Skip to content

C-peptide (Serum/Plasma, Quantitative)

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

This test measures the amount of C-peptide, a small protein produced equally with insulin during digestion of food, helping assess how well your pancreas is producing insulin.

Quick summary

["C-peptide helps evaluate insulin production and diagnose diabetes or pancreatic issues."]

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

Key facts at a glance

LOINC
58513-3
Short code
C peptide 4.5h p Glc SerPl-sCnc
Synonyms
C peptide 4.5h 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

Your doctor may order a C-peptide test to check if your pancreas is making enough insulin. It can help diagnose type 1 or type 2 diabetes, rule out insulin resistance, or assess how well insulin therapy is working. It’s also used to distinguish between insulin-dependent and non-insulin-dependent diabetes in some cases.

How the Test Works

A blood sample is taken from a vein in your arm. The lab uses a specialized immunoassay (often clia or fia) to measure the tiny amounts of C-peptide in your serum or plasma. This test does not require fasting unless specified by your doctor.

What to Expect Before the Test

No special preparation is needed unless instructed by your healthcare provider. You may have a small needle inserted to draw blood, which can cause a brief sting. If you’re on blood thinners, let your doctor know before the test.

What the Results Mean

Results are compared to a reference range, but exact values can vary by lab. High levels may suggest overproduction of insulin, while low levels could indicate diabetes or pancreatic problems. Your doctor will interpret results in the context of your medical history and symptoms.

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 level

Frequently asked questions

How often do I need this test?
The frequency depends on your health condition. If you have diabetes, your doctor may recommend periodic testing to monitor insulin production and adjust treatment plans. For other reasons (e.g., suspected pancreatic issues), testing may be done once or as needed.
Can I eat or drink before this test?
Generally, no fasting is required unless your doctor specifies otherwise. However, always follow their instructions to avoid interfering with accurate results.
What if my results are abnormal?
Abnormal results may trigger further testing or changes to your treatment, such as adjusting diabetes medications or investigating underlying causes like pancreatic disease. Your doctor will discuss findings with you in detail.
  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