Endocrinology• Updated 21 October 2026

Fasting Insulin Test

A blood test that measures insulin after fasting, sometimes used to estimate insulin resistance.

Results: A few days Specimen: Blood

Quick Summary

Primary Purpose

To assess insulin resistance (HOMA-IR) in PCOS or metabolic problems, and investigate low blood sugar.

What It Measures

Fasting insulin, often with fasting glucose.

Preparation

Fast for 8–12 hours.

Overview

Results vary a lot between labs.

It isn't needed to diagnose diabetes.

What It Measures

Insulin

Fasting level.

HOMA-IR

Calculated insulin resistance.

How It's Performed

  1. 01

    Preparation

    Usually no special preparation unless your doctor advises.

  2. 02

    Blood sample

    A small amount of blood is taken from a vein in your arm.

  3. 03

    Afterwards

    Press on the spot; a small bruise is common.

Interpreting Results & Next Steps

Discuss with Doctor

Normal ranges differ between laboratories; use the range on your report. Your doctor will explain what your result means and what happens next.

If values are High:

High fasting insulin suggests insulin resistance.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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