57 Year Old Insulin Dependant Diabetic Male On 15 Meds

57 year old insulin dependant diabetic male on 15 Meds primarily for blood pressure and other cardiac issues, chronic pain and acid reflux. BP is 90 over 60. Feeling a little dizzy and sweaty. History of cardiac issues including quad bypass in 2001. Angioplasty (1 vessel) in 2006. Pacemaker as well. Pacemaker activity is neglible ( .07 %). Prognosis and recommended action.