Table 2

Assessment of insulin resistance by the HOmeostasis Model Assessment (HOMA) formula

Although the criterion standard for quantifying insulin resistance is the euglycemic clamp, a technique not feasible in primary care settings, the HOMA formula* can be used as a reliable substitute. Patients are classified as insulin resistant if the value determined by the formula exceeds 1.64.
  • * HOMA—(fasting glycemia [mmol/L] x fasting insulinemia [μIU/L])/22.5.