How to prepare
For most purposes, no fasting is required. However, some clinical scenarios call for a fasting sample or a test taken after a standardised meal. Follow any specific instructions from your practitioner. If none have been given, a fasted or post-breakfast sample are both acceptable for general assessment.
After the test
Take your result to your GP or endocrinologist. It's most meaningful when reviewed alongside your glucose levels, HbA1c, and clinical history. If you're being investigated for diabetes type, your specialist will combine C-peptide with other markers and antibody tests to form a full picture.
Your test results will be available in your private dashboard. If there are any urgent issues, we'll let you know so you can follow up with your health professional.
Understanding results
- Low or undetectable C-peptide in a person with diabetes suggests the pancreas is producing little or no insulin — consistent with Type 1 diabetes or late-stage beta cell failure.
- Normal or elevated C-peptide alongside elevated blood glucose suggests insulin resistance (Type 2 pattern) rather than lack of insulin production.
- Very high C-peptide alongside low blood glucose can indicate an insulinoma — a rare insulin-secreting tumour. This requires specialist investigation.
- C-peptide is reported in nmol/L or pmol/L — reference ranges vary by lab and context.