INS and hyperinsulinism: Although the TC and LDL-C levels are lower in urban Asian Indian adolescents than in other populations, however, the fasting hyperinsulinemia (fasting serum insulin level >20 microunits/ml)[23], indicative of insulin resistance, was seen in 50% of girls and 19% of boys, in addition to the presence of other cardiovascular risk factors such as high C-reactive protein (CRP) levels [13,14,16].