atrophy of pancreas, with weight loss, anemia, and having very foul smelling bowel movements 3-4 or more times per day, loud digestive noises and excessive gas, occasional abdominal discomfort, poor appetite, also has diabetes type II brittle highs and lows, double digit A1cs, for several decades, on insulin. 86 year old female. What could be going on? What can be done to help