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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 small protein produced along with insulin when your pancreas releases it. It helps assess how much insulin your body naturally makes.

Quick summary

["C-peptide helps evaluate your pancreas’s insulin production and can support diabetes management."]

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

Key facts at a glance

LOINC
13039-3
Short code
C peptide 1h p chal SerPl-mCnc
Synonyms
C peptide 1h 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 This Test Is Done

Doctors may order a C-peptide test to check if your pancreas is producing enough insulin. It’s often used in people with diabetes to confirm whether their condition is caused by insulin deficiency (like type 1 diabetes) or insulin resistance (like type 2 diabetes). It can also help monitor treatment effectiveness or diagnose other conditions affecting insulin production.

How the Test Works

A small blood sample is taken from a vein in your arm. The sample is processed to separate and measure C-peptide levels using high-performance liquid chromatography (HPLC), a precise method that detects tiny amounts of this protein.

What to Expect Before the Test

No special preparation is needed for this test. You may have some mild discomfort from the needle, but it usually goes away quickly. If you’re on blood thinners, let your doctor know before the test.

What the Results Mean

Results help determine if your pancreas is working as expected. Low levels may suggest insulin deficiency, while normal or high levels could indicate other health factors. Your doctor will discuss these results in the context of your overall health.

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 testing is critical for diagnosing diabetes subtypes, guiding treatment plans, and assessing pancreatic function. It can also help rule out conditions like insulinoma (a rare tumor that causes excessive insulin production) or other metabolic disorders. Doctors use these results to tailor therapies, such as insulin therapy or lifestyle changes, to improve long-term health outcomes.

Short name

C-peptide test

Frequently asked questions

How long does it take to get my C-peptide test results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your doctor will contact you once they’re ready to review them.
Can I eat or drink before this test?
You can eat and drink normally before this test, as it doesn’t require fasting. However, always follow your doctor’s specific instructions for any related medications or preparations.
Is there any risk or side effect from this blood test?
The most common side effect is a slight bruise or minor discomfort at the needle site, which usually fades quickly. Rarely, there may be a small risk of infection or bleeding, but serious complications are very uncommon.
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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