Triglyceride/HDL cholesterol ratio and lipoprotein insulin resistance Score: Associations with subclinical atherosclerosis and incident cardiovascular disease

•TG/HDL-C ratio and LP-IR score (NMR) are lipid-based measures of insulin resistance.•We determined associations of HOMA-IR and these lipid measures with atherosclerosis.•All measures were independently associated with carotid intima media thickness; n = 170.•All measures were independently associated with incident CVD; n = 505/6232, FU 8.2 yr.•HOMA-IR was not superior to these lipid measures, obviating insulin measurement.