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C-peptide (Serum or Plasma) with High-Performance Liquid Chromatography (HPLC) Measurement

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

This test measures the amount of C-peptide, a byproduct of insulin production, in your blood. It helps assess how well your pancreas is making insulin.

Quick summary

["C-peptide helps evaluate insulin production and diabetes management."]

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

Key facts at a glance

LOINC
57651-2
Short code
C peptide 1.3h p chal SerPl-sCnc
Synonyms
C peptide 1.3h p chal SerPl-sCnc
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 This Test Is Done

Doctors may order a C-peptide test to diagnose or monitor diabetes, especially type 1 or type 2 diabetes. It can also help determine whether insulin is being produced naturally or if insulin therapy is needed. Additionally, it may be used to check for conditions like pancreatic diseases or to evaluate how well a person’s pancreas is functioning after surgery or treatment for diabetes.

How the Test Works

Blood is drawn from a vein in your arm. The sample is then processed to separate the serum or plasma, which is analyzed using HPLC to measure C-peptide levels. This method ensures accurate detection of small amounts of C-peptide in your bloodstream.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before the test if instructed by your healthcare provider. Wear comfortable clothing and bring any necessary medications.

What to Expect During the Test

You’ll lie down comfortably while a healthcare professional inserts a needle into your arm. A small amount of blood is collected into a tube. The process is quick and typically painless, though some people may feel a brief pinch.

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.

A C-peptide test is crucial for diagnosing diabetes, particularly type 1 diabetes, where the pancreas produces little to no insulin. High levels may indicate normal insulin production, while low levels suggest insulin deficiency. It can also help differentiate between type 1 and type 2 diabetes and assess the effectiveness of insulin therapy in managing blood sugar levels.

Short name

C-peptide test

Frequently asked questions

What does a C-peptide test tell me about my diabetes?
A C-peptide test helps determine if your body produces insulin naturally. If your levels are low, it may indicate type 1 diabetes or insufficient insulin production. If levels are normal or high, it suggests your pancreas is making insulin, which can help guide treatment decisions.
How does this test differ from checking my blood sugar levels?
While blood sugar tests measure glucose levels directly, a C-peptide test looks at insulin production. Both are important: high blood sugar can be caused by insulin resistance or lack of insulin, and C-peptide helps clarify whether your pancreas is the issue.
Can I eat or drink before this test?
Most often, no fasting is required, but follow your doctor’s instructions. If fasting is needed, avoid food or liquids (except water) for a specified period before the test to ensure accurate results.
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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