Insulin Resistance Risk Calculator
Estimate your insulin resistance risk using surrogate markers validated in clinical research. The gold standard test (hyperinsulinemic euglycemic clamp) is impractical for routine use, but HOMA-IR, triglyceride-to-HDL ratio, and waist circumference provide reliable clinical estimates per ADA guidelines.
What You'll Get
- HOMA-IR score (if fasting insulin and glucose provided; optimal <1.5, insulin resistant >2.9)
- Triglyceride-to-HDL ratio (optimal <2.0; >3.0 signals insulin resistance)
- Clinical risk category (low, moderate, high)
- Which additional labs to order if data is incomplete
- Evidence-based recommendations
Frequently Asked Questions
What is a normal HOMA-IR score?
A HOMA-IR below 1.0 is optimal. Scores between 1.0–1.5 indicate low risk, 1.5–2.5 suggest moderate insulin resistance, and above 2.5 indicates significant insulin resistance consistent with metabolic syndrome.
What is a healthy triglyceride-to-HDL ratio?
A TG/HDL ratio below 2.0 is optimal. Ratios above 3.0 are a reliable surrogate marker for insulin resistance, validated in clinical research as comparable to more invasive testing methods.
Can insulin resistance be reversed?
Yes. Targeted dietary changes (reducing refined carbs, increasing fiber), regular exercise (both aerobic and resistance training), improved sleep, and weight loss of 5–10% typically improve HOMA-IR within 8–12 weeks.
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