The Cardiovascular
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HOMA-IR (insulin resistance)

Estimates insulin resistance from fasting glucose and insulin.

HOMA-IR (insulin resistance)
Fasting insulin
uU/mL
Fasting glucose
Complete the fields above to see the result.

When to use

  • Screening for or quantifying insulin resistance in non-diabetic or research settings.

Formula

HOMA-IR = (fasting insulin [uU/mL] x fasting glucose [mg/dL]) / 405. With glucose in mmol/L, divide by 22.5 instead.

Pearls and pitfalls

  • Requires a true fasting sample; unreliable once endogenous insulin secretion fails (advanced type 2 or type 1 diabetes).
  • Cut-offs are population- and assay-specific rather than universal.

References

  1. Matthews DR, et al. Diabetologia. 1985;28(7):412-9.