The invention relates to the technical field of detection of ischemia modified albumin and in particular relates to an ischemia modified albumin detection reagent. A reagent R1 contains a buffer solution, cobalt chloride, dodecyl dimethyl betaine and a preservative; a reagent R2 contains a buffer solution, thiadiazolyazo dimethylaminophenol, dodecyl dimethyl betaine and a preservative. A novel color developing agent, namely the thiadiazolyazo dimethylaminophenol is adopted, so that interference of metal ions such as Pd, Ni, Zn and Cu is effectively avoided, the reagent is stably and easily preserved at low toxicity, and the stability of the reagent is greatly improved. A novel ampholytic surfactant, namely the dodecyl dimethyl betaine is adopted, so that the determination performance is obviously improved, the reagent has obvious effects of maintaining stabilization of the system and avoiding lipid turbidity, and the stability and interference resistance of the reagent are also obviously improved.