I am so sorry for all that you have been through...I don't have any experience to answer your questions ...
I only know of a family member who suffered with pancreatic cancer.....sorry that does not help you..
But I can send you a ((hug)) and support and my best wishes that for the future you do get the medical assistance and support you need ..
No spleen is hard as well ...you will be on a of medication ....I guess...
Look after yourself ....amazing that you can share so much , and here you are being positive ....go and enjoy your grandchildren ...but yes you do need an answer to be able to stay awake ...
Afraid this tiredness could be part of the diabetic process and of course it could be anything ...
Please find an answer .....take care ...best wishes...Kat ...
Bump for suggestions please ....