The patient had two cerebral infarction and type two diabetes. This is what I just did today. What's the reason for the high a index, what should I do? Thank you for your reply
Lipoprotein is slightly higher than the problem. There are 2 times of cerebral infarction and diabetes. It is the most important thing to strictly control low density lipoprotein. According to the latest guidelines, low density lipoprotein should be controlled below 1.4. At present, 2.26 is still high. It is recommended to take atorvastatin calcium or rosuvastatin regularly, regularly check blood lipids, and usually have low salt, low fat and light diet.
This is mainly due to high fasting blood glucose and elevated lipoprotein A. attention should be paid to whether there is a history of cerebral infarction and whether there is routine use of antiplatelet aggregation and lipid-lowering stable plaque drugs. Pay attention to the combination of carotid ultrasound or head CTA to see if there is vascular stenosis, atherosclerosis and plaque formation.
The fasting blood glucose in this test sheet is 6.6, which increases slightly. At the same time, the blood glucose in two hours after meal should also be monitored. According to the monitoring results, hypoglycemic drugs should be adjusted if necessary. The increase of lipoprotein a indicates the risk factors of cardiovascular and cerebrovascular diseases. It is suggested to quit smoking and limit alcohol, eat a low salt and low-fat diet, strictly control blood pressure and blood glucose, take oral aspirin, statins and other drugs under the guidance of doctors, and return to the neurology clinic regularly.
It should be said that high lipoprotein a is an indicator of cardiovascular and cerebrovascular diseases, which indicates that patients are prone to cardiovascular and cerebrovascular diseases. It can predict the disease. At present, no drug can reduce this index. If lipoprotein a is found to be high, we need to pay attention to controlling blood pressure, blood glucose, other indicators of blood lipid, blood uric acid and body weight. Prevent the occurrence of cardiovascular and cerebrovascular diseases.