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About

Metabolic health hinges on how efficiently cells respond to insulin. High sensitivity allows the body to process glucose with minimal hormonal effort. Low sensitivity, or resistance, forces the pancreas to overcompensate. This creates a state of chronic hyperinsulinemia often preceding Type 2 Diabetes.

This tool inverts standard resistance models to provide a Sensitivity Score. It translates clinical data into a percentage relative to a healthy baseline. The calculation relies on fasting values. Accuracy demands samples taken after at least 8 hours without caloric intake. Interpretation focuses on optimization for athletic performance and longevity rather than solely diagnosing pathology.

metabolic health insulin resistance HOMA-IR fitness tracker bloodsugar

Formulas

The core calculation derives from the homeostatic model assessment (HOMA). Sensitivity is the reciprocal of resistance.

Insulin Resistance (HOMA-IR):

Ifasting × GfastingC

Insulin Sensitivity (%S):

100HOMA-IR

Where I is Insulin (µIU/mL) and G is Glucose. The constant C depends on units (405 for mg/dL, 22.5 for mmol/L).

Reference Data

Score (%)ZoneMetabolic StateAction Plan
> 100OptimalHigh SensitivityMaintain current hypertrophy/cardio split.
70 100GoodNormal ResponseMonitor refined sugar intake.
40 69WarningEarly ResistanceConsider low-carb or intermittent fasting.
20 39PoorSignificant ResistanceStructured caloric deficit required.
< 20CriticalMetabolic Syndrome RiskImmediate medical consultation advised.

Frequently Asked Questions

Resistance scores (HOMA-IR) increase as health worsens (1.0 is good, 5.0 is bad). This is counterintuitive for fitness goals where "higher is better". Sensitivity percentage flips this, giving a score where 100% represents an optimal baseline, making progress tracking easier.
Yes. Severe dehydration can hemoconcentrate blood samples, artificially elevating values. Water intake is generally permitted during a fast, but coffee or additives may trigger minor insulin responses in sensitive individuals.
Intense hypertrophy training or HIIT within 24 hours of the blood draw can temporarily improve insulin sensitivity. For a consistent baseline, avoid heavy exertion the day prior to testing.