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C-peptide (Serum) – Quantitative Measurement

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

This test measures the amount of C-peptide in your blood. C-peptide is a natural substance produced by your pancreas along with insulin during digestion.

Quick summary

["C-peptide helps assess how well your pancreas produces insulin naturally."]

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

Key facts at a glance

LOINC
58507-5
Short code
C peptide 2M p 1 mg Glc IV SerPl-sCnc
Synonyms
C peptide 2M p 1 mg Glc IV 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?

Your doctor may order a C-peptide test to evaluate your pancreas’s ability to produce insulin, especially if you have diabetes or suspect diabetes. It can also help distinguish between types of diabetes or check for insulin-producing tumors.

What to Expect Before the Test

No special preparation is needed. You may have blood drawn from a vein in your arm, similar to other blood tests. If you’re on blood thinners, let your doctor know before the test.

What the Results Mean

C-peptide levels can indicate whether your body produces insulin independently or relies on external sources. Low levels may suggest insulin dependence, while normal or high levels may reflect natural insulin production.

Common Reasons for Testing

Doctors use C-peptide testing to diagnose diabetes types, monitor insulin production in diabetes management, or investigate symptoms like unexplained weight loss or fatigue that might point to pancreatic issues.

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 biomarker for insulin secretion. It helps differentiate between type 1 diabetes (where the pancreas produces little to no insulin) and type 2 diabetes (where insulin production is impaired but not completely absent). It’s also useful in evaluating pancreatic function in non-diabetic individuals or those with suspected endocrine disorders.

Short name

C-peptide level

Frequently asked questions

Why might my doctor recommend this test?
Your doctor may recommend it if you have diabetes symptoms, unexplained weight changes, or if you’re being evaluated for conditions affecting insulin production or diabetes type.
What does a low or high C-peptide level mean?
Low levels may indicate insulin dependence (e.g., type 1 diabetes or insulin therapy use), while high levels could suggest overproduction of insulin or certain pancreatic tumors. Your doctor will interpret results in context with your medical history.
Can fasting affect C-peptide results?
Fasting may slightly alter C-peptide levels, but it’s not typically required for testing. Your doctor will guide you if fasting is necessary for your specific situation.
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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