C-peptide (Serum)
This test measures the amount of C-peptide, a small protein produced by your pancreas along with insulin during blood sugar regulation. It helps assess how well your pancreas is producing insulin naturally.
["C-peptide helps evaluate insulin production and diabetes management."]
Key facts at a glance
- LOINC
- 13045-0
- Short code
- C peptide 6h p chal SerPl-mCnc
- Synonyms
- C peptide 6h p chal 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 healthcare provider may order a C-peptide test to check if your pancreas is making enough insulin. It can help diagnose or monitor conditions like type 1 or type 2 diabetes, insulinoma (a rare tumor that causes excess insulin), or to determine if you’re using insulin properly. It’s also useful in cases where insulin levels might be misleading, such as in people receiving insulin therapy.
What does a result mean?
Results aren’t interpreted alone—they’re usually compared to other tests and clinical findings. Higher levels may suggest your pancreas is producing insulin independently (e.g., in insulinoma), while lower levels could indicate insufficient insulin production or synthetic insulin use. Your doctor will discuss these results in the context of your health.
How is the test performed?
A blood sample is taken from a vein, usually in your arm. You may feel a small pinch, but it’s quick and doesn’t require special preparation. The blood is sent to a lab for analysis.
What should I expect before or after the test?
No special preparation is needed, but avoid eating or drinking anything (except water) for 8–12 hours before the test. Afterward, you can resume normal activities. Minor bruising or soreness at the needle site may occur and should fade quickly.
Reference range
INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A
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
What does a high C-peptide level mean?
What does a low C-peptide level mean?
Can diet or exercise affect C-peptide levels?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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