What is a normal QUICKI score?
A QUICKI score above about 0.38 is often described as normal insulin sensitivity in general research populations, while values below about 0.34 are commonly used to flag insulin resistance. Those thresholds are approximate, not diagnostic, and they vary with population and assay method.
Is QUICKI better than HOMA-IR?
Neither is universally better. QUICKI and HOMA-IR use the same fasting insulin and glucose values and often tell a similar story. QUICKI expresses insulin sensitivity, while HOMA-IR expresses insulin resistance. Some researchers prefer QUICKI because the log transformation can behave better statistically, but both are fasting surrogate measures rather than gold-standard clamp tests.
Do I need fasting values to calculate QUICKI?
Yes. QUICKI should be calculated from fasting insulin and fasting glucose measured after an overnight fast, typically 8 to 12 hours. Non-fasting values can distort the score and should not be interpreted as equivalent.
Can I enter glucose in mmol/L?
Yes. This page accepts glucose in either mg/dL or mmol/L. The calculator converts mmol/L into mg/dL internally because the original QUICKI formula was published using mg/dL glucose units.
Can I enter fasting insulin in pmol/L?
Yes. The calculator accepts fasting insulin in µU/mL or pmol/L. When pmol/L is selected, it converts the insulin value into µU/mL before calculating QUICKI, then shows both insulin units in the result so you can check the unit conversion.
Can QUICKI diagnose insulin resistance or diabetes?
No. QUICKI is a research and educational index, not a stand-alone diagnostic test. A clinician still needs the broader context, including HbA1c, fasting plasma glucose, symptoms, medication use, and other metabolic markers.
Why can two people have the same fasting glucose but different QUICKI scores?
Because fasting glucose only shows the blood sugar level, not how much insulin the body needed to hold it there. If one person keeps a glucose of 90 mg/dL with 5 µU/mL of insulin and another needs 15 µU/mL, the glucose looks the same but insulin sensitivity is very different.
Can medications, illness, or stress affect QUICKI?
Yes. Corticosteroids, some antipsychotics, metformin, GLP-1 medicines, acute illness, poor sleep, recent exercise, and major physiological stress can alter fasting insulin or glucose and change the QUICKI score. That is one reason why single results should be interpreted cautiously.
Why should I compare repeat QUICKI results from the same laboratory?
Fasting insulin assays vary between laboratories, and that can move both QUICKI and HOMA-IR even if your biology is unchanged. Trend comparison is more reliable when the sample handling and assay method stay consistent.
Why do QUICKI normal ranges differ between calculators?
QUICKI ranges differ because studies use different populations, insulin assays, and cut-point choices. Some calculators use a simple below-or-above threshold, while others separate borderline and severe insulin resistance bands. Treat the range as orientation, not a universal diagnostic rule.
Can QUICKI track lifestyle or medication changes?
QUICKI can help track insulin sensitivity trends when fasting insulin and fasting glucose are measured under similar conditions and preferably at the same laboratory. A rising QUICKI score may point toward improving insulin sensitivity, but medication changes, illness, weight change, exercise timing, sleep, and assay variation can all affect the trend.
Is QUICKI useful for PCOS, prediabetes, or metabolic syndrome discussions?
It can be useful as supporting context because insulin resistance is often part of PCOS, prediabetes, metabolic syndrome, fatty liver risk, and type 2 diabetes risk. QUICKI should not replace established diagnostic tests, but it can help frame questions about fasting insulin, fasting glucose, HbA1c, lipids, blood pressure, waist measures, and follow-up testing.