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Glucose, Insulin, and C-peptide levels measured in a triple bolus (fasting and post-challenge) serum/plasma sample

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

This test evaluates how your body responds to glucose and insulin over time, often used to assess diabetes management or insulin sensitivity.

Quick summary

["Helps doctors check how well your body processes sugar and insulin during different phases of glucose intake."]

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

Key facts at a glance

LOINC
40337-8
Short code
GH 45M p Triple Bolus SerPl-mCnc
Synonyms
GH 45M p Triple Bolus SerPl-mCnc
Category
chemistry
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 doctor may order this test if you have diabetes, are at risk for diabetes, or if you’re being evaluated for conditions like prediabetes or insulin resistance. It helps track how your body handles glucose and insulin during fasting and after consuming a controlled sugar dose.

What to Expect Before the Test

You’ll fast for 8–12 hours before the test. Blood samples will be taken at three points: before eating (fasting), after a small sugar drink, and again after a set time (usually 1–2 hours later). No special preparation is needed beyond fasting.

What the Test Measures

The test measures three key substances: glucose (blood sugar), insulin (a hormone that regulates sugar), and C-peptide (a marker of your own insulin production). These are checked at three time points to see how your body responds to sugar.

How Results Are Used

Results help determine if your diabetes is well-controlled, if insulin resistance is present, or if you need adjustments to your diabetes management plan, such as medication or diet.

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.

Abnormal results may indicate diabetes, insulin resistance, or other metabolic disorders. High glucose levels after eating could signal poor insulin function, while low insulin levels might suggest issues with insulin production or sensitivity. This test is critical for tailoring treatment to your specific needs.

Short name

Triple Bolus Glucose/Insulin Profile

Frequently asked questions

What does a triple bolus test tell me about my diabetes?
It provides a detailed picture of how your body handles glucose and insulin over time, helping your doctor identify if your diabetes is stable, if you’re over- or under-producing insulin, or if lifestyle changes or medications need adjustment.
How long will I need to fast before this test?
You’ll need to fast for 8–12 hours before the test. Avoid eating, drinking (except water), or smoking during this time.
Will I feel different after the test?
You may feel lightheaded or dizzy during the blood draws, especially if you’re fasting. Afterward, you can eat and drink normally. If you experience severe symptoms, contact your healthcare provider.
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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.

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