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Decoding Your Blood Sugar Test Results: A Complete Guide (mg/dL & mmol/L)

04 Sep 2025 by Sanjeev Nanda, M.D.

Decoding Your Blood Sugar Test Results: A Complete Guide (mg/dL & mmol/L)

Understanding your blood sugar levels is crucial for managing your health, especially if you're at risk for or have been diagnosed with diabetes. Blood sugar tests measure the glucose concentration in your blood, and interpreting these results accurately is the first step toward proactive healthcare. This guide will provide a comprehensive overview of what blood sugar test results mean, both in milligrams per deciliter (mg/dL) and millimoles per liter (mmol/L), empowering you to better understand your health. Impaired Fasting Glucose What It Means When Your Morning Blood Sugar Is High

Why Blood Sugar Testing Matters

Regular blood sugar testing helps in:

  • Detecting prediabetes and diabetes early.
  • Monitoring the effectiveness of diabetes treatment plans.
  • Preventing long-term complications associated with high or low blood sugar.
  • Making informed decisions about diet, exercise, and medication.

Types of Blood Sugar Tests

Before we dive into interpreting the results, let's quickly cover the main types of blood sugar tests:

  1. Fasting Blood Sugar (FBS) Test: Measures blood sugar after an overnight fast (at least 8 hours).
  2. Random Blood Sugar (RBS) Test: Measures blood sugar at any time of day, regardless of when you last ate.
  3. Oral Glucose Tolerance Test (OGTT): Measures blood sugar levels before and two hours after you drink a special sugary drink. Primarily used to diagnose gestational diabetes or diabetes.
  4. A1C Test: Measures your average blood sugar level over the past 2-3 months. It reflects long-term glucose control.

Understanding the Units: mg/dL and mmol/L

Blood sugar levels are typically reported in one of two units:

  • Milligrams per deciliter (mg/dL): This is the standard unit used in the United States.
  • Millimoles per liter (mmol/L): This unit is commonly used in Canada, Europe, and other parts of the world.

Knowing the conversion between these units is important for understanding results regardless of where you are or where the data originates. The conversion factor is: Best Foods To Control Your Blood Glucose Levels

  • mg/dL to mmol/L: Divide mg/dL by 18.
  • mmol/L to mg/dL: Multiply mmol/L by 18.

Interpreting Blood Sugar Test Results (Fasting, Random, and OGTT)

The following table provides guidelines for interpreting the results of various blood sugar tests in both mg/dL and mmol/L.

Test Category mg/dL mmol/L
Fasting Blood Sugar (FBS) Normal Less than 100 Less than 5.6
Fasting Blood Sugar (FBS) Prediabetes 100 to 125 5.6 to 6.9
Fasting Blood Sugar (FBS) Diabetes 126 or higher 7.0 or higher
Random Blood Sugar (RBS) Normal (Non-Diabetic) Varies significantly depending on when last ate. Consult doctor for target ranges. Varies significantly depending on when last ate. Consult doctor for target ranges.
Random Blood Sugar (RBS) Diabetes 200 or higher (with symptoms) 11.1 or higher (with symptoms)
Oral Glucose Tolerance Test (OGTT) - 2 hours after glucose load Normal Less than 140 Less than 7.8
Oral Glucose Tolerance Test (OGTT) - 2 hours after glucose load Prediabetes 140 to 199 7.8 to 11.0
Oral Glucose Tolerance Test (OGTT) - 2 hours after glucose load Diabetes 200 or higher 11.1 or higher

Important Notes:

  • These are general guidelines. Your doctor may recommend different target ranges based on your individual health status and other medical conditions.
  • A single abnormal result does not necessarily mean you have diabetes. Your doctor will likely order additional tests to confirm a diagnosis.

Interpreting the A1C Test Result

The A1C test provides an average picture of your blood sugar control over the past 2-3 months. It’s reported as a percentage.

Category A1C (%)
Normal Less than 5.7%
Prediabetes 5.7% to 6.4%
Diabetes 6.5% or higher
  • For most adults with diabetes, the target A1C is typically less than 7%.
  • Again, individual targets may vary based on your specific health needs.

Factors Affecting Blood Sugar Levels

Numerous factors can influence your blood sugar levels, including:

  • Diet: Carbohydrate intake has the most significant impact.
  • Exercise: Physical activity can lower blood sugar.
  • Stress: Stress hormones can raise blood sugar.
  • Illness: Infections and other illnesses can affect blood sugar control.
  • Medications: Certain medications, such as steroids, can raise blood sugar.
  • Dehydration: Dehydration can increase blood sugar concentration.

What to Do If Your Blood Sugar Is High

If your blood sugar is consistently high, consult your doctor. They may recommend lifestyle changes, medication adjustments, or further testing. Here are some general steps that can help:

  • Increase Physical Activity: Even a short walk can help lower blood sugar.
  • Adjust Your Diet: Reduce your intake of sugary drinks and processed carbohydrates.
  • Stay Hydrated: Drink plenty of water.
  • Monitor Your Blood Sugar Regularly: Track your levels to identify patterns and trends.

What to Do If Your Blood Sugar Is Low (Hypoglycemia)

Hypoglycemia, or low blood sugar, can be dangerous. Symptoms include shakiness, sweating, dizziness, confusion, and rapid heartbeat. If you suspect you have low blood sugar:

  • Check Your Blood Sugar Immediately: Confirm the reading with a blood glucose meter, if available.
  • Eat or Drink Something Quickly: Consume 15 grams of fast-acting carbohydrates, such as glucose tablets, fruit juice, or regular (non-diet) soda.
  • Recheck Your Blood Sugar in 15 Minutes: If it's still low, repeat the treatment.
  • Contact Your Doctor: Discuss episodes of hypoglycemia with your healthcare provider.

The Importance of Regular Monitoring and Consultation

Interpreting blood sugar test results is an essential part of managing diabetes and prediabetes. Regular monitoring helps you understand how your body responds to different factors and make informed decisions about your health. Consult with your doctor to develop a personalized diabetes management plan and discuss any concerns you may have about your blood sugar levels. This guide provides valuable information, but it should not replace professional medical advice. Easy Blood Sugar Friendly Meals To Stabilize Your Glucose

References and Further Reading