TyG

TyG estimates insulin resistance from fasting triglycerides and glucose, giving early insight into metabolic health.

Last reviewedJune 16, 2026
Calculated
sample type
Not applicable (calculated)
blood needed
~7 days
results in app
Same as its component tests
best timing
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In short

The TyG index, or triglyceride-glucose index, is a calculated value, not a separate blood test. It combines fasting triglycerides and fasting glucose into a single marker of insulin resistance.

The formula is: TyG = ln (fasting triglycerides in mg/dL × fasting glucose in mg/dL ÷ 2). A natural logarithm keeps the index on a manageable scale.

Heart & Cholesterol
Reviewed against DGKL reference practice.
Why it matters

Why test this?

Insulin resistance tends to raise both triglycerides and glucose, so combining them gives a simple, low-cost surrogate marker that does not require an insulin measurement. TyG correlates well with more complex insulin sensitivity tests and has been widely studied for cardiometabolic risk.

A higher TyG index points toward greater insulin resistance and has been linked with diabetes, fatty liver and cardiovascular risk. A lower value reflects better insulin sensitivity.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Interpretive thresholds, which vary by population:

  • Roughly below 8.5: lower likelihood of insulin resistance
  • Around 8.5 and above: insulin resistance increasingly likely

Cutoffs differ between studies and populations and are not formally standardised, so read TyG as guidance with your clinician.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A simple surrogate marker of insulin resistance without needing an insulin test.
  • Context for diabetes, fatty liver and cardiovascular risk.
  • A number to track as lifestyle or treatment changes take effect.
What affects your level

What can affect this result?

What can skew the result

TyG needs a genuine fasting sample, since recent food raises both triglycerides and glucose. Alcohol and some medications affect triglycerides. Cutoffs vary between populations, so absolute values should be interpreted against locally relevant thresholds.

Best interpreted with

Read with its components, fasting triglycerides and fasting glucose, and alongside HbA1c, HOMA-IR and the full lipid panel.

How testing works

How is this tested?

Sample
Calculated
Blood needed
Not applicable (calculated)
Method
Calculated ratio
Best timing
Same as its component tests
FAQ

Common questions

What does a high TyG mean? It may point to higher insulin resistance and cardiometabolic risk. Your clinician may suggest lifestyle steps and confirmatory tests.

What can affect my TyG result? Eating before the test, alcohol, hard workouts, dehydration, illness, and some medicines can shift glucose or triglycerides.

Do I need to fast? Yes. TyG uses fasting glucose and triglycerides, so an 8 to 12 hour fast is important for a reliable result.

How often should I test? Many people repeat every 3 to 12 months when monitoring risk or changes. Follow your clinician’s advice based on your goals.

How long do results take? Results are usually ready in about 7 days.

What should I discuss with my clinician? Review trends, medications, diet, activity, weight changes, and whether to check HbA1c, fasting glucose, or an oral glucose tolerance test.

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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