Third sentence:
> Moreover, restrictions imposed by the pandemic (eg, stay-at-home orders) could claim lives indirectly through delayed care for acute emergencies, exacerbations of chronic diseases, and psychological distress (eg, drug overdoses).
Summary:
>Large increases in mortality from heart disease, diabetes, and other diseases were observed. Further investigation is required to determine the extent to which these trends represent nonrespiratory manifestations of COVID-19 or secondary pandemic mortality caused by disruptions in society that diminished or delayed access to health care and the social determinants of health (eg, jobs, income, food security).
A doubling in the number of deaths associated with "diabetes" is absolutely not consistent with not seeing a doctor for your diabetes for 4 months. It's not like you aren't checking your blood sugar or aren't getting insulin.
No, indeed the only reasonable explanation for the sudden doubling of diabetes related deaths, is that they are actually the result of covid. 35% is not inconsistent with the false negative rates on testing, which is precisely the reason that we are measuring excess deaths as an estimate of the number of people killed by covid.
The 35% are from people who supposedly recovered from Covid-19 but died later from complications or a weakened body. I still would call that Covid-19 deaths.
In the same way that if you fall, break your leg, and later die from infection, we can still say that the fall caused your death, even though what sealed your fate is a bacteria and not mechanical damage.