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The Trig:HDL ratio provides additional valuable information regarding CHD risk in that it provides an indirect measure of insulin resistance. A brief review: insulin is a hormone produced by the beta cells of the pancreas. Its main role is to assist in the transport of glucose and amino acids from the blood into the cells. Insulin resistance is a condition where a normal insulin production leads to a sub-normal uptake of blood glucose by the tissues. Therefore, people who are insulin resistant tend to have elevated blood glucose levels, and are much more likely to develop prediabetes and type 2 diabetes than people who are not insulin resistant. A high Trig:HDL ratio is usually a good indicator of the presence of insulin resistance. Using the examples above and with all other factors being equal, Steve would be much less likely to have insulin resistance than Michelle. Therefore, Steve would be at a lower risk of developing CHD than Michelle.
I don't think it all copied and pasted