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

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

Measures proinsulin in blood one hour after a glucose challenge to help assess pancreatic beta-cell function and insulin production.

Quick summary

["This timed proinsulin test helps evaluate insulin-related pancreatic function when interpreted with glucose and other insulin tests."]

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

Key facts at a glance

LOINC
27956-2
Short code
Proinsulin 1h p chal SerPl-sCnc
Synonyms
Proinsulin 1h 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?

Proinsulin is a precursor made by the pancreas before it is processed into insulin. This test measures the amount of proinsulin in serum or plasma one hour after a glucose challenge.

Why might I need this test?

Your clinician may order this test to evaluate how the pancreas responds to glucose and produces insulin. It may be used when diabetes, prediabetes, or other disorders of glucose metabolism are being investigated.

How is the test performed?

You consume a measured glucose-containing drink, and a blood sample is collected exactly one hour later. The laboratory measures proinsulin in the serum or plasma.

How do I prepare for the test?

Follow your clinician's instructions about fasting and the glucose challenge. The test depends on accurate timing, so report any vomiting, acute illness, or inability to complete the challenge to the testing staff.

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.

Proinsulin results are interpreted together with the one-hour glucose, insulin, and sometimes C-peptide results. An abnormal pattern may indicate difficulty producing or releasing insulin, impaired glucose tolerance, or other changes in glucose metabolism, but it does not establish a diagnosis by itself.

Short name

1-Hour Post-Challenge Proinsulin

Frequently asked questions

Is this the same as a routine insulin test?
Not exactly. It measures proinsulin at a specific time after a glucose challenge rather than only measuring insulin under standard fasting or routine conditions.
Why is the one-hour collection time important?
Proinsulin and insulin can change quickly after glucose is consumed. A precisely timed sample allows your clinician to compare the result with glucose and other measurements taken during the same challenge.
Does an abnormal proinsulin result mean I have diabetes?
No. A single abnormal result does not diagnose diabetes or another condition. Your clinician will interpret it with the rest of your medical history and the other glucose-metabolism test results.
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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