Palliative care is a step you may need but first try a reset. My brother did this Had cancer, diabetes caused by meds for AFIB and angio edema and dizzy to point of exhaustion. Get weaned off all your medications under the care of one doctor so you can sort out the side effects from the disease. Then add back essential ones. Brother went from Coumadin statins, betablockers, constant infections, insulin on a monitor, and antibiotics of ever increasing amounts that only made him sicker and he ended up with partial foot removal. He found out he was allergic to antibiotics, his insulin was not working for him, etc. etc. Now after hyperbaric chamber treatments his foot is healed, he is off, beta blockers, statins, all blood thinners except 1 baby asprin a day and blood sugar is controlled with new insulin usage working. He is back home, waking with a prosthetic shoe with a walker inside and outside to his truck he can now drive again. His BP is high but his diet is helping bring that down. His cholesterol is high but he wants to have a life. He is 72 and was on the medicine merry-go-round for 10 years. Get pallative care if you can but it can't hurt to do a med reset.