Kenichiro Higashi writes:
Patient A and B have some similarities
in terms of diet. For example, both of them like fatty food. Patient A
prefers ice cream, eggs and fatty meats. Patient B prefers cheese. All
of these are fatty foods.
On the other hand, there are many differences between patient A and B in terms of their health. First, patient A already has abnormalities of the heart and arteries, while patient B seems to be normal. To illustrate, patient A has "angina" chest pain and his arteries have been confirmed to be narrowing. Another problem is also indicated by his LDL-cholesterol level (165). Second, patient A does little or no exercise, while patient B likes to ride her bicycle on weekends. Finally, patient B has unique problems in terms of her health. These are being overweight, smoking and her family history of diabetes. All of these factors indicate an increased risk of heart disease, although she is normal at present.
Suggestions to patient A are as follows. First, he should avoid fatty food and eat more fiber-rich food such as vegetables and fruits. Fiber helps reduce cholesterol levels. He should eat no more than 4 egg yolks a week and replace ice cream with nonfat yogurt and ice milk. He should choose lean cuts of meat and cut down on the amount when eating meats. Second, daily and moderate exercise is recommended although too much exercise should be avoided. Exercise helps increase his HDL-cholesterol level, which is effective to reduce the LDL-cholesterol level. Finally, he should be checked often by doctors because he already has problems in his heart and arteries. It may be necessary to use proper medicine in addition to these changes in his life style.
Suggestions to patient B on her diet are the same as for patient A. She should also avoid fatty food and eat more fiber-rich food. She should limit consumption of cheese because it contains high cholesterol. She had better eat whole grain bread instead of white bread, because the former contains much fiber and vitamins. Furthermore, the total calories of her diet are also important. She should reduce her weight to a proper level. Fiber-rich foods can also help when she is trying to lose weight. Besides, she had better stop smoking. Riding a bicycle is good for her health, so she should continue. If possible, daily exercise is recommended. Although she is normal at present, she should be checked regularly by doctors because she has several high risk factors. All of the suggestions above can reduce the risks except her genetic factor. So it is notable that she should become conscious of her constitution of diabetes.
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