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Read through this section and answer any questions for which you have blood test results. Skip this section if you have not had a blood test done.

Do you currently have any of the following?

1 High fasting insulin

2 High fasting triglycerides

3 High triglycerides after a meal

4 Decreased HDL (good) cholesterol

5 Elevated LDL (bad) cholesterol

6 Elevated total cholesterol

7 Elevated systolic blood pressure (your first figure is over 139)

8 Elevated diastolic blood pressure (your second figure is over 89)

9 Elevated fibrinogen

10 Elevated PAI-1 (plasminogen activator inhibitor-1)

11 High uric acid (or gout)

12 Low Serum or Salivary DHEA (DHEA may have an inverse relationship with Cortisol and insulin)

13 Elevated testosterone in women (acute hyperinsulinemia increases testosterone blood levels and suppresses SHBG synthesis) (women only)

14 Low levels of sex hormone binding globulin (SHBG) (women only)

15 Decreased testosterone (serum or saliva test) (men only)

Score out of 14 (women) =

Score out of 13 (men) =

If you have answered ‘yes’ to any of the questions above, other than insulin itself, you should consider a fasting glucose and insulin test to rule out Insulin Resistance and diabetes. Also, make sure you discuss ‘positive’ results with your doctor. (See Resources for laboratory information.)