Paul Saladino· MD
those who are insulin sensitive whether that is reflected as low triglycerides High HDL or a low fasting insulin or in the Framingham cohort a high HDL these people have a significantly reduced level of ischemic heart disease risk relative to those with similar levels of LDL greater than 130 milligrams per deciliter who have evidence of insulin resistance an elevated fasting insulin or high triglycerides or low HDL