Do you use the homeostatic model assessment (HOMA) to assess for insulin resistance and change your clinical management of patients?
Answer from: at Academic Institution
No. As insulin assays are not standardized nationally, glucose measurements are surprisingly variable across methods and institutions, single measurements of fasting glucose and insulin are somewhat quixotic, and as there is a loose relationship of HOMA measures in individuals and gold-standard meas...
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Answer from: at Community Practice
I completely agree with Dr. @Buse. It doesn't help manage patients.
You can get a pretty good idea about whether the patient has insulin resistance by assessing for the presence of associated clinical factors, e.g. obesity, HTN, high TG, and low HDL.
Medications obviously should be add...