The gold standard is something called the euglycemic clamp, also known as the hyper insulinemic clamp. It's a research technique with limited clinical ability applicability. So you really want to be looking at other markers of insulin resistance rather than just an oral glucose tolerance test or just fasting plasma glucose. Raised dog listerides, so over 1.7 millimoles per liter, those are things that we want to be careful of and reduced HDL cholesterol.

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