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My H does not have diagnosed coronary problems, but he is a time bomb: his father died of an MI in his late 50s, he is an untreated diabetic (refuses to consider meds, but does not follow the diet and exercise plan), he is overweight, male and in his 40s... enough risk factors to worry about. At least he does not smoke.





Ouch!!!
I was assuming his fatigue was jet lag and/or depression, but have you considered the possibility his diabetes is worsening? It can cause fatigue and mood swings.

Would he at least take vitamins for you? B complex to lower his homocysteine levels (an in dependent risk factor for heart disease) and chromium (a trace mineral that's helpful for Type 2 diabetics).

Can you at least affect what he's eating at home by serving more meals with lean protein (like chicken breasts) and veggies, and cutting down the carbs and making them complex carbs?

Could you get him to walk with you in the evenings after dinner (okay, so it may be too cold right now, I know - but later?)? Exercise is great for Type 2 diabetes. Could you motivate him with a desire to shape up and lose weight without mentioning the diabetes? Or would he buy it if you said YOU wanted to lose weight and get fit and needed his support?

Ellie