HOMA-IR Test Price in Bangladesh – 2025 Updated
The HOMA-IR test, or Homeostatic Model Assessment of Insulin Resistance (HOMA-IR টেস্ট), is a critical diagnostic tool used to evaluate insulin resistance, a condition where the body’s cells become less responsive to insulin, leading to impaired glucose metabolism. This test is essential for individuals at risk of or diagnosed with conditions such as type 2 diabetes, obesity, prediabetes, or polycystic ovary syndrome (PCOS). By measuring fasting insulin and fasting glucose levels, the HOMA-IR test provides a reliable way to assess insulin sensitivity and predict diabetes risk. In Bangladesh, the HOMA-IR test price in Bangladesh typically ranges from 788 BDT to 1,500 BDT in private hospitals, while government facilities offer the individual components (fasting glucose and fasting insulin) at lower costs, with fasting glucose priced around 50-60 BDT. This article provides a detailed overview of the HOMA-IR test, its medical purpose, preparation, pricing across major hospitals in Bangladesh, and actionable insights for patients.
What is a HOMA-IR Test?
The HOMA-IR test is a mathematical model used to estimate insulin resistance and beta-cell function based on fasting blood glucose and insulin levels. The formula is:
HOMA-IR = (Fasting Insulin (μIU/mL) × Fasting Glucose (mg/dL)) / 405
Key Aspects of the Test
- Measurement: It quantifies insulin resistance by analyzing how much insulin is needed to maintain normal blood sugar levels.
- Clinical Significance: A higher HOMA-IR value indicates greater insulin resistance, which is a risk factor for type 2 diabetes, cardiovascular disease, and other metabolic disorders.
- Medical Conditions: The test is recommended for individuals with obesity, PCOS, prediabetes, type 2 diabetes, or a family history of diabetes. It’s also used to monitor treatment efficacy in managing insulin resistance.
- Alternative Names: The test is sometimes called the Homeostatic Model Assessment for Insulin Resistance or simply the insulin resistance index.
The HOMA-IR test is non-invasive, requiring only a single blood draw after fasting, making it a cost-effective and widely used tool compared to more complex methods like the glucose clamp technique.
When is a HOMA-IR Test Recommended?
The HOMA-IR test is advised for individuals showing signs or risk factors of insulin resistance. Doctors use it for screening, diagnosis, or monitoring purposes.
Symptoms and Conditions
- Symptoms: Unexplained weight gain, fatigue, increased hunger, or darkened skin patches (acanthosis nigricans).
- Conditions:
- Obesity, particularly abdominal obesity
- Family history of type 2 diabetes
- History of gestational diabetes
- Polycystic ovary syndrome (PCOS)
- Hypertension or abnormal lipid profiles (high triglycerides, low HDL cholesterol)
- Diagnostic Use: Doctors use HOMA-IR results to confirm insulin resistance, assess diabetes risk, or evaluate treatment progress in patients with metabolic disorders.
Purpose
- Screening: Identifies at-risk individuals before diabetes develops.
- Diagnosis: Confirms insulin resistance in symptomatic patients.
- Monitoring: Tracks the effectiveness of lifestyle changes or medications aimed at improving insulin sensitivity.
HOMA-IR Test Preparation
Proper preparation ensures accurate HOMA-IR test results:
- Fasting Requirements: Patients must fast for 8-12 hours before the test, consuming only water during this period.
- Medications: Inform your doctor about all medications, as some (e.g., corticosteroids, beta-blockers) may affect results. Your doctor may recommend pausing certain medications temporarily.
- Sample Collection: A healthcare professional draws a blood sample from a vein in the arm, typically from the inner elbow. The sample is analyzed for fasting glucose and insulin levels.
- Test Duration: The blood draw takes just a few minutes, though the fasting period requires planning.
HOMA-IR Test Price List in Government Hospitals in Bangladesh
Government hospitals in Bangladesh provide affordable diagnostic services, including the components of the HOMA-IR test (fasting glucose and fasting insulin). Below is a table of available prices for these tests in major government hospitals as of 2025:
| Hospital Name | Location | Fasting Glucose Price (BDT) | Fasting Insulin Price (BDT) | Contact Number |
|---|---|---|---|---|
| Bangabandhu Sheikh Mujib Medical University (BSMMU) | Shahbag, Dhaka | 50 | Not available | 02-55162331 |
| National Institute of Neuro-Sciences & Hospital | Agargaon, Dhaka | 60 | Not available | 02-55006131 |
| Dhaka Medical College Hospital | Dhaka | Not available | Not available | 02-55165088 |
| Sir Salimullah Medical College Mitford Hospital | Dhaka | Not available | Not available | 02-57315076 |
| Holy Family Red Crescent Medical College Hospital | Dhaka | Not available | Not available | 02-48311721 |
| Shaheed Suhrawardy Medical College Hospital | Dhaka | Not available | Not available | 02-9130800 |
| Mugda Medical College Hospital | Mugda, Dhaka | Not available | Not available | 02-7272022 |
Note: Fasting insulin prices are not readily available for government hospitals based on current data. The HOMA-IR test requires both fasting glucose and insulin measurements, so total costs cannot be calculated without insulin pricing. Contact hospitals directly for the latest information (BSMMU Website).
