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HOMA-IR calculator online: insulin resistance index, formula, reference ranges

HOMA-IR calculator using the original Matthews 1985 formula. Enter fasting insulin (µU/mL) and fasting glucose (mmol/L or mg/dL) – the tool returns the index plus interpretation by clinical cutoffs: normal (< 2.0), early resistance (2.0–2.9), significant resistance (≥ 3.0).

µU/mL

About this calculator

HOMA-IR (Homeostatic Model Assessment of Insulin Resistance) is the primary surrogate marker of insulin resistance in adults without type 1 diabetes. Used in endocrinology for metabolic syndrome workup, in gynecology for PCOS evaluation, and in primary care in patients with central obesity, non-alcoholic fatty liver disease, or hypertension. Formula: HOMA-IR = (fasting insulin µU/mL × fasting glucose mmol/L) / 22.5. Blood must be drawn fasting (8–12 hours). Reference ranges: < 1.0 – optimal sensitivity, 1.0–1.9 – normal, 2.0–2.9 – early insulin resistance, ≥ 3.0 – significant insulin resistance requiring lifestyle and/or pharmacological intervention. Method sensitivity is reduced in patients with severe β-cell dysfunction, so HOMA-IR is not applicable in overt type 1 diabetes.

Source

Matthews DR, Hosker JP, Rudenski AS, et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations. Diabetologia 1985;28:412-419.

Formula version: 1985-v1

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