By the time blood sugar levels are high enough to be classified as diabetes, significant damage to blood vessels, nerves, and organs may already be underway. The window for reversal is widest when the problem is caught early.
A fasting glucose test can tell you if your blood sugar is normal today, but it tells you very little about the direction your metabolism is heading. Our metabolic risk assessment is designed to catch problems much earlier, at the stage where lifestyle changes can genuinely reverse the trajectory.
We calculate your HOMA-IR score, which is a precise measure of insulin resistance using fasting insulin and glucose together. Insulin resistance is the engine that drives metabolic syndrome, prediabetes, and eventually Type 2 diabetes, and it can be present for a decade or more before blood sugar levels rise enough to be flagged on a standard test. We also screen for metabolic syndrome by evaluating your waist circumference, blood pressure, triglycerides, HDL cholesterol, and fasting glucose as an integrated cluster, because these risk factors compound each other in ways that individual readings do not capture.
Your report includes HbA1c (your average blood sugar over the past three months), post-prandial blood sugar (how your body handles glucose after eating), and the TG/HDL ratio, which is a useful indicator of insulin resistance and small dense LDL particles. Where indicated, we also offer continuous glucose monitoring to track how your body responds to food, stress, and activity in real time over several days.
Your metabolic findings are presented as part of your comprehensive Bio-Physical Profile report. You receive your HOMA-IR score with a clear risk interpretation, your metabolic syndrome status (present or absent), and a disease risk category for diabetes (low, moderate, or high). Each finding comes with a written clinical assessment that explains what it means in the context of your personal health history and family risk.
If your metabolic risk is elevated, your report includes a personalised daily calorie and protein target calculated from your body composition, specific dietary advice (for example, focusing on low-glycaemic index foods if your glucose control is impaired), an exercise prescription with heart rate zones and session frequency, and a follow-up schedule with the specific tests to repeat and when.
This assessment is valuable for anyone who wants to understand how their metabolism is functioning, but it is especially important if you have a family history of Type 2 diabetes, if you are carrying excess weight particularly around the midsection, if you experience energy crashes or excessive thirst, or if you have been diagnosed with PCOS, fatty liver, or gestational diabetes. It is also recommended if you have borderline blood sugar results and want to understand whether insulin resistance is developing beneath the surface.
Metabolic and diabetes risk is one of eight domains assessed in our Smart Whole Body Check-up. Your metabolic health directly influences your cardiovascular risk, kidney function, liver health, and biological age. The check-up evaluates all of these together, so you can see how your metabolic profile connects to the rest of your health and take action with a clear, personalised plan.
This assessment is part of our Smart Whole Body Check-up, which evaluates eight risk domains to give you a complete, personalised health profile.