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Peptide fragment analysis of proinsulin (15-position cleavage) using serum/plasma

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

This test measures specific peptide fragments of proinsulin, a precursor protein to insulin, to help assess insulin production and function in your blood.

Quick summary

["Helps evaluate how well your body produces insulin from proinsulin."]

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

Key facts at a glance

LOINC
25573-7
Short code
C peptide sp15 p chal SerPl-sCnc
Synonyms
C peptide sp15 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 This Test Is Done

Doctors may order this test if they suspect diabetes, prediabetes, or other conditions affecting insulin processing. It can also be used to monitor treatment for conditions like type 1 or type 2 diabetes.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample, usually drawn from a vein in your arm, similar to other blood tests. Your healthcare provider will explain the process and answer any questions.

What the Results Mean

The test measures the ratio of specific proinsulin fragments, which can indicate how efficiently your pancreas converts proinsulin into insulin. Abnormal results may suggest issues with insulin production or processing.

Common Conditions Monitored

This test is often used alongside other glucose-related tests to diagnose or manage diabetes, insulinoma (a rare tumor affecting insulin), or other metabolic disorders.

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: This test provides insights into insulin synthesis and processing, which can be critical for diagnosing or managing diabetes-related conditions. Elevated or altered fragment levels may indicate impaired insulin production or dysfunction in the pancreas, helping tailor treatment plans.

Short name

Proinsulin fragment testing

Frequently asked questions

What does a high or low result mean?
High levels of certain proinsulin fragments may suggest inefficient insulin production or processing, which could be linked to diabetes or other metabolic disorders. Low levels might indicate normal function, but results should always be interpreted by a healthcare provider in the context of your overall health.
How is this test different from a standard glucose test?
Unlike glucose tests that measure blood sugar levels, this test focuses on the biochemical breakdown of proinsulin into insulin. It helps assess insulin production specifically, rather than just blood sugar levels.
Is fasting required for this test?
No fasting is typically required for this test, but your healthcare provider may advise fasting or other preparations depending on your specific situation. Always follow their instructions.
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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