Maybe it is not novalog. Or he was not taught correctly. Or he doesn't eat except for breakfast--- and drinks all day instead.
Major denial... major problems. People who drink heavily tend to get low blood sugar spells... that may have something to do with his regimen.

He won't be around much longer. That is his choice. His liver will fail, his blood will stop clotting and he may bleed to death before the sugar gets him. Cirrhosis in a 32 yr old is a bad sign.

We know a young guy who has had pancreatitis already from drinking. He has 3 little girls. He stopped for a while, was in the hospital once, and now is back on the beer.

Lifestyle problems are so common. You should see the alcoholic stats for Russia! Far worse than here.

There is a condition called pyroluria, which causes tremendous anxiety and many with it develop alcohol dependence to self medicate (it is genetic). It is fairly simple to fix:
http://www.drkaslow.com/html/pyroluria.html