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C-peptide (Serum)

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

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.

Quick summary

["C-peptide helps evaluate insulin production and diabetes management."]

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

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

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.

◆Associated findings1

Short name

C-peptide level

Frequently asked questions

What does a high C-peptide level mean?
A high C-peptide level may suggest your pancreas is producing insulin naturally, which could be seen in insulinoma or other conditions causing excess insulin. It doesn’t always mean diabetes, but your doctor will review it with other test results and your symptoms.
What does a low C-peptide level mean?
A low C-peptide level often means your pancreas isn’t producing enough insulin on its own, which can happen in type 1 diabetes or if you’re using insulin therapy. It doesn’t replace other tests but supports the diagnosis.
Can diet or exercise affect C-peptide levels?
Diet and exercise can influence blood sugar levels, which indirectly affect insulin production, but they don’t directly change C-peptide levels. Your doctor may recommend monitoring these factors if managing diabetes.
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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