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: C-Peptide, 24-Hour Urine, Mass Concentration

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

: This test measures the total amount of C-peptide released in your urine over a 24-hour period. C-peptide is a byproduct of insulin production and helps show how well your pancreas is making insulin.

Quick summary

[": A 24-hour urine C-peptide test estimates your body's overall insulin production over a full day."]

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

Key facts at a glance

LOINC
55920-3
Short code
C peptide 24h Ur-mCnc
Synonyms
C peptide 24h Ur-mCnc
Category
coagulation
Sample
urine
Container
Sterile urine container
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
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

: What Is C-Peptide?

: C-peptide is a small protein released together with insulin when your pancreas produces insulin. Because insulin leaves the bloodstream quickly but C-peptide lasts longer and is cleared in urine, measuring C-peptide over 24 hours gives a broader picture of how much insulin your body is making.

: How the 24-Hour Collection Works

: For this test you collect all of your urine over a full 24-hour period in a special container, following instructions from your lab. The container is then sent to the laboratory, where the total C-peptide concentration is measured and combined with the collection volume to estimate your daily output.

: Why Your Clinician May Order It

: Your clinician may order this test to help evaluate how much insulin your pancreas is producing, to investigate low blood sugar episodes, or to help distinguish between different causes of diabetes. It is often used along with blood glucose and other hormone tests.

: Preparing for the Test

: Follow your laboratory's instructions for the 24-hour collection carefully, including when to start and stop and how to store the container. Tell your clinician about any medicines, supplements, or health conditions you have, as some can affect results.

Reference range

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

Specimen: urine

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 reflects endogenous insulin secretion. A 24-hour urine measurement can help assess overall pancreatic beta-cell function and support evaluation of hypoglycemia or classification of diabetes, but it is interpreted together with blood glucose, insulin, and clinical findings; results should be discussed with your clinician.

Short name

: 24h Urine C-Peptide

Frequently asked questions

: Do I need to fast for a 24-hour urine C-peptide test?
: Fasting is generally not required because the test measures urine collected over 24 hours. Your laboratory or clinician will give you specific instructions to follow.
: What happens if I miss part of the urine collection?
: If you miss any urine during the collection period, tell your laboratory or clinician, because an incomplete collection can make the results unreliable and may require repeating the test.
: Can medicines affect the result?
: Some medicines and health conditions can affect insulin and C-peptide levels, so tell your clinician about everything you take and follow their guidance about any medication changes.
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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