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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 along with insulin when your pancreas releases it to help regulate blood sugar levels.

Quick summary

["C-peptide helps doctors assess insulin production and diagnose diabetes or other pancreatic conditions."]

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

Key facts at a glance

LOINC
77611-2
Short code
C peptide 4h p chal SerPl-sCnc
Synonyms
C peptide 4h 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?

C-peptide is a natural byproduct of insulin production. Unlike insulin, which is cleared quickly from the body, C-peptide remains in the bloodstream for a longer time. This test measures its concentration to evaluate how much insulin your pancreas is producing naturally.

Why might your doctor order this test?

Your doctor may request a C-peptide test to diagnose diabetes, monitor insulin production in people with diabetes, or investigate symptoms like unexplained weight loss, fatigue, or digestive issues that could indicate pancreatic problems.

How is the test performed?

A blood sample is taken from a vein in your arm. The sample is sent to a lab where it is analyzed using an immunoassay method to measure the C-peptide concentration in your serum or plasma.

What does a C-peptide test tell you?

A high C-peptide level may suggest your body produces insulin naturally, while a low level could indicate insufficient insulin production or other pancreatic disorders. This information helps guide treatment plans for diabetes or related conditions.

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 testing plays a key role in distinguishing between types of diabetes, assessing insulin deficiency, and evaluating pancreatic function. It can also help differentiate between diabetes caused by insulin resistance and diabetes caused by insufficient insulin production (e.g., type 1 diabetes).

Short name

C-peptide level

Frequently asked questions

What does a C-peptide test measure?
This test measures the concentration of C-peptide, a protein produced equally with insulin in the pancreas. It reflects your body’s natural insulin production rather than insulin given through injections or medications.
How long does it take to get results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your doctor will discuss the results with you during your follow-up visit.
Can lifestyle changes affect C-peptide levels?
While diet and exercise can influence blood sugar levels, they may not directly affect C-peptide levels. However, maintaining healthy blood sugar levels can support overall pancreatic function.
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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