The modifying effect of diabetes on the association between triglyceride to high-density lipoprotein cholesterol ratio and cardiovascular risk: a systematic review and meta-analysis - Scorecard - MDSpire

The modifying effect of diabetes on the association between triglyceride to high-density lipoprotein cholesterol ratio and cardiovascular risk: a systematic review and meta-analysis

  • By

  • Hao Bai

  • Lihua Xia

  • Lingqiao Song

  • Zeyuan Long

  • Youxing Wu

  • Jiangyun Ru

  • Yuanzhi Li

  • Xing Ni

  • Zhangyi Wang

  • Li Liao

  • June 24, 2026

  • 0 min

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Clinical Scorecard: The Impact of Diabetes on the Relationship Between Triglyceride to HDL Cholesterol Ratio and Cardiovascular Risk: A Systematic Review and Meta-Analysis

At a Glance

CategoryDetail
ConditionCardiovascular Disease (CVD)
Key MechanismsAssociation between triglyceride to HDL cholesterol (TG/HDL-C) ratio and cardiovascular events, modified by diabetes status.
Target PopulationAdults aged > 18 years, including individuals with and without diabetes.
Care SettingClinical assessment of cardiovascular risk using lipid-related indices.

Key Highlights

  • The TG/HDL-C ratio is associated with cardiovascular events and all-cause mortality regardless of diabetes status.
  • Stronger associations with stroke and coronary heart disease were observed in individuals with diabetes.
  • The study included 27 cohort studies with a total of 949,043 participants.

Guideline-Based Recommendations

Diagnosis

  • Evaluate TG/HDL-C ratio as a potential indicator of cardiovascular risk.

Management

  • Consider diabetes status when assessing cardiovascular risk associated with TG/HDL-C ratio.

Monitoring & Follow-up

  • Monitor TG/HDL-C levels in both diabetic and non-diabetic populations for cardiovascular risk assessment.

Risks

  • Increased risk of stroke and coronary heart disease in diabetic individuals with elevated TG/HDL-C ratio.

Patient & Prescribing Data

Adults with and without diabetes.

Higher TG/HDL-C levels are linked to atherosclerotic progression and cardiovascular events.

Clinical Best Practices

  • Utilize TG/HDL-C ratio as a simple, cost-effective indicator of insulin resistance and lipid metabolism disorders.
  • Incorporate diabetes status into cardiovascular risk assessments.

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