Skip to content

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

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

This test measures the amount of C-peptide, a natural byproduct of insulin production, in your blood. It helps assess how well your pancreas is producing insulin.

Quick summary

["C-peptide levels can indicate insulin function and help diagnose diabetes or other endocrine conditions."]

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

Key facts at a glance

LOINC
13043-5
Short code
C peptide 3h p chal SerPl-mCnc
Synonyms
C peptide 3h p chal SerPl-mCnc
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 healthcare provider may order a C-peptide test to evaluate insulin production, diagnose diabetes (such as type 1 or type 2), or monitor conditions like insulinoma (a rare tumor affecting insulin). It can also help distinguish between types of diabetes or assess how your body responds to insulin therapy.

How Is the Sample Collected?

A blood sample is taken from a vein, usually in your arm. The blood is collected in a special tube to separate plasma from other components before testing.

What Should You Expect Before the Test?

No special preparation is typically needed, but you may be asked to fast for a few hours before the test if instructed by your provider. Avoid smoking or caffeine for 30 minutes before the draw.

What Does the Test Result Mean?

Results are compared to reference ranges for healthy individuals, but exact values can vary by lab. High levels may suggest overproduction of insulin, while low levels could indicate insufficient insulin production or other metabolic 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.

◆Associated findings1

Short name

C-peptide (HPLC)

Frequently asked questions

What is C-peptide, and why is it measured?
C-peptide is a small protein produced in equal amounts with insulin during glucose metabolism. Measuring it helps assess natural insulin production without relying solely on insulin levels, which can be artificially elevated by exogenous insulin.
How does C-peptide differ from insulin testing?
Unlike insulin, C-peptide is not injected or supplemented, so its levels reflect *true* endogenous insulin production. This makes it a more accurate marker for pancreatic function in many cases.
Can diet or fasting affect C-peptide results?
Fasting may slightly alter C-peptide levels, but the test is generally stable enough for diagnostic purposes. Always follow your provider’s specific instructions for timing.
  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