⚕️ For clinical reference only. Not a substitute for professional judgment.

HOMA-IR Endocrine

Homeostatic Model Assessment of Insulin Resistance — estimates insulin resistance from fasting glucose and insulin. Used in metabolic syndrome evaluation.

Enter fasting values
Enter fasting glucose and fasting insulin to calculate HOMA-IR.

Fasting Values (minimum 8-hour fast)

mmol/L
mU/L (pmol/L ÷ 6)
Formula & Interpretation
HOMA-IR = (Fasting Glucose x Fasting Insulin) / 22.5 (Glucose in mmol/L, Insulin in mU/L) <1.0: Optimal insulin sensitivity 1.0–1.9: Early insulin resistance 2.0–2.9: Significant insulin resistance >3.0: Marked insulin resistance / metabolic syndrome
When to use
  • Metabolic syndrome assessment alongside waist circumference, lipids, BP
  • Monitoring response to lifestyle intervention or metformin
  • PCOS — quantifying insulin resistance
  • Not for use in insulin-treated patients (values unreliable)