I am a 58-year-old and weigh about 85 kg. I am insulin dependent diabetic patient. I have been diabetic for the last 20 years and insulin-dependent for the last ten years. I take 1000 mg of Metformin after breakfast, and I take Linagliptin 5 mg at dinner. In the morning, I take a tablet of Trinexovas 20, Rosuvastatin 10 mg, Fenofibrate 145, and at night Asprin 75. As my mind wanders a lot at night, I take 0.25 mg Trika as self-medication and 30 IU Glulisine, and Glargine each morning and night with occasional shots of Glulisine whenever I physiologically feel that my sugar count is high of late. I have many indigestion problems, so I was given some prebiotics and probiotics. It gave some relief, though, but it started again after it was stopped subsequently. I have prescribed Domperidone as and when required, but it has become a regular affair with Aciloc 300 mg, and PAN D added to it as self-medication.
Today I had many problems with my stomach due to gas and indigestion. I also felt that I was either unable to pass the urine or urine was not getting generated, and I was worried about my kidney because I am an alcoholic on weekends. I drink six pegs of vodka with soda and water. I went to my company pathologist to get my blood tested, and the reading given is: HbA1c =7.5 %, random sugar = 175 mg/dl, SGOT 49 U/L, SGPT 37 U/L, total bilirubin 0.71 mg/dL, direct bilirubin 0.38 mg/dL, blood urea 21 mg/dL, and serum creatine 1.1 mg/dL. Being a scientist by profession, I have a steady sitting job and carry work home. I am a workaholic as an alcoholic and do not do any exercise too. I got my endoscopy done, and the doctor diagnosed malignant growth in the stomach. The biopsy result is still awaited. Please guide me on the next course of action. I want to get myself mentally prepared.