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Test ID INS Insulin, Serum

Useful For

Diagnosing insulinoma, when used in conjunction with proinsulin and C-peptide measurements

 

Management of diabetes mellitus

Method Name

Electrochemiluminescence Immunoassay

Reporting Name

Insulin, S

Specimen Type

Serum

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL

Collection Instructions:

1. Fasting

2. Avoid hemolysis

3. Label specimens with corresponding draw times.

4. Serum-gel tubes should be centrifuged within 2 hours of collection.

5. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

Additional Information:

1. If multiple specimens are drawn, send separate order for each specimen.

2. 12 Hours before this blood test do not take multivitamins or dietary supplements containing biotin or vitamin B7, which are commonly found in hair, skin, and nail supplements and multivitamins.

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Frozen (preferred) 180 days
  Refrigerated  7 days

Clinical Information

Insulin is a hormone produced by the beta cells of the pancreas. It regulates the uptake and utilization of glucose and is also involved in protein synthesis and triglyceride storage.

 

Type 1 diabetes (insulin-dependent diabetes) is caused by insulin deficiency due to destruction of insulin-producing pancreatic islet (beta) cells. Type 2 diabetes (noninsulin dependent diabetes) is characterized by resistance to the action of insulin (insulin resistance).

 

Insulin levels may be increased in patients with pancreatic beta cell tumors (insulinoma).

Reference Values

2.6-24.9 mcIU/mL

Cautions

Twelve hours before this blood test do not take multivitamins or dietary supplements containing biotin or vitamin B7, which are commonly found in hair, skin, and nail supplements and multivitamins.

 

Human antimouse antibodies (HAMA) may interfere with the assay.

 

Patients on insulin therapy may develop anti-insulin antibodies. These antibodies may interfere in the assay system, causing inaccurate results. In such individuals, measurement of free insulin FINS / Insulin, Free, Serum should be performed.

 

This assay has 100% cross-reactivity with recombinant human insulin (Novolin R and Novolin N). It does not recognize other commonly used analogues of injectable insulin (ie, insulin lispro, insulin aspart, and insulin glargine).

Day(s) Performed

Monday through Friday; 5 a.m.-12 a.m.

Saturday; 6 a.m.-6 p.m.

Report Available

Same day/1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

83525-Each

NY State Approved

Yes