Understanding Your Advanced Metabolic Health Assessment
Your Advanced Metabolic Health Assessment shows how well your body handles blood sugar and insulin, and your personal risk of developing type 2 diabetes. It is a focused version of our Cardiometabolic Risk Assessment: it covers metabolic health and diabetes risk, and leaves out the cardiovascular risk section. This page walks through each part of your report so you know what you are looking at and what to ask about at your next visit.
How to read the colors
Every scale in your report runs from green to red. Green is the healthiest range. Yellow, orange, and red mean more risk.
The words above each scale come from the guideline behind it, so they change from scale to scale:
| Scale | Labels, lowest to highest risk |
|---|---|
| Insulin resistance (LP-IR Score) | Optimal, Near Optimal, Intermediate, High, Very High |
| Metabolic Syndrome Severity Score | Low, Borderline, Intermediate, High |
| 8-year diabetes risk | Low, Moderate, High, Very High |
| Hemoglobin A1C | Normal, Pre-Diabetes, Diabetes |
- 56A white circle shows your result on the scale.
- XAn X marks your category when the result is a category, not a number.
- 49A gray box (Follow-up reports only) shows your earlier result, so you can see which way you moved.
- 31In the metabolic syndrome table, yellow means that factor meets a metabolic syndrome criterion. Green means it does not.
- 189Red cells flag a high-risk result, such as high ApoB.
Initial or Follow-up?
- Initial report
- Your first report. It shows where you are today and sets your starting point, called your baseline. Walk through the report →
- Follow-up report
- Any later report. The cover says “Follow-up,” and your earlier and current results appear side by side so you can see what has changed. Go to the Follow-up guide →
What is in your report, page by page
Click any sample page to see it larger.
Cover
The cover confirms the report is yours.
- Your name, the report date, and the healthcare provider who ordered it
- What “metabolic” means: the chemical processes your body uses to turn food into energy
- A reminder that your report supports, and does not replace, decisions you make with your provider
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A Letter from Our Chief Medical Officer
What metabolic health is, and why it matters early.
- Metabolic health is how well your body manages blood sugar, insulin, cholesterol particles, and weight
- Problems can build for years without symptoms
- Your risk is a puzzle of more than 40 pieces, from blood sugar and triglycerides to deeper markers like insulin resistance
- Many of these pieces can be changed, and finding them early gives you the best chance to act
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Your Metabolic Risk Details
How insulin resistance shows up in your body.
- Your insulin resistance status from the NMR LP-IR Score, which is built from several lipoprotein markers. The higher the score, the more insulin resistant you are.
- The five metabolic syndrome factors (waist size, blood pressure, fasting glucose, triglycerides, and HDL cholesterol) compared with the criteria for your sex and ethnicity. Three or more yellow factors means metabolic syndrome.
- Atherogenic particle number (ApoB), an added high-risk factor, shaded red when high
- Your Metabolic Syndrome Severity Score, which goes beyond counting factors to show how much they add to your risk
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Your Diabetes Risk Details
Where your blood sugar is today, and where it could be heading.
- Your glycemic status: your hemoglobin A1C on a Normal, Pre-Diabetes, and Diabetes scale
- Your LP-IR insulin resistance score
- Your 8-year risk of developing type 2 diabetes, based on your fasting glucose and LP-IR Score, using data from the Multi-Ethnic Study of Atherosclerosis (MESA)
- A chart that plots your risk against your glucose level
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Your Comprehensive Tracking Charts
Charts that show how your numbers change from one report to the next.
- A divider page with a QR code you can scan for more information online
- Metabolic risk tracking: your five metabolic syndrome factors at each test, plus your Metabolic Syndrome Severity Score
- Diabetes risk tracking: A1C, fasting glucose, LP-IR Score, and 8-year diabetes risk
Your Pre-Assessment Survey Answers
A record of what you told us before your blood draw.
- Your height, weight, waist size, BMI, and blood pressure
- Your history of high blood pressure, high blood sugar or diabetes, and diabetes in your family
- Your cholesterol medicines
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Your Labcorp Lab Results
Your complete lab report, exactly as Labcorp sent it.
- The NMR LipoProfile: ApoB, standard cholesterol and triglycerides, and the markers behind your LP-IR Score
- Fasting glucose
- Hemoglobin A1C
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If you have a Follow-up report
A Follow-up report has the same pages as your first report, with one big difference: it shows your earlier results and your current results together, so you can see what has changed.
- The cover says “Follow-up Advanced Metabolic Health Assessment,” and the diabetes page is titled “Your Updated Diabetes Risk Details”
- On each scale, the white circle is your current result and the gray box is your initial result
- The metabolic syndrome table shows an Initial column and a Current column, colored the same way as in your first report
- Your tracking charts add a new entry for every test

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Learn more about the tests in your report
Want to go deeper? These Precision Health Reports pages explain the tests and scores in more detail.
Questions about your report?
Write your questions in the margins as you read, and bring your report to your next appointment. For questions about your results or your care, contact the healthcare provider who ordered your report. For questions about the report itself, contact Precision Health Reports.
Don't have your own report yet?
The Advanced Metabolic Health Assessment includes NMR-measured ApoB and cholesterol, insulin resistance (LP-IR), hemoglobin A1C, and fasting glucose, plus your 8-year diabetes risk.
Sample pages are from real reports with all personal details removed. Your report is for education only and does not replace advice from your healthcare provider.