I do not currently need a carer - but I expect if I follow in the footsteps of my mother and father, and their mothers and fathers before them I will eventually need a carer. When I was a young man there was a time in my life where it seemed that I grew taller and stronger no matter what I did, and even in spite of what I did. At my current age it seems the trend has reversed - my health seems to decline and/or require more and more work just to keep simple things at bay, like keeping my teeth healthy, my weight down - things that I didn't bother with much when younger. My ADHD and ASD-like traits will not go away - haven't in the last century and I don't expect the will now decide to suddenly disappear. Reading and Writing challenges remain - but not being a student, they don't show quite as much. My natural aging process will only add to some of those challenges. My skin and my hair don't seem to want to do things they once did.
On the other hand with age comes experience and sometimes even wisdom. Pains of adolescence are now permanently behind me (and good riddance). Many of my weakness are common to all man and I still need to set a good example for those coming up the road behind me - so my job is not done yet. There are good and bad things about aging.
I like to joke:
"I always wanted to grow old gracefully - so far I've got the first half down".
. . . Now to work on the second half.
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ADHD-I(diagnosed) ASD-HF(diagnosed)
RDOS scores - Aspie score 131/200 - neurotypical score 69/200 - very likely Aspie