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C-peptide (Serum or Plasma) Concentration

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

This test measures the amount of C-peptide, a natural substance produced by your pancreas along with insulin, in your blood. It helps assess how well your pancreas is producing insulin.

Quick summary

["C-peptide helps diagnose and monitor diabetes and pancreatic function."]

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

Key facts at a glance

LOINC
77612-0
Short code
C peptide 45M p chal SerPl-sCnc
Synonyms
C peptide 45M 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

What Is C-Peptide Used For?

C-peptide is primarily used to evaluate your body’s natural insulin production. Unlike insulin, which can be affected by medications or other factors, C-peptide reflects your pancreas’s ability to produce insulin independently. This can be especially useful in diagnosing type 1 diabetes, where the pancreas produces little to no insulin, or in assessing pancreatic health in other conditions.

How Is the Test Performed?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab where it is analyzed to measure C-peptide levels. The test does not require fasting unless specified by your healthcare provider.

Why Might You Need This Test?

Your doctor may order a C-peptide test if you have symptoms of diabetes, unexplained weight loss, or if you’re being evaluated for conditions affecting your pancreas, such as pancreatitis or pancreatic cancer. It can also help monitor diabetes treatment effectiveness.

What Do Results Mean?

High or low C-peptide levels can indicate different health conditions. For example, very low levels may suggest type 1 diabetes, while normal or high levels could help rule out diabetes or assess pancreatic function in other contexts. Your doctor will interpret results in relation to your medical history.

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 levels provide critical insights into insulin production and pancreatic health. Elevated levels may indicate insulin resistance or overproduction, while low levels often point to insufficient insulin secretion, such as in type 1 diabetes. This test can also help differentiate between types of diabetes or rule out other pancreatic disorders.

Short name

C-peptide test

Frequently asked questions

What does a C-peptide test tell me about my diabetes?
A C-peptide test helps determine whether your diabetes is caused by your pancreas not producing enough insulin (type 1 diabetes) or by other factors like insulin resistance. If your levels are low, it suggests type 1 diabetes. If levels are normal or high, it may indicate type 2 diabetes or other conditions affecting insulin production.
How often should I get this test?
Your doctor will decide how often you need this test based on your medical needs. Some people may need it once, while others with diabetes or related conditions may need it more frequently, such as during treatment adjustments or follow-ups.
Can I eat or drink before this test?
Generally, you can eat and drink normally before this test unless your doctor specifies otherwise. Some tests may require fasting, but C-peptide tests do not typically require fasting unless instructed.
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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