We refer to a recent publication1 and comment2 on the lack of association between insulin resistance and plasma triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C) levels and the TG/HDL-C ratio in African Americans. To add some information in a non-American population, we present data from the Seychelles (Indian Ocean), where most of the population is of African descent. We assessed cardiovascular risk factors, including fasting blood markers, in a representative sample of the population aged 25 to 64 years.3 We calculated homeostasis model assessment of insulin resistance (HOMA-IR)4 as
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