我觉得您的血液指标不错，特别是HDL很高，甘油三酯很低，LDL并不算高。
我比较感兴趣的是你的HDL在周饮食一年后没有降低，反而升高，这很难得，可能与减肥与锻炼有关系。您的HgbA1c也减低，个人认为在周饮食一年后您的身体健康是有提高的。但您的指标原来也不错，BMI也不高，如果血压正常，其实是满健康的。无论那种饮食，您的HDL和甘油三酯的指标都令人羡慕。
我基本坚持了不太严格的周福满饮食，约三年了吧。下图是历来的指标，绿色年份是周福满饮食后的。今年体健过了，但我的医生因为我去年的血液指标没问题，拒绝今年给我测此项目。看来他是隔一年一次，也许我该换医生了。
我的体重降了约20磅之后就稳定了。其间有返回7磅左右的时候，但恢复饮食后就又回去了。
我的建议是如果你的指标稳定，现在的饮食就可以，也许在主食上稍微克制一点即可。多吃蔬菜水果对防癌也有益。
至于颈动脉的斑块，似乎很难改变。据说胆固醇降低50%后硬化斑才降低10%。斑块与胆固醇的关系多大也不是很清楚。
对于超声波测颈动脉斑块，我不是很了解，可参考下面的文章。
Carotid Artery Stenosis Imaging
请注意两点：
1。Carotid artery stenosis accounts for approximately 10% of ischemic strokes.
2。However, a recent review and meta-analysis published by the U.S. Preventive Services Task Force rejected the usefulness of carotid duplex sonography as a screening test in asymptomatic individuals. Duplex carotid sonography remains useful in the initial evaluation of symptomatic patients who present with nonspecific symtoms that may be related to stenotic or embolic carotid stenosis.[1, 2]
Although duplex imaging helps in the detection of carotid lesions in asymptomatic patients, the cost and risk associated with potentially unnecessary follow-up testing and the risk of unnecessary surgical procedures are arguments againt the wider application of carotid sonography in asymptomatic indivduals. The clincial management of coronary artery disease, peripheral arterial stenosis, and hypertension are likely to delay the development of carotid arterial stenosis. The usefulness of carotid arterial screening has been demonstrated in patients prior to elective surgery. There is good evidence in support of an evaluation for carotid stenosis prior to coronary arterial bypass surgery.[3, 4, 5, 6]。
就说到这吧，祝健康。
