Most panels stop at glucose. This one measures insulin, calculates HOMA-IR from insulin and glucose together, and puts both in front of a licensed clinician who reviews them before you ever get on the call.
$199 to start. Blood drawn at any Quest Diagnostics location.
Here is what each one is. Not what it promises - what it measures.
The amount of insulin circulating in your blood after an overnight fast - how much your pancreas is releasing to hold glucose where it currently sits. Routine panels rarely include it.
The concentration of sugar in your blood at that same fasted moment. It is the number most people have seen before, and on its own it describes one variable in a 2-variable system.
The share of your hemoglobin carrying attached glucose, which reflects average blood sugar across roughly the previous three months rather than the morning of your draw.
A waste product left over when your body breaks down purines, cleared through your kidneys. It comes off the same draw and your care team reads it beside the other markers.
HOMA-IR isn't a sixth vial. It's arithmetic performed on 2 of the markers above - your fasting insulin and your fasting glucose, multiplied and scaled into a single figure that describes the relationship between them. Which is why ordering insulin alone gets you less than you'd think: the number only means something next to the glucose it was working against.
Your results don't land in your inbox as a PDF for you to interpret at eleven at night. A clinician licensed in your state opens your panel first, reads the 5 metabolic markers together with the 9 other categories on the same draw, and comes to your consult already knowing where your numbers sit relative to each other.
Then they walk you through it. What insulin is doing. Why HOMA-IR reads the way it does. Which of the 4 drawn markers moved and which held steady. You'll leave that conversation with a plan written for your panel - nutrition, movement, sleep, follow-up labs - and a person to text when you have a question about it at 6am on a Sunday.
Maybe you're here because one value came back borderline. Maybe nothing came back at all and you'd still like someone qualified looking. Either way, your care team starts by asking rather than assuming.
“The membership is the clinician. The panel is how they see you.“
15-minute appointments and labs ordered once a problem becomes billable - that's what reimbursement pays for. It isn't a failing of the physician in the room. It is simply a different job than the one your care team here is doing.
The same draw returns 100+ biomarkers across 14 categories. That breadth exists for one reason: insulin and glucose don't sit in a sealed compartment, and a clinician reading them will want thyroid, lipids, iron, kidney and liver values on the same page at the same time. Every 6 months, the panel repeats. Your care team compares the new figures to the old ones and adjusts the plan accordingly.
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History, medications, what prompted the search, what you’d like looked at. Roughly 10 minutes, online.
With a clinician licensed in your state, who stays with you across every panel that follows.
Fasted, 1 visit, 1 draw. Pick the location and time that suits you; the order is already waiting.
Before your consult, not during it. Insulin, glucose, HOMA-IR and A1c read as 1 pattern alongside the other thirteen categories.
A conversation about what your numbers mean, then a written plan built around them.
Concierge messaging for the questions that arrive between appointments. Real people, same team, no queue.
Same panel, same clinician, side-by-side comparison. The plan gets revised against what actually changed.
The $199 opens the clinical relationship: intake, your pairing with a clinician licensed in your state, and your first full panel. It is not a lab fee - labs are the smaller half of what that fee buys.
$49 a month keeps the relationship open: consults, plan revisions, 24/7 concierge texting with your care team, and repeat labs every 6 months.
Cancel anytime. 2 clicks in your account, and no one calls you to talk you out of it.
Then $49/month
You can buy a fasting insulin test online for less than lunch, and you'll receive a number and a reference range. What you won't receive is the person who reads it against your glucose, your A1c, your thyroid panel and your history. That reading is the thing you're paying for here. The vial is logistics.
Keep them. This isn't a replacement for primary care, and your care team will send your results wherever you'd like them sent. The reason fasting insulin rarely appears on a standard order has to do with what insurers reimburse and when, not with the judgment of the clinician who wrote it.
A measurement describes a moment. It isn't a diagnosis, a forecast, or a verdict on where you're headed. Your care team will tell you what your figures show, what they'd like to watch, and what a second panel in 6 months would clarify - and will say plainly when something belongs with your primary physician or a specialist instead.
One month is enough to get intake, a panel, a clinician's read and a plan. Members generally stay because the 6-month retest is where the comparison lives. If you'd rather not, cancelling takes 2 clicks and nobody phones you about it.
$199 to start. $49/month to keep it going. No commitment.