intermediate work · Accredited lab / clinic draw, New Orleans, LA
Fasting insulin + HOMA-IR (early insulin resistance) — New Orleans.
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$360 proposed
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What the work involvesInsulin resistance is the most upstream, earliest-detectable driver of metabolic aging and is frequently abnormal years before fasting glucose or HbA1c move. A fasting insulin with HOMA-IR surfaces the problem while it is still fully reversible by training and diet. CrescentCare's growth into one of New Orleans's largest community health centers, FQHC status since 2013 building on more than 40 years of prior work, is part of the city's deliberate post-Katrina shift toward community-based primary care, the same access layer a fasting-insulin draw depends on.
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- accredited-lab requisition (fasting insulin + fasting glucose)
- chain-of-custody label
- calculator for HOMA-IR
Steps
- 1. Before scheduling any fasting draw, ask whether the person takes insulin, a sulfonylurea, or any other glucose-lowering medication; if yes, route to the prescribing clinician for a fasting plan or a non-fasting alternative (e.g. HbA1c) before any >=8 h fast is attempted.
- 2. Arrange a fasting draw (>=8 h) through an accredited lab for insulin and glucose together.
- 3. Record the fasting duration and both values with the lab reference ranges.
- 4. Compute HOMA-IR = (fasting glucose mg/dL x fasting insulin uIU/mL) / 405.
- 5. Place HOMA-IR against reference bands (optimal <1.0; insulin resistance typically >2.0) for flagging only.
- 6. Attach the lab report; log both values, fasting state, and HOMA-IR; sign it. No medication guidance.
What counts as done
- Fasting insulin (uIU/mL) and fasting glucose (mg/dL) from an accredited lab with reference ranges
- Fasting duration (>=8 h) recorded
- HOMA-IR computed and compared to a reference band (optimal <1.0; insulin resistance typically >2.0)
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