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C-peptide (Serum/Plasma)

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

This test measures the amount of C-peptide, a small protein produced naturally by your pancreas along with insulin when your body converts food into energy.

Quick summary

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

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

Key facts at a glance

LOINC
77651-8
Short code
C peptide 75M p chal SerPl-sCnc
Synonyms
C peptide 75M 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

Why Is This Test Done?

Your doctor may order a C-peptide test to evaluate how well your pancreas is producing insulin, check for diabetes, or monitor conditions like insulinoma (a rare tumor affecting insulin production). It can also help distinguish between types of diabetes or rule out other causes of low insulin levels.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab for analysis using an immunoassay method to measure C-peptide concentration.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours before the test if instructed by your healthcare provider.

What to Expect After the Test

You’ll typically feel normal after the blood draw. Apply pressure to the site to stop any bleeding, and avoid heavy lifting for a few hours. Check with your doctor if you experience unusual pain or swelling.

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.

A C-peptide test is crucial for diagnosing diabetes (especially Type 1), assessing insulin-dependent conditions, and confirming whether insulin is being produced naturally. High levels may indicate normal insulin production, while low levels can signal diabetes or other pancreatic disorders. It helps differentiate between insulin-dependent and insulin-independent diabetes and can guide treatment decisions.

Short name

C-peptide level

Frequently asked questions

What does a high or low C-peptide level mean?
A high C-peptide level often means your pancreas produces insulin normally, which can help rule out Type 1 diabetes. A low level may suggest insulin deficiency, diabetes, or other pancreatic problems. Your doctor will interpret results in the context of your symptoms and medical history.
How long does it take to get results?
Results are usually available within 1–3 business days, depending on your lab. Your doctor will discuss them with you during your follow-up visit.
Can fasting affect C-peptide test results?
Fasting may slightly influence insulin and C-peptide levels, but since C-peptide is produced independently of food, fasting typically doesn’t change its measurement significantly. Follow your doctor’s instructions to ensure 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