Some other things I should have mentioned wrt your message but forgot to do. They say you have cirrhosis and have an enlarged spleen with a low platelets count, this is all perfectly consistent with ESLD, but this does also indicate that you do have portal hypertension (PHT) which again is exactly what'd expect with advanced ESLD. I'm a bit puzzled by your comment that "no portal hypertension was noted"?
Issues with glucose control and diabetes can also be expected with ESLD. Not sure if you had the
diabetes issue before hand or if it was caused by your cirrhosis, might be interesting to know. Your liver is a store house of sorts for glucose when your body currently doesn't need it. So when you have disrupted portal blood flow (as indicated by cirrhosis with PHT), this management of glucose control/storage/release is impaired and tends to lead to diabetes.
Lastly, your digestive process will lose it's efficiency with the cirrhosis and it's fibrotic compression that will begin to disrupt your bile flow system. Your liver creates bile and it is excreted into your small intestines. There it helps the digestion of food by breaking up fats and with the absorption process of various nutrients, vitamins, etc.. You need to keep your eye on all of your fat-soluble vitamins (A,D,E,K) because they will become deficient. This part of ESLD is a very big problem for me since I have cirrhosis and my form of disease specialized in destroying my bile system. My vit-D(OH)25 is always very low (around 5-8 usually) even with weekly 50,000 unit Vit-D2 supplements. I simply have to make adjustments to how I eat and what I eat.
When you and I have the extra disadvantage of an overlapping CTD disease, well it means that our doctors are really going to have to work very hard for their money (think there's a song about that ...). Again, I'll be here if you have any questions at all. Good luck to both of us.