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It's been my experience that most people with whom I've been distant are just grateful and happy to hear from me.
What does it matter if the "only" reason you're calling her now is that you've heard she's sick? She'll still be glad to hear from you, and appreciate that you're concerned about her and love her.
Look at it this way:
See grandma:
Possible consequence #1: she's cranky because you never came to see her before
Possible consequence #2: she's grateful and happy to see you and when she dies you'll know she knew you loved her.
Don't see grandma:
ALMOST CERTAIN consequence 1: you save a little face and then feel guilty and full of regret when she dies because you didn't take the time to let her know you care.
So you've got a slight possibility of a negative outcome if you go see her, but a near 100% probability of a negative outcome if you don't. Suck it up, for your good and hers, and go see your grandma before it's too late. Fear is just an excuse - once you've made up your mind to do it, and you're actually doing it, you'll wonder why you were so afraid in the first place.
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"If ten million people believe a foolish thing, it is still a foolish thing."
- Anatole France
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