我覺得您的血液指標不錯，特別是HDL很高，甘油三酯很低，LDL並不算高。
我比較感興趣的是你的HDL在周飲食一年後沒有降低，反而升高，這很難得，可能與減肥與鍛煉有關係。您的HgbA1c也減低，個人認為在周飲食一年後您的身體健康是有提高的。但您的指標原來也不錯，BMI也不高，如果血壓正常，其實是滿健康的。無論那種飲食，您的HDL和甘油三酯的指標都令人羨慕。
我基本堅持了不太嚴格的周福滿飲食，約三年了吧。下圖是曆來的指標，綠色年份是周福滿飲食後的。今年體健過了，但我的醫生因為我去年的血液指標沒問題，拒絕今年給我測此項目。看來他是隔一年一次，也許我該換醫生了。
我的體重降了約20磅之後就穩定了。其間有返回7磅左右的時候，但恢複飲食後就又回去了。
我的建議是如果你的指標穩定，現在的飲食就可以，也許在主食上稍微克製一點即可。多吃蔬菜水果對防癌也有益。
至於頸動脈的斑塊，似乎很難改變。據說膽固醇降低50%後硬化斑才降低10%。斑塊與膽固醇的關係多大也不是很清楚。
對於超聲波測頸動脈斑塊，我不是很了解，可參考下麵的文章。
Carotid Artery Stenosis Imaging
請注意兩點：
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]。
就說到這吧，祝健康。
