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C-peptide (Serum/Plasma, Quantitative)

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

This test measures the amount of C-peptide, a small protein produced naturally in your body when insulin is made. It helps assess how well your pancreas is producing 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
13040-1
Short code
C peptide 1.5h p chal SerPl-mCnc
Synonyms
C peptide 1.5h 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

What Is C-Peptide?

C-peptide is a byproduct of insulin production. When your pancreas makes insulin, it also releases C-peptide. Unlike insulin, C-peptide stays in your bloodstream longer and can be measured directly. This test is often used to check if your body is producing insulin naturally, which is important for diagnosing and managing diabetes.

Why Might You Need This Test?

Your doctor may order a C-peptide test if you have symptoms of diabetes, such as excessive thirst, frequent urination, or unexplained weight loss. It can also help determine if you have type 1 or type 2 diabetes, or if you’re taking insulin injections but still need natural insulin production.

How Is the Test Done?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab for analysis. No special preparation is needed, but you may be asked to fast for a few hours before the test if instructed by your doctor.

What Do the Results Mean?

High levels of C-peptide may suggest your body is producing insulin naturally, even if you have diabetes. Low levels could indicate your pancreas isn’t making enough insulin. Your doctor will interpret the results in the context of your symptoms and other tests.

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.

Clinical Significance: C-peptide testing plays a key role in distinguishing between insulin-dependent and insulin-independent diabetes, assessing insulin deficiency, and monitoring treatment effectiveness in patients on insulin therapy.

Short name

C-peptide level

Frequently asked questions

Why is C-peptide important for diabetes management?
C-peptide helps doctors determine whether your diabetes is caused by insufficient insulin production (type 1 diabetes) or insulin resistance (type 2 diabetes). It can also guide decisions about insulin therapy and monitor how well your body responds to treatment.
Can C-peptide test results change over time?
Yes, C-peptide levels can fluctuate based on factors like diet, stress, illness, or changes in insulin therapy. Your doctor may retest if they suspect your results are affected by recent events or treatment adjustments.
Is fasting required for this test?
No fasting is typically required unless your doctor specifies otherwise. However, they may recommend avoiding certain medications or foods that could influence insulin levels before testing.
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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