The Tests

A1c (three-month average), fasting glucose, fasting insulin (catches resistance early), lipids, and a metabolic panel. Drawn at home, reviewed on video.

The Numbers

A1c under 5.7 normal, 5.7 to 6.4 prediabetes, 6.5 and up diabetes. Fasting insulin above about 10 suggests resistance even when glucose is normal.

What Helps

Protein and fiber first at meals, walking after eating, strength training, sleep. Medication (metformin, a GLP-1) when numbers call for it; semaglutide and tirzepatide programs at Zen IV Spa include labs.

How It Works

Zen IV Spa doctor house calls are $599 with travel included anywhere in New York or New Jersey, 8 AM to 11 PM, seven days; a $50 video visit covers many problems. Labs are drawn at home by a nurse and reviewed on video.

Common Questions

Do I need to fast?+

For fasting glucose and insulin, yes; we tell you.

Can prediabetes reverse?+

Often, with weight and activity.

Can you prescribe?+

Yes.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.