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Understanding the Test
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Interpreting Results
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C-Peptide, Fasting

Also known as Connecting peptide insulin, Insulin C-peptide, Proinsulin C-peptide
8781050 16% Off
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. Overnight fasting (8-12 hrs) is required. Do not eat or drink anything except water before the test.

Understanding C-Peptide, Fasting


What is C-Peptide, Fasting?

The C-Peptide, Fasting test measures the level of C-peptide in the blood after a period of 8 to 12 hours of fasting. This test evaluates insulin production by the pancreas and helps understand, monitor, or treat disorders such as hypoglycemia (low blood sugar), diabetes, etc. 

The C-Peptide, Fasting test is tailored for individuals with diabetes. It helps doctors understand how well the pancreas is making insulin, which is vital for managing the condition effectively. During this test, the level of C-peptide, a protein fragment released when insulin is produced, is measured in the blood after a period of 8 to 12 hours of fasting. C-peptide levels provide valuable information about the body’s own insulin secretion, distinguishing between endogenous insulin (produced by the pancreas) and exogenous insulin (administered externally). This distinction is important in understanding various conditions, particularly diabetes, as this test helps determine whether insulin resistance or impaired insulin secretion is the underlying cause. 

The C-Peptide, Fasting test may be required in individuals presenting with symptoms like frequent urination, excessive thirst, or unexplained weight loss suggestive of diabetes. It can also be done if your doctor suspects you have insulin resistance; your diabetes has been incorrectly classified; or you have acute or recurring hypoglycemia without an apparent cause. Additionally, the C-Peptide, Fasting test can be done periodically when you have been diagnosed with an insulinoma (tumor in the pancreas) to monitor the effectiveness of treatment and to detect its recurrence. 

Usually, overnight fasting (8 to 12 hours) is required before going for the C-Peptide, Fasting test. However, drinking water is acceptable. Inform your doctor about any medications, supplements, or herbal remedies that you are currently taking as some of them may interfere with the test results and require temporary discontinuation. 

Lab test results may vary across different laboratories. Abnormal test results require an expert interpretation; therefore, never try to self-medicate at home based solely on these results, and always consult a doctor for a proper understanding of the test results. The results will help them evaluate your medical condition and formulate an overall treatment plan. 

What is C-Peptide, Fasting used for?

The C-Peptide, Fasting test is done: 

  • To help evaluate the ability of the pancreas to produce insulin.
  • To diagnose diabetes and distinguish between type 1 and type 2 diabetes.
  • To monitor the effectiveness of diabetes treatments, such as insulin therapy.
  • To assess insulin resistance, a common problem in type 2 diabetes.
  • To provide insights into the functioning of the beta cells in the pancreas, which produce insulin.
  • To monitor how well the insulinomas (pancreatic tumors) are responding to the treatment as decreasing levels of C-peptide indicate a positive response to treatment while increasing levels may suggest tumor recurrence.
  • To help evaluate an individual diagnosed with metabolic syndrome.
  • To determine if someone with diabetes may benefit from insulin therapy and at what dosage.
  • To assess the success of pancreatic islet cell transplants, which aim to restore insulin production, ensuring the treatment is effective and continues to be successful.

What does C-Peptide, Fasting measure?

The C-Peptide, Fasting test measures the level of C-peptide in the blood. C-peptide is a byproduct of insulin production in the pancreas. When the pancreas releases insulin into the blood, it also releases C-peptide in equal amounts. Therefore, measuring C-peptide levels can provide valuable insights into the body's natural production of insulin. This test is particularly useful in individuals with diabetes, as it helps determine how well their pancreas is functioning in producing insulin. 

By assessing C-peptide levels, doctors can better understand an individual's insulin production capacity. This information is crucial for diagnosing and managing diabetes effectively. Additionally, the C-Peptide, Fasting test can help differentiate between type 1 and type 2 diabetes, guide treatment decisions, monitor the effectiveness of diabetes therapies, and evaluate overall pancreatic function  Moreover, the C-Peptide, Fasting test plays a vital role in tailoring personalized treatment plans for individuals with diabetes, ensuring optimal management of their condition.

Interpreting C-Peptide, Fasting results


Interpretations

High levels:

·   A high level of C-peptide generally indicates a high level of endogenous insulin production which may be in response to high blood glucose levels caused by glucose intake or insulin resistance.

·   High levels of C-peptide are also seen with insulinomas.

·   High levels of C-peptide may be seen with low blood potassium, Cushing syndrome, and renal failure.

Low levels: 

- A low level of C-peptide indicates a low level of insulin production by the beta cells that can be seen in diabetes or when production is suppressed by treatment with exogenous insulin.

