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C-peptide (Serum or Plasma, Quantitative)

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

This test measures the amount of C-peptide, a small protein produced along with insulin during digestion. It helps assess how much insulin your pancreas is making.

Quick summary

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

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

Key facts at a glance

LOINC
38425-5
Short code
C peptide 2.5h p chal SerPl-sCnc
Synonyms
C peptide 2.5h p chal SerPl-sCnc
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 is this test done?

Doctors may order a C-peptide test to diagnose or monitor type 1 or type 2 diabetes, check if insulin therapy is working, or evaluate pancreatic function in conditions like pancreatitis or cystic fibrosis.

What does the result mean?

Higher-than-expected levels may suggest overproduction of insulin, while lower-than-expected levels could indicate insufficient insulin production or pancreatic issues. Results are interpreted in the context of your medical history and symptoms.

How is the test performed?

A blood sample is drawn from a vein, usually in your arm. The sample is sent to a lab for analysis using an immunoassay method to measure C-peptide concentration.

What should you prepare for?

No special preparation is needed, but inform your doctor about any medications, including over-the-counter drugs or supplements, that might affect blood 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 is a key marker for insulin production. In diabetes, it helps differentiate between type 1 (where insulin is absent) and type 2 (where insulin may still be produced but insufficiently). It also supports monitoring insulin-dependent therapies and assessing pancreatic health in chronic conditions.

Short name

C-peptide level

Frequently asked questions

What does a low C-peptide level mean?
A low C-peptide level may indicate insufficient insulin production, which can occur in type 1 diabetes, severe pancreatic damage, or certain genetic disorders.
How often should I get this test?
Your doctor will determine the frequency based on your medical needs, such as monitoring diabetes management or evaluating chronic conditions like cystic fibrosis.
Can diet or exercise affect C-peptide levels?
Diet and exercise can influence insulin sensitivity, but they typically do not directly alter C-peptide levels. Your doctor may recommend lifestyle adjustments to support overall health.
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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