Yuichiro Shindou writes:


        I want to compare patient A with patient B before I make suggestions to the 2 patients. First, regarding diet, the favorite foods of patient A are ice cream, eggs and fatty meats. These connect to taking too much sugar and fat, so I think that they are a major factor of his high LDL-cholesterol level. And, patient B resembles patient A about diet. She needs to limit her intake of cheese, her favorite food, since this also contains excessive fat.

        Second, patient A does little or no exercising every day. This is very bad. In contrast, it is good that patient B rides her bicycle on weekends. Third, I want to refer to LDL-cholesterol levels. That of A is 165. This is a high risk and an important RISK FACTOR of heart disease. On the other hand, that of B is 125. This is a good or desirable level. It is no problem now. But, B may develop diabetes, because of her family history. This could be connected to her obesity. There are some problems in her every day diet. It may be indispensable to analyze the diets of her family from a long time ago.

        Now, I want to give the 2 patients suggestions to maintain good health. In the case of A, he had better make his LDL-cholesterol level lower because a high one connects to his narrowing of the arteries. So, A should take nutrition that is considered balanced, and not lean toward eating much sugar and fat . For example, he had better eat more fruits, vegetables, boiled or grilled fish and skinless chicken and less fried meats. These help prevent high levels of LDL. Also, he should exercise every day even if only a little. Exercising creates a good effect for digesting and taking nutrition. For instance, Ca is taken in bones especially if he is young.

        And, in the case of B, she had better solve her overweight problem, so she should exercise every day even if it is only 10 minutes walking. Furthermore, it is very good if the pace is a little fast. Also, I can say to her the same things that I said to A. In addition, she should quit smoking because this can become an important factor of heart disease. And, what she should do against diabetes is to take meals regularly, in other words, not to eat between meals, and not to eat foods including much sugar. Because these foods connect to high sugar in the blood, and can lead to diabetes finally.

         

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