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I'm sorry to hear what is happening. I know its very hard. My father was also very stubborn and grumpy dealing with the same issues. Even if he refuses, I would just take him to the doctor or get a doctor to come to the home to see him. Because of the diabetes and other ailments he might have vascular dementia. He is not being rational about his condition. He needs help. Might have to call in a social worker to talk with him as well.
I went through this with my dad. My dad was so grumpy about his pills, I just let him be. But it was a fatal mistake, he died one year later. I always felt that if I had found another way, he would still be alive today. I know people talk about quality versus quantity of life, but I feel that if he had taken his pills, he might have gotten some quality back, but I never know. It is a very though thing to manage. Try to advocate for him as best you can. Thinking of you.