低碳饮食治疗糖尿病高血压的一个实例－停了4种药

52岁，男，14年II型糖尿病史，9年高血压病史
药物：aspirin 75 mg once daily, metformin 500 mg three times daily, perindopril 4 mg daily, and simvastatin 40 mg at night.

采用的低碳饮食疗法：
糖全戒了，大大减少面包、土豆、意大利面、米饭、麦片
以绿色蔬菜、鸡蛋，全脂希腊酸奶、乳酪来取代碳水

 

结果:
4个药全停了 (逐步停的，在医生指导下)
7个月内减16kg 体重
指标的改善：
HbA1c down from 52 mmol/mol to 43 mmol/mol (6.9% to 6.2%), blood pressure from 130/80 mm Hg to 117/70 mm Hg, GGT from 59 U/L to 19 U/L, and alanine aminotransferase from 53 U/L to 20 U/L. Of particular note is that—despite eating more eggs and lots of full fat Greek yoghurt, and stopping statins—his cholesterol:high density lipoprotein ratio has improved slightly from 2.8 to 2.7, and serum triglycerides have improved from 1.3 mmol/L to 1.1 mmol/L.

 

Case Review
A patient request for some “deprescribing”