Specifically, Cer(d18:1/18:0) and its ratio to Cer(d18:1/24:0) have recently been found able to accurately predict acute coronary syndrome-T2D, confirming the previous evidence which suggests that Cer(d18:1/18:0) is particularly adverse for insulin sensitivity and promotes adipose inflammation [15,16]. Here, CBLN1 is linked to acute coronary syndrome.