Quick Facts
- Sample: Blood draw (serum)
- Fasting: 8–12 hours recommended
- Turn-around: 8-10 days. May take longer based on weather, holiday, or lab delays.
Benefits
- Detect metabolic risks early — identifies insulin resistance before symptoms appear
- Monitor weight loss progress — tracks metabolic improvements during interventions
- Assess cardiovascular risk — evaluates inflammation and heart disease factors
- Complement standard panels — provides specialized metabolic insights beyond routine tests
- No physician referral needed — direct access to advanced biomarker testing
Who Is This Test For?
- Individuals with obesity or difficulty losing weight despite lifestyle changes
- People with prediabetes or family history of type 2 diabetes
- Postmenopausal women at increased risk for metabolic syndrome
- Those monitoring weight loss effectiveness and metabolic improvements
- Anyone with unexplained insulin resistance or metabolic symptoms
- Health-conscious consumers seeking proactive metabolic health assessment
How It Works – Just 3 Steps
- Order online — no physician referral required for direct consumer access
- Visit lab — simple blood draw at any participating collection center
- Get results — secure online delivery within 8-10 days
FAQ
What exactly does this test measure? This test measures adiponectin, a hormone produced by fat tissue that regulates insulin sensitivity and inflammation in your body.
How does adiponectin relate to my metabolic health? Higher adiponectin levels indicate better insulin sensitivity and lower inflammation, while low levels suggest increased risk for diabetes and heart disease.
Can I take this test if I have diabetes? Yes, this test helps monitor metabolic health in people with diabetes and can guide treatment effectiveness.
Will medications affect my results? Diabetes medications like metformin may increase adiponectin levels, so inform your healthcare provider about all medications.
How soon will I see changes after lifestyle improvements? Significant weight loss and consistent exercise over several months can increase adiponectin levels, especially the protective high molecular weight form.
Do I need to stop eating before the test? Yes, fasting for 8-12 hours before your blood draw provides the most consistent and accurate results.
More Details
What is the purpose of this test?
The Adiponectin Blood Test measures levels of adiponectin, a critical metabolic hormone produced by fat tissue that regulates insulin sensitivity and inflammation. Unlike many biomarkers that increase with disease, adiponectin typically decreases with metabolic dysfunction (Cleveland Clinic, 2025). Low levels strongly correlate with metabolic syndrome, type 2 diabetes, and cardiovascular disease, often before other markers become abnormal. This test uses precise immunoturbidimetric methodology to detect adiponectin concentrations, helping assess your metabolic health and disease risk proactively.
Who would benefit from this test?
This test particularly benefits individuals with obesity, insulin resistance, prediabetes, or family history of type 2 diabetes. Postmenopausal women face increased cardiometabolic risk and can use this test for specialized risk assessment (Journal of Clinical Medicine, 2025). People monitoring weight management interventions find value in tracking metabolic improvements beyond standard markers. Those with unexplained insulin resistance or borderline metabolic panel results gain insights into their underlying metabolic function. Health-conscious consumers seeking comprehensive metabolic evaluation appreciate this advanced biomarker's unique perspective on metabolic health.
When should I order an Adiponectin Blood Test?
Consider ordering when evaluating unexplained insulin resistance, assessing cardiometabolic risk factors, or monitoring progress during weight management programs. This test proves valuable as part of comprehensive metabolic health assessment, especially when standard tests show borderline results. Order if you're experiencing metabolic symptoms like unexplained weight gain, difficulty losing weight, or fatigue potentially related to insulin sensitivity issues. It's particularly useful for tracking effectiveness of lifestyle interventions over time, as adiponectin levels can improve with sustained weight loss and consistent exercise.
How do I interpret the results?
Results vary significantly by sex and BMI, with lower values indicating increased metabolic risk even within "normal" ranges for obesity:
Males, BMI <25
- Reference Range: 5-37 μg/mL
- Interpretation: Optimal metabolic health
Males, BMI 25-30
- Reference Range: 5-28 μg/mL
- Interpretation: Moderate metabolic risk
Males, BMI >30
- Reference Range: 2-20 μg/mL
- Interpretation: Higher metabolic risk
Females, BMI <25
- Reference Range: 5-37 μg/mL
- Interpretation: Optimal metabolic health
Females, BMI 25-30
- Reference Range: 4-20 μg/mL
- Interpretation: Moderate metabolic risk
Females, BMI >30
- Reference Range: 4-22 μg/mL
- Interpretation: Higher metabolic risk
Men show up to 7% increased susceptibility to insulin resistance compared to women, making sex-specific interpretation crucial for accurate risk assessment (Scientific Reports, 2018).
Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.
Pre-test preparation
Fast for 8-12 hours before sample collection for most consistent results. Maintain your normal diet and exercise patterns in the days leading up to testing. Continue all prescribed medications unless specifically instructed otherwise by your physician. Inform the laboratory about diabetes medications like metformin or thiazolidinediones, which may affect adiponectin levels. The test requires a standard blood draw with no special handling beyond routine blood sample protocols.
How often should I get tested?
- Initial baseline assessment: Once
- Monitoring weight loss interventions: Every 6-12 months
- Managing metabolic syndrome: Every 6-12 months
- High-risk individuals: Annually
- Following lifestyle changes: 6 months after changes
Why early detection matters
Adiponectin identifies metabolic syndrome with moderate accuracy (AUC = 0.81), providing valuable diagnostic insight before clinical symptoms develop (Scientific Reports, 2018). Low adiponectin levels predict increased risk for type 2 diabetes and cardiovascular disease years before traditional markers become abnormal. Early detection enables proactive lifestyle interventions that can increase adiponectin levels and improve metabolic health. Weight loss in people with obesity results in increased adiponectin levels, confirming the biomarker's utility for monitoring intervention effectiveness (Journal of Clinical Endocrinology & Metabolism, 2012).
Related tests you may consider
NMR LipoProfile Blood Test With IR Markers and Lipids – Provides a detailed assessment of cholesterol particle size and number, plus insulin resistance markers, to evaluate heart health and metabolic risk.
High-Sensitivity CRP — measures inflammation often elevated when adiponectin is low, offering complementary cardiometabolic risk factor assessment.
Cardio IQ® Advanced Lipid Panel with Inflammation Blood Test — includes traditional cholesterol measurements plus apolipoproteins to assess cardiovascular risk influenced by adiponectin's anti-atherogenic properties.