The three most important areas of controlling diabetes are diet, exercise and weight.
While there is much information I can give on diet, the most important single factor is reducing sugar and starches . It’s not all carbohydrates that are bad — vegetables and legumes, which are mostly carbohydrates, have very little starch and sugar and high amounts of fiber, forming one of the bases of a healthy diet for diabetes, along with healthy protein sources. A registered dietitian or nutritionist is an essential partner in diabetes care.
Q: Lately, I’ve been hearing about a relationship between the COVID vaccines and a significant increase in heart-related deaths. Please review the latest information on this subject, and your recommendations.While there are multiple studies published and, unfortunately, misleading conclusions on social media based on faulty analyses, the best data come from the U.K., where all-cause mortality is very significantly reduced in people who have had the COVID vaccine, compared to unvaccinated people.
My recommendation remains consistent. Everyone who can get the vaccine should get the vaccine, and it’s more important for people who have more risk factors. Older people, those with heart or lung problems, and those with problems in their immune system due to a medical condition, or its treatment, are at a particularly high risk and should ensure that they are fully boosted with the vaccine.
Q: My youngest son has to have both of his hips replaced. He is only 37 but is in a very strenuous job of being a boilermaker in an oil refinery. This is the hardest job in a heavy industry. His doctors are telling me that his hips deteriorated due to alcohol consumption — is this even possible? Even if he can get through this ordeal, he is still locked into this physical type of work.
Untreated congenital hip dysplasia may also lead to severe hip damage requiring a total hip replacement, and it is also one cause I see in a person of your son’s age.
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