Under 1.0
Promoted by longevity platforms and metabolic optimization programs
The strongest case for it
Combining fasting glucose and insulin captures more information than either alone, and lower values do track with better insulin sensitivity.
What it leaves out
HOMA-IR is calculated, not measured. It inherits every problem of the insulin assay it depends on, and it was developed for comparing populations in research, not for grading individuals against a target.