Your family are in my thoughts and prayers.
I am not sure how you measure blood sugar in USA, a reading of 38mmol/l would be dangerously high here in Scotland where the normal range should be around 4 to 10. Below 4 there is a danger of hypoglaecemic fainting and above 25 there is the risk of hyperglaecemic coma which is often fatal.
My wife Ann was diagnosed with diabetes a few weeks after we married. She lived with it for fifteen years before the first of a series of strokes from which she is now paralysed from the waist down and mentally confused and lives in a nursing home as she needs full time care. Diabetes causes hidden damage over a long period, I have seen my wife go from being a partner and companion into becoming someone whom I now regard like a dear old aunty whom I visit and sometimes take out in a wheelchair, love her every bit as much but in a different way.