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C-peptide (Serum/plasma, mass concentration)

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

This test measures the amount of C-peptide in your blood. C-peptide is a natural substance produced by your pancreas along with insulin.

Quick summary

["C-peptide helps doctors assess how well your pancreas is producing insulin naturally."]

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

Key facts at a glance

LOINC
13861-0
Short code
C peptide 5M p 1 mg Gc IV SerPl-mCnc
Synonyms
C peptide 5M p 1 mg Gc IV 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 doctor may order a C-peptide test to evaluate your pancreas’s function, especially if you have diabetes or suspect diabetes. It can also help distinguish between types of diabetes or check if insulin therapy is working properly by measuring your body’s natural insulin production.

What to Expect During the Test

A small blood sample is taken from a vein, usually in your arm. You may feel a slight pinch, but it’s quick and not painful. No special preparation is needed unless your doctor instructs otherwise.

How the Results Are Used

High levels of C-peptide may indicate your body produces insulin naturally, while low levels could suggest insulin deficiency or other pancreatic issues. Your doctor will interpret results in the context of your symptoms and medical history.

Common Reasons for Testing

C-peptide testing is often done to diagnose or monitor diabetes, assess insulin resistance, or evaluate pancreatic health before or after treatments like insulin therapy.

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 is a biomarker for insulin production. It helps differentiate between type 1 diabetes (where the pancreas produces little to no insulin) and type 2 diabetes (where insulin production may still occur but is insufficient). It’s also useful in assessing whether insulin therapy is effective by measuring endogenous insulin levels.

Short name

C-peptide level

Frequently asked questions

What does a high C-peptide level mean?
A high C-peptide level suggests your pancreas is producing insulin naturally, which may indicate type 2 diabetes or insulin resistance rather than type 1 diabetes. It can also help confirm if your body is still making insulin even if you’re on insulin therapy.
What does a low C-peptide level mean?
A low C-peptide level often points to type 1 diabetes or severe insulin deficiency, where the pancreas produces little to no insulin. It may also occur in conditions affecting the pancreas, such as pancreatitis or pancreatic cancer.
Can diet or exercise affect C-peptide levels?
Diet and exercise can influence blood sugar levels but may not significantly alter C-peptide levels on their own. Your doctor may recommend fasting or specific timing of the test to get the most accurate results.
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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