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Insulin, Pre-12-Hour Fast, Serum/Plasma — Concentration

Published: August 9, 2026Updated: August 17, 2026

Measures the amount of insulin in a blood sample taken after an overnight fast to help evaluate how the body regulates blood glucose.

Quick summary

["Fasting insulin helps assess insulin production and how effectively the body responds to insulin."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
30363-6
Short code
Insulin p 12h fast SerPl-aCnc
Synonyms
Insulin p 12h fast SerPl-aCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
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 test measures insulin, a hormone made by the pancreas that helps move glucose from the bloodstream into cells for energy. The sample is generally collected at the end of an overnight fast and is often interpreted alongside a simultaneous glucose test.

Why might I need this test?

A clinician may order fasting insulin to help evaluate insulin resistance, unexplained changes in blood glucose, diabetes risk, or how the body is responding to treatment. It may also be used when symptoms suggest too much or too little insulin.

How is the test performed?

A healthcare professional draws a small amount of blood from a vein into a serum or plasma tube. The laboratory then measures the concentration of insulin in the sample.

How do I prepare for the test?

Fast for the period specified by your clinician, commonly 8 to 12 hours, and have the blood drawn in the morning. Water is usually allowed, but follow the laboratory's instructions. If you have diabetes or take medicines that affect blood glucose, ask your clinician how to adjust them; do not stop prescribed treatment unless advised.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected fasting insulin level may indicate that the body is producing more insulin because cells are responding poorly to it, which can occur with insulin resistance, obesity, or metabolic syndrome. A lower level may occur with prolonged fasting, certain medicines, or reduced insulin production. Results should be interpreted with fasting glucose, medical history, medications, and the laboratory's reference range.

Short name

Fasting insulin

Frequently asked questions

Is fasting insulin the same as an insulin tolerance test?
No. Fasting insulin is a simple blood measurement taken after fasting. An insulin tolerance test involves deliberately changing insulin and glucose levels while monitoring the body's response.
Why is my insulin result measured with fasting glucose?
Insulin and glucose work together to regulate blood sugar. Looking at both results gives the clinician a clearer picture of insulin production and insulin sensitivity than either test alone.
Can medicines or illness affect fasting insulin?
Yes. Insulin levels can be influenced by diabetes medicines, other medications, recent illness, stress, sleep, and the length of the fast. Tell the healthcare professional about these factors when the test is ordered.
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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 17, 2026. · Read our editorial policy