C-Peptide

Description: 
C-peptide is produced by the pancreatic/beta-cells as a by-product of enzymatic cleavage of pro-insulin to insulin. Often measured alongside insulin, there are various clinical indications for c-peptide measurement. It is of use in the evaluation of fasting hypoglycaemia following surreptitious insulin injection, but may also be used in the identification of an insulin-pro C-peptide has an important role in monitoring pancreatic therapy. Following radical pancreatectomy C-peptide should be undetectable, whilst an increased concentration should be expected after successful pancreas/islet cell transplant. C-peptide has an important role in monitoring pancreatic therapy. Following radical pancreatectomy C-peptide should be undetectable, whilst an increased concentration should be expected after successful pancreas/islet cell transplant.
Clinical details: 
C-peptide is not affected by hepatic metabolism so may provide a better indicator of /beta-cell function than insulin. In addition, anti-insulin antibodies are often encountered in patients undergoing insulin therapy. These antibodies interfere with insulin assays and render them inappropriate for assessment of residual /beta-cell activity. C-peptide measurements may be used as an alternative to insulin in this context.ducing /beta-cell tumour. "
Reference range: 

See Chemistry Reference Ranges Document at Automated Chemistry Laboratory at Guy's and St Thomas'

Units: 
pmol/L
Sample type and Volume required: 
Serum
Call in advance: 
Yes
Turnaround time: 
7 days
Patient instructions: 

Fasting

Storage and transport: 
Send frozen on dry ice
Contacts:
Blood Sciences Department-Guy's And St Thomas' Hospital
St Thomas' Hospital
North Wing - 5th Floor
Westminster Bridge Road
London SE1 7EH
Contact: 020 7188 9247

Guy's Hospital
Southwark Wing - 4th Floor
Great Maze Pond
London SE1 9RT
Contact: 020 7188 4781
Automated Chemistry Laboratory at Guy's and St Thomas' Clinical Advisory Service
Monday – Friday, 09:00-17:00 h: 07738897061
Out of hours, weekends & bank holidays: find details on Rotawatch on Trust intranet GTi, or contact via GSTT switchboard.
For clinical advice or interpretation of results, please contact the laboratory in the first instance.

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Last updated: 08/11/2021