52歲，男，14年II型糖尿病史，9年高血壓病史
藥物：aspirin 75 mg once daily, metformin 500 mg three times daily, perindopril 4 mg daily, and simvastatin 40 mg at night.
采用的低碳飲食療法：
糖全戒了，大大減少麵包、土豆、意大利麵、米飯、麥片
以綠色蔬菜、雞蛋，全脂希臘酸奶、乳酪來取代碳水
結果:
4個藥全停了 (逐步停的，在醫生指導下)
7個月內減16kg 體重
指標的改善：
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”
