Clinical Decision Framework

Mediterranean diet and regular exercise are presented as broadly beneficial interventions regardless of lab findings. TyG index and TG:HDL ratio can be calculated from the minimum workup and are more informative than individual values alone. The minimum viable workup for suspicious history includes fasting glucose, fasting triglycerides, HDL, and HbA1c. A patient may be flagged for insulin resistance even when individual lab values are technically normal if the clinical pattern is concerning. A clear clinical picture may justify lifestyle support before lab work returns or is ordered.