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C-peptide (Serum or Plasma, Mass Concentration)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of C-peptide, a small protein produced along with insulin when your pancreas releases insulin into your bloodstream. It helps assess how well your pancreas is producing insulin naturally.

Quick summary

["C-peptide helps evaluate insulin production and function in your body."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
56584-6
Short code
C peptide 12M p chal SerPl-mCnc
Synonyms
C peptide 12M p chal SerPl-mCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why is this test done?

Doctors may order a C-peptide test to diagnose or monitor conditions like diabetes, especially when insulin levels alone might not provide enough information. It can also help determine whether your body is producing enough insulin naturally or if it’s relying on insulin injections or medications.

What does a C-peptide test tell you?

A C-peptide test provides insight into your pancreas’s ability to produce insulin. High levels may suggest overproduction of insulin, while low levels could indicate insufficient insulin production or other pancreatic issues. Unlike insulin, C-peptide is present in the blood regardless of whether insulin is taken by injection or produced naturally.

How is the test performed?

A blood sample is taken from a vein in your arm. The sample is sent to a lab for analysis using a specialized immunoassay method to measure the C-peptide concentration in your serum or plasma.

What might affect results?

Several factors could influence C-peptide levels, including recent meals (especially high-protein foods), certain medications (like insulin or diabetes medications), or conditions affecting blood flow to the pancreas. Stress, illness, or physical activity can also temporarily alter results.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

C-peptide level

Frequently asked questions

What does a high C-peptide level mean?
A high C-peptide level may indicate that your pancreas is producing insulin naturally, which can sometimes be seen in type 2 diabetes or other conditions where insulin resistance exists. However, it can also occur in people with overproduction of insulin or certain metabolic disorders.
What does a low C-peptide level mean?
Low C-peptide levels often suggest that your pancreas is not producing enough insulin, which is common in type 1 diabetes or severe pancreatic damage. This can also occur in people with advanced diabetes or other conditions affecting insulin production.
How often should I get this test?
The frequency of C-peptide testing depends on your medical condition and treatment plan. Your healthcare provider will determine how often you need this test based on your diagnosis, symptoms, and overall health. Regular monitoring may be recommended if you have diabetes or a history of pancreatic issues.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy