Kazuro Ishihara writes:
Comparing patient A to patient B regarding
diet, cholesterol lifestyle, etc., there are some similarities and differences.
Similarities between the two patients are that they have to be careful
in their diets. In the case of patient A, he has to decrease his favorite
foods that are rich in cholesterol and fats. These foods rich in cholesterol
are bad for him because he now has "angina" chest pains and his
LDL levels is 165, greater than the upper limit 130. So, he must decrease
his LDL cholesterol level in his blood. Patient B also has to change her
menu because she has a risk factor of diabetes because of her family history
of diabetes, and because her favorite foods, white bread and cheese, are
not good for people having risk factors of diabetes. Although her cholesterol
level is 125, much less than the upper limit 200, she has to be careful
not to increase her cholesterol level from now on, because she has a greater
possibility of diabetes than ordinary people.
Next, patient A and B are different in the following points. Patient A
should do exercise as much as possible every day. In this point, patient
B is "OK" basically. Her weekend cycling is good for her. But
her smoking habit is not good. She should stop her smoking habit.
Finally I suggest changes in their diet and lifestyle habits.
1)For both patient A and B, reduce high cholesterol foods such as egg yolk
and take much lower cholesterol foods such as vegetables, fruits and tomato,
carrot, parsley, onion, cabbage and so on.In addition to vegetables and
fruits, I recommend such foods that not only have low cholesterol but also
have much fiber, such as mushrooms and konnyaku, the latter being elastic
and well known in Japan. Also they should eat kanten made from grass in
the sea.. Fibers in foods are effective for lowering cholesterol absorbed
from the intestine.
2) For both patient A and B, reduce foods rich in high saturated fatty
acids such as cheese, fatty meats and take more foods rich in unsaturated
fatty acids such as fish. Although I say meats are not good for you, you
may eat
meats whose fats are removed fully by some methods such as boiling etc.
3) For patient B, Don't eat too much but don't try to stop eating, either.
Eat a little food and eat a variety of foods regularly.
4) For patient A, try to do exercise adequately and as much possible as
every day.
5) For patient B, try to stop smoking.
6) For both patient A and B, check your cholesterol level, LDL level, etc.in
the blood every five years.
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