Metabolic & Organ Function
catching insulin resistance 5–10 years before A1c does.
A full metabolic and organ panel - liver (ALT, AST, GGT), kidney (creatinine, eGFR), pancreas (amylase, lipase), glucose regulation (fasting insulin, A1c, C-peptide), and metabolic signalling (leptin, uric acid) - so drift shows up early, not after it's compounded.
- No insurance required
- HSA & FSA eligible
- CLIA-accredited labs
Why this panel
Fasting insulin rises years before A1c moves - and most panels skip it.
Estrogen loss reduces insulin sensitivity; women in perimenopause commonly see A1c drift upward even without dietary change. By the time A1c crosses 5.7, insulin resistance has typically been present for 5–10 years.
5–10 yrs
Insulin resistance precedes a diagnostic A1c[1]
~38%
U.S. adults with prediabetes - 80% unaware[2]
+30%
Increase in visceral fat during perimenopause[3]
What we measure
The 70 biomarkers in this panel - and why each one.
Tap a marker to read the clinical note and the women-specific context.
hs-CRP
Unit
Optimal
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Hematocrit
Unit
Optimal
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Hemoglobin
Unit
Optimal
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Red Blood Cell Count
Unit
Optimal
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Calcium
Unit
Optimal
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Chloride
Unit
Optimal
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Sodium
Unit
Optimal
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Urea Nitrogen (BUN)
Unit
Optimal
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Uric Acid
Unit
Optimal
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Albumin
Unit
Optimal
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Alkaline Phosphatase
Unit
Optimal
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Bilirubin, Direct
Unit
Optimal
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Bilirubin, Total
Unit
Optimal
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Gamma Glutamyl Transferase (GGT)
Unit
Optimal
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Prealbumin
Unit
Optimal
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Adiponectin
Unit
Optimal
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C-Peptide
Unit
Optimal
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Glucose
Unit
Optimal
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Hemoglobin A1c
Unit
Optimal
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Insulin
Unit
Optimal
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Leptin
Unit
Optimal
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Amylase
Unit
Optimal
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Lipase
Unit
Optimal
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Absolute Band Neutrophils
Unit
Optimal
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Absolute Basophils
Unit
Optimal
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Absolute Blasts
Unit
Optimal
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Absolute Eosinophils
Unit
Optimal
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Absolute Lymphocytes
Unit
Optimal
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Absolute Metamyelocytes
Unit
Optimal
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Absolute Monocytes
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Optimal
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Absolute Myelocytes
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Optimal
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Absolute Neutrophils
Unit
Optimal
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Absolute Nucleated RBC
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Optimal
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Absolute Plasma Cells
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Optimal
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Absolute Prolymphocytes
Unit
Optimal
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Absolute Promyelocytes
Unit
Optimal
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Absolute Reactive Lymphocytes
Unit
Optimal
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Albumin/Globulin Ratio
Unit
Optimal
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ALT
Unit
Optimal
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AST
Unit
Optimal
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Band Neutrophils
Unit
Optimal
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Basophils
Unit
Optimal
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Blasts
Unit
Optimal
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BUN/Creatinine Ratio
Unit
Optimal
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Carbon Dioxide
Unit
Optimal
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Creatinine
Unit
Optimal
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Cystatin C with Glomerular Filtration Rate, Estimated (eGFR)
Unit
Optimal
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eGFR
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Optimal
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Eosinophils
Unit
Optimal
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Globulin
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Optimal
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Lymphocytes
Unit
Optimal
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MCH
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Optimal
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MCHC
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Optimal
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MCV
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Optimal
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Metamyelocytes
Unit
Optimal
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Monocytes
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Optimal
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MPV
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Myelocytes
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Neutrophils
Unit
Optimal
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Nucleated RBC
Unit
Optimal
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Plasma Cells
Unit
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Platelet Count
Unit
Optimal
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Platelet Estimation
Unit
Optimal
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Potassium
Unit
Optimal
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Prolymphocytes
Unit
Optimal
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Promyelocytes
Unit
Optimal
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Protein, Total
Unit
Optimal
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RDW
Unit
Optimal
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Reactive Lymphocytes
Unit
Optimal
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White Blood Cell Count
Unit
Optimal
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Who this is for
Order this panel if any of these fit.
Unexplained weightBlood sugar issuesBloating
- 1You have PCOS, a family history of type-2 diabetes, or gestational diabetes
- 2Your weight distribution has shifted to the midsection
- 3You experience afternoon energy crashes or carb cravings
- 4You want to baseline metabolic health before or during perimenopause
How it works
Three steps, no waiting room.
01
Order online
Choose your panel and complete a 2-minute intake. We schedule your lab visit or at-home phlebotomy appointment right after checkout.
02
Visit a lab or book at-home phlebotomy
Choose a Quest Diagnostics lab visit or have a certified phlebotomist come to you (available in select ZIP codes at checkout). Draws take about 8 minutes.
03
Get reviewed results
Results in 5–7 days - a plain-language report with research-backed ranges for women and flags on anything that warrants follow-up. Share with your own clinician for interpretation.
FAQ
Things people ask before ordering.
Yes - at least 10–12 hours. Fasting insulin and glucose are the two numbers we care most about, and they're only meaningful in the fasted state.
Sources
Claims on this page are grounded in peer-reviewed research and society guidelines.
- [1]Tabák AG et al. Prediabetes: a high-risk state for developing diabetes.Lancet, 2012
- [2]CDC: National Diabetes Statistics Report - Prediabetes prevalence.CDC, 2022
- [3]Greendale GA et al. Changes in body composition and weight during the menopause transition.JCI Insight, 2019
- [4]ADA: Standards of Care in Diabetes - Classification and Diagnosis.Diabetes Care, 2024
EllaDx panels are not a substitute for medical diagnosis. All results are reviewed by a licensed physician. Always consult a qualified clinician about changes to your care.