 

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about C-Peptide, Fasting


Frequently Asked Questions about C-Peptide, Fasting

Q. Why is the C-Peptide, Fasting test performed?

The test is performed to evaluate the production of insulin by the pancreas. It helps distinguish between type 1 and type 2 diabetes, monitor insulin production in individuals with diabetes, and sometimes in the investigation of hypoglycemia (low blood sugar).

Q. Are there any special preparations required before the C-Peptide, Fasting test?

Yes, you must fast for 8-12 hours before taking the C-Peptide, Fasting test. However, you can drink water. Also, inform your doctor about any medications you are taking, as some of them can affect your test results and may need to be adjusted or temporarily discontinued before the test.

Q. What are the risks associated with the C-Peptide, Fasting test?

The risks associated with this test are generally minimal. However, some people may experience mild pain or discomfort at the site from where the blood sample is taken, which is usually self-limiting.

Q. How often should I book the C-Peptide, Fasting test?

The frequency of getting the C-Peptide, Fasting test depends on the individual circumstances and their diabetes status. However, it is best to follow your doctor's recommendations.

Q. Does C-peptide level help in diagnosing diabetes?

C-peptide level may help in differentiating type 1 diabetes from type 2 diabetes, but does not actually help in the diagnosis of diabetes.

Q. What medical conditions can affect C-Peptide levels?

Medical conditions such as type 1 diabetes, type 2 diabetes, insulin resistance, pancreatic tumors, and kidney failure can affect C-Peptide levels.

Q. What is the difference between type 1 and type 2 diabetes?

Type 1 diabetes is an autoimmune condition where the body’s immune system attacks and destroys the insulin-producing cells (islet cells) in the pancreas leading to little or no insulin production. Whereas, in type 2 diabetes, the body becomes resistant to insulin or does not produce enough insulin to maintain normal blood sugar levels.

Q. Is diabetes preventable?

Type 2 diabetes is largely preventable through lifestyle changes such as keeping weight under control, exercising regularly, eating a healthy diet, and avoiding smoking. However, type 1 diabetes is an autoimmune condition, and currently, there is no cure for it.

Q. What other tests might I have along with the C-peptide test?

Additional tests may vary at the doctor's discretion. However, commonly prescribed tests include Blood glucose test, glucagon test, insulin test, and HbA1c test.
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C-Peptide, Fasting test price for other cities


Price inBangaloreRs. 878
Price inMumbaiRs. 878
Price inNew DelhiRs. 878
Price inPuneRs. 878
Price inHyderabadRs. 878
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References

  1. C-peptide (Blood) [Internet]. USA: NIDDK; Apr.2023 [Accessed 27 Mar. 2024]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=c_peptide_bloodExternal Link
  2. Leighton E, Sainsbury CA, Jones GC. A Practical Review of C-Peptide Testing in Diabetes. Diabetes Ther. 2017 Jun;8(3):475-487. [Accessed 27 Mar. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446389/ External Link
  3. Venugopal SK, Mowery ML, Jialal I. Biochemistry, C Peptide. [Updated 2023 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526026/ External Link
  4. C-peptide test [Internet]. Diabetes.co.uk; 29 Oct. 2023 [Accessed 27 Mar. 2024]. Available from: https://www.diabetes.co.uk/c-peptide-test.html External Link
  5. Maddaloni E, Bolli GB, Frier BM, Little RR, Leslie RD, Pozzilli P, Buzzetti R. C-peptide determination in the diagnosis of type of diabetes and its management: A clinical perspective. Diabetes Obes Metab. 2022 Oct;24(10):1912-1926. [Accessed 27 Mar. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9543865/ External Link
  6. Vollenbrock CE, Mul D, Dekker P, Birnie E, de Vries-Velraeds MMC, Boesten L, Groen J, Geelhoed-Duijvestijn PHLM, Aanstoot HJ, Wolffenbuttel BHR. Fasting and meal-stimulated serum C-peptide in long-standing type 1 diabetes mellitus. Diabet Med. 2023 Feb;40(2):e15012. [Accessed 27 Mar. 2024]. Available from: https://pubmed.ncbi.nlm.nih.gov/36398450/ External Link
  7. Sokooti S, Kieneker LM, Borst MH, Muller Kobold A, Kootstra-Ros JE, Gloerich J, van Gool AJ, Heerspink HJL, T Gansevoort R, Dullaart RPF, Bakker SJL. Plasma C-Peptide and Risk of Developing Type 2 Diabetes in the General Population. J Clin Med. 2020 Sep 17;9(9):3001. [Accessed 27 Mar. 2024]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564789/ External Link
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