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Results Higher levels of AIP, LOOH, and TG and lower HDL-c (all P  less then  0.0001) were observed in T2DM patients than in the control group. AIP positively correlated with LOOH, non-HDL-c, and the non-HDL/HDL ratio (all P  less then  0.0001). The TG level was strongly correlated with the LOOH level among T2DM patients (P  less then  0.0001). Conclusions The close association of AIP with other atherosclerosis-related lipid factors reveals an increased plasma atherogenicity. AIP risk categories indicate the actual status of plasma ather