For library developers, understanding how their Application Programming Interfaces (APIs) are used in the field can be invaluable. Knowing how clients are using their APIs allows for data-driven decisions on prioritising bug reports, feature requests, and testing activities. For example, the priority of a bug report concerning an API can be partly determined by how widely that API is used. In this paper, we present an empirical study in which we analyse API usage across 21 popular open-source C libraries, such as OpenSSL and SQLite, with a combined total of 3,061 C/C++ clients. We compare API usage by clients with how well library test suites exercise the APIs to offer actionable insights for library developers. To our knowledge, this is the first study that compares API usage and API testing at scale for the C/C++ ecosystem. Our study shows that library developers do not prioritise their effort based on how clients use their API, with popular APIs often poorly tested. For example, in LMDB, a popular key-value store, 45% of the APIs are used by clients but not tested by the library test suite. We further show that client test suites can be leveraged to improve library testing e.g., improving coverage in LMDB by 14.7% with the important advantage that those tests are representative of how the APIs are used in the field. For our empirical study, we have developed LibProbe, a framework that can be used to analyse a large corpus of clients for a given library and produce various metrics useful to library developers.