Skip to content

Free Insulin, Serum/Plasma — Mass Concentration

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

Measures the amount of unbound insulin in serum or plasma, which can help evaluate insulin production and the body's handling of glucose.

Quick summary

["Free insulin measures circulating insulin that is not bound to other substances and may be used in selected evaluations of glucose regulation."]

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

Key facts at a glance

LOINC
43942-2
Short code
Insulin Free SerPl-mCnc
Synonyms
Insulin Free SerPl-mCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
2.6
Ref high
24.9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83525
SNOMED
413618004
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

What is this test?

This blood test measures free insulin, the portion of insulin in the blood that is not bound to proteins. Insulin is a hormone made by the pancreas that helps move glucose into cells and helps regulate blood sugar.

Why might I need this test?

Free insulin may be ordered in selected situations to help assess how the body produces and responds to insulin. It is sometimes considered when evaluating unexplained changes in blood glucose, insulin resistance, or symptoms related to low blood sugar. It is often interpreted alongside glucose, fasting status, and other tests.

How is the test performed?

A blood sample is drawn from a vein and tested in a laboratory using an assay that measures free insulin in serum or plasma. The result is reported as a mass concentration, meaning the amount of insulin per unit volume of blood.

How do I prepare for the test?

Follow the instructions provided by your healthcare professional. The test is often performed after fasting for several hours, and your clinician should tell you whether food and drinks should be avoided beforehand. Do not stop medicines unless your clinician instructs you to do so.

Reference range

Fasting: 2.6-24.9 μIU/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free insulin

Frequently asked questions

Is fasting insulin the same as free insulin?
No. Fasting describes when the blood sample is collected, while free insulin describes the measured form of insulin. A fasting free insulin test is a blood sample collected after a period without food.
Why is free insulin measured separately from total insulin?
Some insulin circulates bound to proteins, and only the unbound portion is biologically active. Measuring free insulin can provide additional information in selected assessments of insulin function.
Does an abnormal free insulin result diagnose diabetes?
No. Diabetes is diagnosed using tests such as fasting glucose, an oral glucose tolerance test, or hemoglobin A1c. Free insulin may support a broader evaluation but does not establish the diagnosis by itself.
  1. 1
  2. 2
  3. 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.

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