Skip to content

C-peptide measured by high-performance liquid chromatography (HPLC) in serum/plasma

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

This test checks the amount of C-peptide, a natural substance produced by your pancreas along with insulin, to help assess how well your pancreas is making insulin.

Quick summary

["C-peptide helps evaluate your body’s natural insulin production and function."]

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

Key facts at a glance

LOINC
58506-7
Short code
C peptide 2.5h p Glc SerPl-sCnc
Synonyms
C peptide 2.5h 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 This Test Is Done

Doctors may order this test to diagnose or monitor conditions like diabetes, especially type 1 diabetes, where the pancreas may not produce enough insulin. It can also help determine if insulin is being produced at all or if it’s being used properly in people with diabetes or those taking insulin therapy.

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 or fasting study. Bring any medications you’re taking to your appointment.

How the Test Is Performed

A healthcare provider will draw blood from a vein in your arm using a small needle. You may feel a slight pinch, but it usually doesn’t cause pain. The blood sample is then sent to a lab for analysis using HPLC to measure C-peptide levels.

What the Results Mean

Results help doctors understand how well your pancreas is producing insulin. Lower than expected levels may indicate diabetes or insulin deficiency, while normal or high levels can help confirm healthy insulin production.

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, especially type 1, where insulin production is often absent. It also helps monitor insulin therapy in people with diabetes, ensuring the treatment is working as intended. Additionally, it can be used to differentiate between types of diabetes or to assess pancreatic function in other conditions.

Short name

C-peptide (HPLC)

Frequently asked questions

What does a C-peptide test measure?
A C-peptide test measures the amount of C-peptide in your blood. C-peptide is a byproduct of insulin production and helps doctors check how well your pancreas is making insulin naturally.
Can fasting affect C-peptide results?
Yes, fasting can influence C-peptide levels because insulin production naturally rises after eating. If your test is part of a fasting study, follow your doctor’s instructions to avoid unnecessary fluctuations in results.
Is C-peptide testing the same as checking insulin levels?
No, C-peptide testing is different. While insulin levels can be affected by medications or fasting, C-peptide reflects natural insulin production and is less influenced by external factors like insulin therapy.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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