Total and Free Insulin (Blood)
Does this test have other names?
Serum insulin level
What is this test?
This blood test measures two types of insulin in your body: total and free.
Insulin is found in your body in many forms. Bound insulin is attached to other proteins.
This often occurs in people with diabetes who are treated with insulin. Free insulin
is not attached to other proteins. Total insulin measures both free and bound insulin.
The hormone insulin plays a key role in keeping your blood sugar at the right level.
Too little insulin leads to a certain type of diabetes. High levels of insulin can
harm your health by leading to hypoglycemia, or low blood sugar.
Why do I need this test?
You may need this test if you have symptoms of low blood sugar. Symptoms of hypoglycemia
Hypoglycemia can be caused by:
Insulin used as a medicine to control diabetes. Each year, up to 30 percent of people
with type 1 diabetes have a serious episode of hypoglycemia. This also can occur in
people with type 2 diabetes, but it's much less common in them.
Insulinomas. These are rare tumors in the pancreas that produce insulin. They are
usually not cancer.
Other types of tumors elsewhere in the body that produce a substance called insulin-like
growth factor 2, or IGF-2, which may affect your insulin levels.
What other tests might I have along with this test?
Your healthcare provider may also order other blood tests, including those that measure:
Your healthcare provider may also order a urine test to look at levels of sulfonylurea,
a medicine used to treat diabetes.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Results are given in microunits per milliliter (mcU/mL). A normal measurement of free
insulin is less than 17 mcU/mL. You may have a false-low result if you have a medical
problem that's damaging red blood cells.
If your levels are higher, it may mean you have been using too much insulin in medicine
form. It may also mean that you have an insulinoma that's making extra insulin.
Your results may be higher or lower if your immune system makes antibodies against
How is this test done?
The test requires a blood sample, which is drawn through a needle from a vein in your
Does this test pose any risks?
Taking a blood sample with a needle carries risks that include bleeding, infection,
bruising, or feeling dizzy. When the needle pricks your arm, you may feel a slight
stinging sensation or pain. Afterward, the site may be slightly sore.
What might affect my test results?
Taking insulin as a medicine will affect your results.
How do I get ready for this test?
Tell your healthcare provider if you are taking any medicines that affect your blood
sugar, including insulin. In addition, be sure your healthcare provider knows about
all medicines, herbs, vitamins, and supplements you are taking. This includes medicines
that don't need a prescription and any illicit drugs you may use. Also tell your healthcare
provider the last time you had something to eat.