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C-peptide (Serum or 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. It helps assess how much insulin your pancreas naturally makes.

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
58515-8
Short code
C peptide 45M p Glc SerPl-sCnc
Synonyms
C peptide 45M 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 produces insulin normally. It’s often used to diagnose type 1 diabetes, type 2 diabetes, or to evaluate insulin resistance. It can also help determine if insulin injections are working properly in people with diabetes.

How the Test Works

A blood sample is taken from a vein in your arm. The lab measures the concentration 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, but you may be asked to stop certain medications or avoid foods that could affect results. Always follow your doctor’s instructions.

What the Results Mean

High levels of C-peptide may indicate your pancreas is producing insulin despite diabetes. Low levels suggest poor insulin production or possible pancreatic issues. 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.

C-peptide levels are critical for diagnosing diabetes subtypes, assessing insulin dependency, and monitoring pancreatic health. It can also help differentiate between insulin-producing tumors and other conditions affecting insulin metabolism.

Short name

C-peptide level

Frequently asked questions

What causes abnormal C-peptide levels?
Abnormal C-peptide levels can result from diabetes (type 1 or type 2), pancreatic diseases (like pancreatitis), or conditions affecting insulin production. High levels may also occur in people with obesity or metabolic syndrome.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your doctor will discuss the findings with you during your follow-up visit.
Can diet or medications affect C-peptide test results?
Yes, certain foods, medications (like some diabetes drugs), or fasting status may influence results. Always inform your doctor about any medications or dietary changes before testing.
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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