There is increased prevalence of DM. Features of MetS vary by race/ethnicity. Waist circumference, not weight, should be used to determine abdominal adiposity when possible. DM develops at a lower lean body mass and at earlier ages.S4.5.1-19 S4.5.1-21 Majority of risk in South Asians is explained by known risk factors, especially those related to insulin Risk Decisions No separate PCE is available; use PCE for whites. PCE may underestimate ASCVD risk in South Asians. PCE may overestimate risk in No separate PCE is available; use PCE for non-Hispanic whites. If African-American ancestry is also present, then use PCE for blacks. Use PCE for Country-specific race/ ethnicity, along with socioeconomic status, may affect estimation of risk by PCE. (Continued) CLINICAL STATEMENTS AND GUIDELINES of specificity of the term Hispanic/Latino. Race/ethnic- ity and country of origin, together with socioeconomic status and acculturation level, should be discussed and may explain ASCVD risk factor burden more precisely than the generic term Hispanic/Latino.S4.5.1-6 S4.5.1-11 In addition, those who identify as Native American/Alas- kan natives have high rates of risk factors for ASCVD compared to non-Hispanic whites. In many ways, the increase in metabolic risk factors and propensity for dia- betes mellitus resembles the risk profiles of those who identify as Mexican-Americans.S4.5.1-12 Table 10 reviews these and other racial/ethnic issues that may be useful in clinical management. Recommendations for Hypertriglyceridemia Referenced studies that support recommendations are summarized in Online Data Supplements 31 and 32. 