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C-peptide concentration (serum/plasma)

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

This test measures the amount of C-peptide in your blood, a small protein produced along with insulin when your pancreas releases it. It helps assess how well your pancreas is producing insulin naturally.

Quick summary

["C-peptide helps confirm insulin production and rule out insulin use from sources other than your own pancreas."]

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

Key facts at a glance

LOINC
47594-7
Short code
C peptide pre Gc SerPl-sCnc
Synonyms
C peptide pre Gc 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 This Test Is Done

Doctors may order a C-peptide test to evaluate your pancreas’s ability to produce insulin. It’s often used to diagnose or monitor conditions like diabetes, especially when insulin use is suspected, or to check for pancreatic diseases. It can also help distinguish between types of diabetes or determine if insulin is being produced naturally.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm or vein to draw a blood sample. If you’re on insulin or certain medications, let your healthcare provider know beforehand.

What the Results Mean

C-peptide levels can vary based on diet, stress, or recent activity. Your results will be compared to a reference range provided by your doctor to determine if your pancreas is producing insulin as expected. Low levels may indicate insufficient insulin production, while very high levels could suggest overproduction or other conditions.

Common Conditions Monitored

C-peptide testing is commonly used in diagnosing or managing diabetes, particularly type 1 or type 2 diabetes. It can also help assess pancreatic function in people with symptoms like unexplained weight loss, fatigue, or signs of metabolic issues. Some doctors use it to evaluate insulinoma (a rare tumor that causes excessive insulin production).

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

Short name

C-peptide Level

Frequently asked questions

How long does it take to get my C-peptide test results?
Results are typically available within 1 to 3 business days, depending on your lab’s processing time. Your healthcare provider will discuss the findings with you during your follow-up visit.
Can I eat or drink before this test?
You can eat and drink normally before this test unless instructed otherwise by your doctor. Avoiding food or fluids for extended periods isn’t necessary for a C-peptide blood test.
Does this test require fasting?
No fasting is required for this test. However, if you’re on insulin or other diabetes medications, inform your doctor before the test 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