gardenThere’s minimal sugar coating anything with Mara — having an autoimmune disease is hard. It’s often exhausting and rather inconvenient. Pain from rheumatoid arthritis may change her plans for exercise, which is important for T1D. And while diabetes doesn’t restrict her diet, celiac does and food is crucial to maintaining the right blood sugar levels.

After she’s done calculating medications and adjusting her activities for pain management, she’s documenting everything – insulin doses, meals, medication, blood sugar, pain. Data is crucial for Mara and her doctors to maintain the best treatment plan.

But as real as she is, she’s also optimistic.

“Science has changed a lot. From finger pricks to continuous glucose monitors, living with diabetes is much more manageable today,” she says.

Mara gives to Benaroya Research Institute (BRI) because of their commitment to understanding the immune system as a whole. She commends BRI’s pledge to find ways to slow or even prevent disease along with improving therapies to treat symptoms.

“When we answer questions about celiac or rheumatoid arthritis, new doors open for discoveries about other autoimmune diseases too,” Mara says. “It’s crucial that scientists work together, and that’s why I choose to give to BRI.”

Changing Outcomes and Assumptions

Mara is also passionate about increasing autoimmune disease awareness for everyone.

“It can be far more debilitating than people realize. We need a way to better communicate what’s happening in our bodies, particularly when care is divided up among different specialists,” she says. “Part of the problem is, we don't know exactly how or why these diseases start.”

Mara believes this understanding begins with science. When researchers have a clearer picture of what causes autoimmune diseases, doctors, patients and the community can move forward together.

“Everyone knows someone with an autoimmune disease, whether they realize it or not,” she says. “People are incredibly compassionate, but if we’re all hiding the fact that our child or partner, or we ourselves are living with a lifelong condition, we miss opportunities to support each other. And a little support can go a long way.”

This story was originally published as an Impact Story on the Virginia Mason Foundation's website. A shortened version was printed in the Spring 2022 issue of BRI's Powering Possibilities newsletter.

Living With A Disease

March 20, 2022

Like What You Read?

Stay informed! Be sure you receive regular research updates. Subscribe

Join the Conversation

This blog does not  provide medical advice, nor is it a substitute
for professional medical advice, diagnosis or treatment. 

Every story builds and strengthens our community. Whether you are living with a disease or care about someone affected by these diseases, tell us about it.

Share Your Story

Participating in medical research is a generous act essential to improving the care, treatment and understanding of disease.


Every gift is important and helps our scientists pursue lifesaving breakthroughs.