If the nonclustered indexes are showing high writes and high reads, it means that they are heavily used but also that the table is involved in data ingestion. My suggestion in this case:
- Consolidate indexes to improve the number of reads and improve insert performance by updating a smaller number of clustered indexes during data ingestion.
- Look for tables that have 10 or more non-clustered indexes and try to consolidate indexes there. 10 is very likely too many indexes for read-write tables in most databases. The more indexes a table has the more writes are needed.
- Make sure all columns on the index definition section and on the Include section are used by queries.
- Indexes with a ratio of 10x more writes than reads should be consolidated on another index and be removed