Toolbox
Metabolic Health Dashboard
Five key markers scored into a single Metabolic Health Score. See where you stand, where you're strong, and what to focus on — in one view.
Your measurements & labs
%
mg/dL
cm
mg/dL
mmHg
A1C and lipids from a fasting blood sample. Asian-ethnicity toggle uses adjusted (tighter) waist thresholds.
Medications that may affect your result
Metformin & insulin lower blood glucose and A1C. If you are on glucose-lowering medication, your A1C criterion may appear healthier than your underlying metabolic state.
Statins & fibrates lower triglycerides and may raise HDL. Both markers can appear healthier than your baseline metabolic state.
Antihypertensives (ACE inhibitors, ARBs, diuretics) lower blood pressure. Your BP score may overstate your metabolic health without treatment.
Corticosteroids (prednisone, dexamethasone) raise blood glucose, triglycerides, and promote central weight gain — all of which lower your metabolic health score.
If you are on any of these medications, your score may not fully reflect your underlying metabolic state. Discuss with your healthcare provider.
Frequently asked questions
What is the Metabolic Health Score, and what goes into it?
The score combines five markers into a single 0-to-100 number: HbA1c (three-month blood-sugar trend), triglycerides, waist circumference, HDL cholesterol, and blood pressure. Each marker is scored on a continuous scale based on where your value falls between optimal and high-risk, and the five are combined into one weighted total — turning a scattered set of results into one directional read on your metabolic health.
Why are the five markers weighted differently?
Not every marker carries the same metabolic weight, so the score reflects that. HbA1c is weighted most heavily (×1.3) as the strongest single signal, followed by triglycerides (×1.25), waist circumference (×1.2), HDL (×1.15), and blood pressure (×1.0). The weighting means an out-of-range A1c pulls the composite down more than a borderline blood pressure would, matching how strongly each marker tracks with metabolic risk.
Why these five markers, and not cholesterol total or BMI?
These five map closely to the components of metabolic syndrome — the clustering of blood sugar, triglycerides, central fat, HDL, and blood pressure that predicts cardiometabolic risk. Waist circumference is used instead of BMI because central (visceral) fat drives metabolic dysfunction, and two people with the same BMI can carry very different amounts of it. See the Waist Ratio tools for the central-fat piece on its own.
What counts as a good score?
Higher is better on the 0-to-100 scale — a high score means most of your markers sit in their optimal ranges, and a lower score means one or more are pulling the composite down. Because the score is weighted, the fastest way to read it is to look at which individual markers are dragging it: the dashboard shows each marker’s contribution, so you can see whether it is your A1c, your triglycerides, or your waist moving the number.
Is this score a medical diagnosis?
No. It is a composite educational score, not a clinical diagnosis. Individual markers fluctuate with diet, sleep, stress, hydration, and medication timing, and some (like A1c) can be distorted by conditions such as certain hemoglobin variants or recent blood loss. Use the score for directional guidance and to see which levers to pull first, and take any concerning individual marker to your healthcare provider for proper interpretation.
How do I improve my Metabolic Health Score?
Because the score is built from five markers that share an underlying driver — insulin resistance and visceral fat — the same core habits move several at once: reducing refined carbohydrates and added sugars, resistance training plus Zone 2 cardio, consistent sleep, and managing chronic stress. Target the lowest-scoring marker first for the biggest gain, and re-measure on the timescale that marker moves — glucose and triglycerides in weeks, A1c and waist over two to three months.
About this tool
Formula
Each of 5 markers is scored 0-20 on a continuous scale based on where your value falls between optimal and high-risk ranges. Scores are weighted by metabolic impact: A1C (×1.3), triglycerides (×1.25), waist circumference (×1.2), HDL (×1.15), blood pressure (×1.0). The weighted total is normalized to a 0-100 Metabolic Health Score.
Markers & Thresholds
A1C: 5.7% threshold (3-month blood sugar trend). Triglycerides: 150 mg/dL / 1.7 mmol/L. Waist: Male 102 cm / Female 88 cm (Asian: Male 90 cm / Female 80 cm). HDL: Male 40 mg/dL / Female 50 mg/dL (higher is better). Blood Pressure: Systolic 130 mmHg.
Limitations
This is a composite educational score — not a clinical diagnosis. Individual markers fluctuate with diet, sleep, stress, hydration, and medication timing. The score provides directional guidance, not medical advice. A1C may be less accurate with certain hemoglobin variants or recent blood loss.
Sources
Grundy SM et al., Diagnosis and management of the metabolic syndrome, Circulation, 2005. Alberti KG et al., Harmonizing the metabolic syndrome, Circulation, 2009. American Diabetes Association, Standards of Medical Care in Diabetes, 2024.
Not sure what to do with this?
Foster offers direct one-on-one mentorship — a knowledgeable second set of eyes on where you stand, starting with a focused 30-minute consultation.
See how mentorship works →Educational tool only. Not for diagnostic purposes. Consult a healthcare provider for medical decisions.