Uncle Li often comes to our department to listen to our lectures and measure blood sugar and blood pressure by the way. Because he is fat, I often tell him to have blood drawn to check, but he said , Blood sugar and blood pressure are normal, it’s okay to be fat, it’s a healthy fat man, besides, there will be something wrong as soon as you check, and you’re under pressure, so it’s better not to check.
I suggested it a few times, he refused a few times, and the head nurse said, “You can’t wake a guy who’s pretending to be asleep, just let him go!”
But I know that his living habits are not good. He smokes, drinks and plays mahjong. His favorite recipe to discuss with us is braised pork. He is already very fat, and his weight is still growing over the years. .
Recently, he felt a little dizzy and tired. He always wanted to sleep, and his memory was not good. After a while, you can feel dizzy.
Based on the doctor’s intuition, he resolutely suggested that he should have a check. He reluctantly went to draw blood. In the afternoon, he came with the checklist in frustration and said, ” Dr. Sun, I said that if you don’t check, you won’t check, there will be a lot of things, you see, there are so many abnormal results!”
I saw that, indeed, abnormal items There are quite a few, the most conspicuous is cholesterol, reaching 23.79mmol/L, as well as carotid atherosclerosis and plaque formation, coronary atherosclerosis, cerebral ischemia and so on.
A thin piece of paper indicating that Uncle Li has hyperlipidemia, severe fatty liver, fatty liver disease, coronary heart disease and obesity.
I said, you can see that these problems are very serious. At present, atherosclerosis has appeared in the whole body. If it continues to develop, the cardiovascular and cerebrovascular blood vessels will be blocked, and cerebral infarction will occur. , myocardial infarction, will be fatal.
Uncle Li panicked and asked what to do?
Uncle Li now weighs 98kg, is 178cm tall, has a body mass index of 30.9kg/m2, drinks about 250g per day, has a drinking history of about 20 years, and smoked for more than 10 years, 20 cigarettes per day.
I said, you must now change your current living habits, eat a low-salt and low-fat diet, quit smoking and drinking, and lose weight.
Because Uncle Li’s blood lipid level increased significantly, especially cholesterol, I suggested that he take statins for treatment. These drugs slow the progression of arteriosclerosis and reduce the associated risk of cardiovascular disease.
Statins can counteract the inflammatory response of blood vessels, stabilize plaques, etc. It can reduce low-density lipoprotein cholesterol, which has a greater impact on atherosclerosis, and can Stable plaques, even mild plaques, have the potential to reverse.
In view of the characteristics of Uncle Li’s elevated blood lipids mainly due to elevated cholesterol, pitavastatin was used for lipid-lowering therapy. These drugs have pharmacological effects on reducing total cholesterol and low-density lipoprotein cholesterol by inhibiting the synthesis of cholesterol by the liver. At the same time, statins also have a certain regulatory effect on high-density lipoprotein cholesterol and triglycerides.
Uncle Li said, I heard that statins can damage the liver, my liver function itself is abnormal, will it be more obvious?
Uncle Li’s liver function is related to severe fatty liver, and the reduction of blood lipids is beneficial to the improvement of liver function, which can be closely observed during taking.
Before taking statins, be sure to check your liver function regularly.
In the early stage of taking the medicine, it is generally recommended to check the liver function once every 1-3 months of taking the medicine. If it is more than 3 times higher, the drug should be stopped, the drug regimen should be adjusted or other blood lipid regulating drugs should be changed.
I gave Lao Li oral aspirin and pitavastatin, weight loss therapy and other treatment measures. He was given a strict diet and exercise treatment plan.
After half a month, the liver function, blood lipids, blood sugar and muscle enzymes were checked. It is very gratifying that Lao Li’s various indicators have dropped significantly, and he feels dizzy, palpitation and other symptoms. Gone and lost 1.5kg.
After 1 month, the blood lipids were re-examined, and the cholesterol was reduced to 10.68mmol/L. The blood sugar, liver function, uric acid, and muscle enzymes were normal. There was no dry cough, no muscle soreness, and no blood pressure. Stable, with a weight loss of 4 kg.
It is believed that with the extension of treatment time, cholesterol will gradually return to normal. More importantly, during this treatment process, Uncle Li realized the harm of his unhealthy lifestyle to the body, and began to gradually cultivate a healthy diet, exercise every day, and start quitting smoking and drinking. The benefits will gradually increase.