So, my sister told me that in light of my diagnosis, I need to start cutting back.
I will die with Sjogren's, not from Sjogren's, but I intend to live as well as I can every day. I don't see a need to start sitting around waiting to die. I am working on making my garden easier to care for - I have access to all the wood chips I want for mulch. In the mean time, if I have to make a choice, I can live with dust bunnies on the stairs!
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I say do everything you can to live every day to its fullest. And when you find something that you can't do - its up to you how to handle it. Each day is a series of choices and if you can do one thing to make your life happier (ride a bike, garden, etc) then I say "DO IT!" 
The first month after I found out I had Diabetes, I cried almost every day. It was overwhelming and I felt a little "poor me" for not being allowed to eat spaghetti and rice and chocolate. 10 years later, I've learned that I can eat anything I want... in moderation. And changing my diet has made things like Snickers bars just too sweet. I don't even like them anymore. I do still wish I could eat a pile of Jasmine rice sometimes but I don't. It's about choices and trade offs some days, but I'm not about to act like I'm dead 40 years before I die.