Hello welcome to the health care magic You are suffering from HCV induced cirrhosis of liver...... So because of cirrhosis you are having portal hypertension and that can lead variceal bleeding Permanente treatment for cirrhosis is liver Transplantation but it is very costly and usefulness in HCV positive Pateint needs further discussion with gastroenterologist For portal hypertension beta blocker can be prescribed If needed Treatment of variceal bleed is band ligation or sclerosent injection If needed TIPSS like less Invasive procedure can be done to reduce portal hypertension But as you are diabetic before any intervention sugar level must be controlled and benefit to rusk ratio should be think Take care Hope your concern solved Consult gastroenterologist for examination and further discussion