
#116 The Lipid Panel Reimagined: Mind the Gap Segment
Core IM | Internal Medicine Podcast
Is There a Triglyceride to HDL Ratio?
Gregory: Most people use the HDL on a lipid panel as a way of figuring out the non-HDL cholesterol, and then they just discard and move on. I've had a lot of really smart physicians tell me that they just ignore the triglycerides because they don't really know what to do with it. And when I see a triglyceride to HDL ratio that looks like that, that tells me somebody's not very metabolically healthy and that they have poor insulin sensitivity. If you had to redesign the lipid now, if you were to add something to it, maybe even get rid of something, what would you do?
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