Peptide fragment analysis of proinsulin (Serum/Plasma)
This test measures the ratio of proinsulin fragments to insulin in your blood. It helps assess how well your pancreas produces insulin and can help diagnose or monitor conditions like type 1 or type 2 diabetes.
["This test helps check insulin production and diabetes management."]
Key facts at a glance
- LOINC
- 50464-7
- Short code
- C peptide sp4 SerPl-sCnc
- Synonyms
- C peptide sp4 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
Your healthcare provider may order this test if you have symptoms of diabetes, such as frequent urination, excessive thirst, or unexplained weight loss. It may also be used to evaluate insulin production in people with diabetes or those at risk for diabetes, such as those with obesity or a family history of diabetes.
What to Expect Before the Test
No special preparation is needed for this test. You may have a blood sample drawn from a vein in your arm, similar to other blood tests. If you are on insulin therapy, let your healthcare provider know before the test.
What the Test Results Mean
A higher ratio of proinsulin fragments compared to insulin may indicate impaired insulin processing, which can be seen in conditions like type 1 diabetes or certain genetic disorders. Lower ratios may suggest normal insulin production or overproduction.
Common Conditions Monitored
This test is particularly useful in diagnosing or managing diabetes, especially in cases where traditional glucose tests may not provide enough information. It can also help distinguish between types of diabetes or other metabolic disorders.
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
Proinsulin Peptide Ratio
Frequently asked questions
What does a high proinsulin peptide ratio mean?
How often should I get this test?
Can fasting affect this test?
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