HOMA-IR Test Price List in Private Hospitals in Bangladesh
Private hospitals and diagnostic centers in Bangladesh often offer the HOMA-IR test as a package or provide separate prices for fasting glucose and insulin. Below is a table of prices for the HOMA-IR test or its components in private facilities as of 2025:
| Hospital/Diagnostic Center | Location | HOMA-IR Test Price (BDT) | Contact Number |
|---|---|---|---|
| Ibn Sina Hospital | Dhanmondi, Dhaka | ~788 (Fasting Glucose: 113, Fasting Insulin: 675) | 09666787878 |
| Popular Diagnostic Centre | Dhanmondi, Dhaka | 1,500 | 09666787801 |
| Epic Hospital | Uttara, Dhaka | Fasting Glucose: 150 (Fasting Insulin: Not available) | 09666787878 |
| Square Hospitals Ltd. | Panthapath, Dhaka | Not available | 10616 |
| United Hospital Ltd. | Gulshan, Dhaka | Not available | 10666 |
| Apollo Hospitals Dhaka | Bashundhara, Dhaka | Not available | 01713-064563 |
| Labaid Hospital | Dhanmondi, Dhaka | Not available | 10606 |
| Evercare Hospital Dhaka | Bashundhara, Dhaka | Not available | 10678 |
| Ibrahim Cardiac Hospital & Research Institute | Shahbag, Dhaka | Not available | 02-41060400 |
| Imperial Hospital Ltd. | Chittagong | Not available | 09612333344 |
Note: Where HOMA-IR is not listed as a package, the cost is estimated as the sum of fasting glucose and insulin tests. Due to missing fasting insulin prices for some facilities, total HOMA-IR costs cannot be calculated for all hospitals. Verify prices directly with facilities like Ibn Sina Trust or Popular Diagnostic.
Understanding HOMA-IR Test Results
HOMA-IR test results help assess insulin resistance levels:
- Normal Range: HOMA-IR < 1.0 indicates high insulin sensitivity.
- Early Insulin Resistance: 1.0 ≤ HOMA-IR < 2.0 suggests mild insulin resistance.
- Significant Insulin Resistance: HOMA-IR ≥ 2.0 indicates a higher risk of type 2 diabetes or other metabolic issues.
Interpreting Abnormal Results
- High HOMA-IR values may signal insulin resistance, increasing the risk of type 2 diabetes, PCOS, or metabolic syndrome.
- Consult a doctor to discuss lifestyle changes (e.g., diet, exercise) or medications to improve insulin sensitivity.
Factors Affecting Results
- Non-fasting: Eating before the test can skew glucose and insulin levels.
- Medications: Drugs like steroids or beta-blockers may alter results.
- Stress or Illness: Acute stress or infections can temporarily affect insulin levels.
When to Consult a Doctor
If your HOMA-IR value is elevated, schedule a consultation with your healthcare provider to discuss next steps, which may include dietary changes, exercise, or medical interventions.
Frequently Asked Questions
Is the HOMA-IR test accurate?
The HOMA-IR test is a reliable tool for assessing insulin resistance when performed correctly, though it should be interpreted alongside other clinical data (Metropolis Healthcare).
How long does it take to get HOMA-IR test results?
Results are typically available within 1-2 days, depending on the laboratory’s processing time (Redcliffe Labs).
Does health insurance cover the HOMA-IR test in Bangladesh?
Coverage depends on the insurance provider. Some plans may cover the test if deemed medically necessary, but check with your insurer (Doctors Alliance BD).
How often should the HOMA-IR test be done?
Frequency varies based on risk factors. Annual testing is common for at-risk individuals, with more frequent tests for those under treatment (Blood London).
What is the difference between HOMA-IR and other diabetes tests?
HOMA-IR measures insulin resistance, while tests like HbA1c assess average blood sugar levels over time. They provide complementary insights into diabetes risk (PharmEasy).
Can the HOMA-IR test be done at home?
No, it requires a blood sample drawn by a professional and analyzed in a lab (Arogga).
Are there risks associated with the HOMA-IR test?
The test involves a simple blood draw, with minimal risks like slight bruising or discomfort at the puncture site (Redcliffe Labs).
Conclusion
The HOMA-IR test is a valuable tool for detecting insulin resistance, a key risk factor for type 2 diabetes and other metabolic disorders. In Bangladesh, the test is accessible at both government and private facilities, with prices ranging from approximately 788 BDT to 1,500 BDT in private hospitals like Ibn Sina and Popular Diagnostic Centre. Government hospitals, such as BSMMU, offer fasting glucose tests at low costs (50-60 BDT), but fasting insulin pricing is less documented, requiring direct inquiries. Comparing prices across facilities can help you make informed healthcare decisions. For accurate results and personalized advice, consult your doctor to determine if the HOMA-IR test is right for you and to interpret your results effectively.
