Merios
Triglyceride / HDL — Atherogenic Index

A high triglyceride / HDL ratio is one of the earliest signs of insulin resistance and the small-dense-LDL pattern. Cheap, fast, often more revealing than LDL alone.

Free interactive tool

Triglyceride / HDL Ratio Calculator

Enter your triglycerides and HDL from your most recent lipid panel to see your TG/HDL ratio (US units, mg/dL).

Optimal< 1.0
Good1.0–2.0
Borderline2.0–3.0
Insulin resistant> 3.0

Educational tool. Both values must come from a fasting lipid panel. If you're outside the US (mmol/L), multiply triglycerides by 88.57 and HDL by 38.67 to convert to mg/dL before entering.

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Why the ratio beats either number alone

Triglycerides reflect short-term carbohydrate handling and liver fat. HDL reflects long-term metabolic resilience. The ratio captures both at once — and tracks tightly with LDL particle count and the small-dense-LDL phenotype. When trig/HDL drifts up, the fix is rarely a statin: it's sleep, fiber, weight, and resistance training. Use the ratio as a monthly compass.

Frequently asked questions

What does the triglyceride / HDL ratio tell me?
It's one of the strongest single-number predictors of insulin resistance and atherogenic dyslipidemia — the small-dense-LDL pattern that drives heart disease. A high ratio suggests your lipoprotein profile is shifted toward more atherogenic particles, even when LDL cholesterol looks normal.
What's a healthy ratio?
Below 1.5 — optimal (commonly seen in metabolically healthy lean individuals). 1.5 to 2.0 — good. 2.0 to 3.5 — elevated risk, often the first signal of insulin resistance. Above 3.5 — atherogenic dyslipidemia, strong correlate of cardiovascular risk and metabolic syndrome.
Why is this often more useful than LDL alone?
LDL-C measures cholesterol mass, not particle count. Two people with the same LDL can have very different numbers of LDL particles. A high trig/HDL ratio strongly correlates with high LDL particle count (LDL-P) and small-dense LDL — the most atherogenic subtype. So when ApoB or LDL-P isn't on your panel, trig/HDL is the best proxy.
What units does the calculator expect?
US units — both triglycerides and HDL in mg/dL. If your lab reports in mmol/L (most of Europe and Canada), multiply triglycerides by 88.57 and HDL by 38.67 to convert to mg/dL before entering. We don't auto-convert because the ratio depends on using the same units for both inputs.
Does Merios store these numbers?
No. The calculator runs entirely in your browser. Your inputs never leave your device.

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Watch the curve, not the snapshot.

Merios recalculates trig/HDL ratio with every lipid panel and tracks the trend over time alongside ApoB, LDL, HDL, and HOMA-IR.

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