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Insulin, Serum/Plasma — 1-Hour Post-Challenge, Substance Concentration

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

Measures insulin in blood drawn 1 hour after a challenge, usually a glucose load, to assess how the pancreas responds to rising blood sugar.

Quick summary

["This timed insulin test helps evaluate pancreatic insulin production in response to a glucose challenge."]

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

Key facts at a glance

LOINC
25686-7
Short code
Insulin sp11 p chal SerPl-sCnc
Synonyms
Insulin sp11 p chal SerPl-sCnc
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 test measures the amount of insulin in a blood sample collected 1 hour after a challenge, usually a glucose drink. Insulin is a hormone made by the pancreas that helps cells take up glucose for energy.

Why might I need this test?

A timed insulin test may be used to assess how effectively the pancreas releases insulin after glucose is given. It is sometimes used in the evaluation of diabetes, insulin resistance, or unusual blood sugar patterns.

How is the test performed?

A blood sample is drawn exactly 1 hour after the challenge. The sample is tested to determine the insulin concentration, and the result is interpreted along with blood glucose measurements and your clinical history.

How do I prepare for the test?

Follow the testing center's instructions about fasting and the challenge. Take medicines only as directed, and tell the staff if you are pregnant, have recently had illness, or have eaten before the test.

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.

Higher-than-expected insulin after the challenge may occur with insulin resistance, obesity, or prediabetes, especially when glucose is also elevated. Lower-than-expected insulin may indicate reduced pancreatic function or an inappropriately low insulin response. Results require interpretation alongside glucose levels, symptoms, medicines, and other tests.

Short name

Insulin, 1-Hour Post-Challenge

Frequently asked questions

Is this the same as a routine insulin test?
No. This test uses a sample collected at a precise time after a challenge, so the result reflects how the pancreas responds rather than a single baseline measurement.
Why is my blood glucose measured at the same time?
Insulin and glucose must be considered together. Insulin tells the clinician how the body is responding to glucose, while glucose shows the blood sugar level at that moment.
Do I need to fast before this test?
Fasting requirements depend on the challenge protocol. Follow the instructions provided by the testing center, and do not change diabetes medicines unless your clinician tells you to do so.
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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