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Diabetes and Blood Sugar Tests

C-Peptide

C-peptide is released in equal amounts with insulin, so it shows how much insulin your own pancreas is making.

Normal range (adults)
0.8–3.5 ng/mL (0.26–1.16 nmol/L)
Sample
Blood
Fasting
Not usually needed
Also called
C Peptide, Connecting Peptide, Serum C-Peptide

C-Peptide normal range

Group ng/mLConventional units: US, South Asia nmol/LSI units: UK, Europe, Australia, international
Adults0.8–3.50.26–1.16

Your report may use either unit system; labs in the Gulf often print both. Ranges also vary slightly between laboratories, so the range printed on your own report is the one to go by.

Why is the C-Peptide test done?

It helps tell type 1 from type 2 diabetes and investigate low blood sugar.

What does a high C-Peptide level mean?

High C-peptide means the pancreas is making a lot of insulin, usually because of insulin resistance.

Common causes

  • Insulin resistance and type 2 diabetes
  • Kidney disease
  • Insulinoma (rare)

Diet and lifestyle tips

  • Same as for insulin resistance: less sugar and refined carbohydrates, more fibre, regular exercise, weight loss

What does a low C-Peptide level mean?

Low C-peptide means the pancreas is making little insulin.

Common causes

  • Type 1 diabetes
  • Long-standing type 2 diabetes
  • Pancreatic damage

Diet and lifestyle tips

  • Insulin treatment is usually needed; follow your diabetes team's plan

When should you see a doctor?

Your doctor will interpret C-peptide together with your blood sugar at the time of the test.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.