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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 along with insulin when your pancreas releases it. It helps assess how well your pancreas is producing insulin naturally.

Quick summary

["C-peptide helps diagnose and monitor diabetes and pancreatic function."]

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

Key facts at a glance

LOINC
47583-0
Short code
C peptide 1.5h p Glc SerPl-sCnc
Synonyms
C peptide 1.5h p Glc SerPl-sCnc
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
true
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?

Your healthcare provider may order a C-peptide test to evaluate your pancreas’s ability to produce insulin. It’s often used to distinguish between type 1 diabetes (where the pancreas produces little to no insulin) and type 2 diabetes (where the pancreas still produces some insulin). It can also help monitor insulin production in people with diabetes or those taking insulin therapy.

How Is the Sample Collected?

A blood sample is taken from a vein, usually in your arm. The blood is then separated into serum or plasma for testing. You may feel a small pinch when the needle is inserted, but it typically doesn’t cause discomfort afterward.

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 it’s part of a glucose tolerance test. Always follow your healthcare provider’s instructions.

What the Results Mean

Higher-than-normal levels may indicate overproduction of insulin or certain conditions like insulinoma. Lower-than-normal levels can suggest diabetes, pancreatic issues, or insulin therapy dependence. Your results will be interpreted by a healthcare professional based on your medical history and symptoms.

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.

C-peptide levels are critical for diagnosing diabetes, assessing insulin production, and guiding treatment plans. In type 1 diabetes, C-peptide is often undetectable or very low because the pancreas stops producing insulin. In type 2 diabetes, C-peptide levels may be normal or slightly elevated, reflecting some remaining insulin production. It can also help detect pancreatic tumors or other endocrine disorders.

Short name

C-peptide level

Frequently asked questions

How long does it take to get my results?
Results are typically available within 1 to 3 business days, depending on your lab and insurance. Your healthcare provider will contact you to discuss the findings.
What does a low C-peptide level mean?
A low C-peptide level often suggests that your pancreas is not producing enough insulin naturally, which can be a sign of type 1 diabetes or severe insulin deficiency. It may also indicate long-term diabetes or conditions affecting insulin production.
Can I eat or drink before this test?
If no fasting is required, you can eat and drink normally. If fasting is part of the test protocol (like a glucose tolerance test), follow your provider’s instructions carefully to avoid misleading 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