Robert H., 51M, presents for an annual physical. He feels well, has no complaints, and his standard labs are 'perfect': fasting glucose 91 mg/dL, HbA1c 5.2%, total cholesterol 195, LDL 118, HDL 44, TG 168, BP 132/84. His physician tells him everything looks great and to come back in a year. Robert's father had a heart attack at 58 and developed T2DM at 62. Robert is BMI 27.8.