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24-Hour Urinary C-Peptide Concentration

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

This test measures the amount of C-peptide, a natural substance produced along with insulin during digestion, over a full day in your urine. It helps assess how much insulin your body is making.

Quick summary

["This test helps evaluate pancreatic function and insulin production over time."]

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

Key facts at a glance

LOINC
25872-3
Short code
C peptide 24h Ur-sCnc
Synonyms
C peptide 24h Ur-sCnc
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

Why This Test Is Done

Your doctor may order this test if they suspect conditions like diabetes, pancreatic issues, or other metabolic disorders that affect insulin production. It can also be used to monitor long-term insulin secretion in certain medical situations.

What to Expect Before the Test

You’ll need to collect all urine produced in a 24-hour period in a special container. Typically, you’ll start the collection at a specific time (often midnight or the start of your doctor’s scheduled visit) and finish it the same way the next day. Drink plenty of fluids to help urine flow normally.

What Happens During the Test

After collecting the urine, it is sent to a lab for analysis. The lab measures the concentration of C-peptide in your urine sample using a sensitive immunoassay method.

What the Results Mean

Results are interpreted by your healthcare provider based on your medical history and symptoms. Higher-than-normal levels may suggest overproduction of insulin, while lower levels could indicate reduced pancreatic function. Exact values are not provided here as reference ranges vary by lab and clinical context.

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.

This test is particularly useful for diagnosing or monitoring conditions like insulinoma (a rare tumor that causes excessive insulin production) or assessing pancreatic beta-cell function in diabetes management. It can also help differentiate between types of diabetes or rule out other metabolic disorders.

Short name

C-Peptide Urine Test (24-hour)

Frequently asked questions

What does a high C-peptide level in urine mean?
A high level may indicate your body is producing more insulin than usual, which could be due to conditions like insulinoma or excessive insulin secretion from other causes. Your doctor will discuss this with you in the context of your overall health.
What does a low C-peptide level in urine mean?
A low level may suggest your pancreas isn’t producing enough insulin, which could be related to diabetes, pancreatic damage, or other metabolic disorders. This result will be reviewed alongside other tests and symptoms to guide diagnosis.
How often should I get this test?
Your doctor will determine the frequency based on your medical needs. This test may be done once or repeated over time to monitor changes in your condition, such as during treatment for diabetes or suspected pancreatic disorders.
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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