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Decoding Your Blood Sugar Test Results: What mg/dL and mmol/L Mean

04 Sep 2025 by Osamah A. Al Ali, M.B., Ch.B.

Decoding Your Blood Sugar Test Results: What mg/dL and mmol/L Mean

Understanding your blood sugar levels is crucial for managing your health, especially if you have diabetes or are at risk of developing it. When you receive your blood sugar test results, you'll typically see numbers expressed in either mg/dL (milligrams per deciliter) or mmol/L (millimoles per liter). This article will break down what these units mean, what the normal ranges are, and how to interpret your results.

Why Blood Sugar Testing Matters

Before diving into the numbers, let's briefly cover why blood glucose testing is so important. Regular blood sugar monitoring helps you:

  • Detect high or low blood sugar levels.
  • Understand how diet and exercise affect your glucose levels.
  • Adjust medications to better control blood sugar.
  • Reduce the risk of long-term diabetes complications.

Understanding the Units: mg/dL vs. mmol/L

Blood sugar is measured in two primary units:

  • mg/dL (milligrams per deciliter): This is the unit commonly used in the United States, Japan, and several other countries. It represents the mass of glucose (in milligrams) per volume of blood (in deciliters).

  • mmol/L (millimoles per liter): This unit is prevalent in most countries, including Canada, the United Kingdom, and Europe. It reflects the amount of glucose (in millimoles) per volume of blood (in liters).

Converting Between mg/dL and mmol/L

If you need to convert between these units, the following formulas can be used:

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

For example:

  • 100 mg/dL is approximately 5.5 mmol/L (100 / 18 = 5.55).
  • 7 mmol/L is approximately 126 mg/dL (7 * 18 = 126).

Normal Blood Sugar Ranges

Normal blood glucose levels vary depending on the time of day and whether you've recently eaten. Here's a general guideline for people without diabetes:

Test Type Target Range (mg/dL) Target Range (mmol/L)
Fasting Blood Sugar 70-99 mg/dL 3.9-5.5 mmol/L
2-Hour Postprandial (after meal) Less than 140 mg/dL Less than 7.8 mmol/L

Note: These are general guidelines. Your doctor may have different target ranges for you based on your specific health needs. Understanding Your Blood Sugar The Basics For Beginners

Interpreting Your Blood Sugar Test Results

Understanding your specific blood sugar numbers is critical. Here's how to interpret the results:

Fasting Blood Sugar (FBS)

  • Normal: 70-99 mg/dL (3.9-5.5 mmol/L).
  • Prediabetes: 100-125 mg/dL (5.6-6.9 mmol/L). This means you are at a higher risk of developing diabetes.
  • Diabetes: 126 mg/dL (7.0 mmol/L) or higher on two separate tests.

2-Hour Postprandial Blood Sugar

  • Normal: Less than 140 mg/dL (less than 7.8 mmol/L).
  • Prediabetes: 140-199 mg/dL (7.8-11.0 mmol/L).
  • Diabetes: 200 mg/dL (11.1 mmol/L) or higher.

HbA1c (Glycated Hemoglobin)

The HbA1c test provides an average of your blood sugar control over the past 2-3 months.

  • Normal: Less than 5.7%.
  • Prediabetes: 5.7-6.4%.
  • Diabetes: 6.5% or higher.

Here’s an approximate correlation between A1c and eAG (estimated Average Glucose):

A1c (%) eAG (mg/dL) eAG (mmol/L)
6.0 126 7.0
7.0 154 8.6
8.0 183 10.2

What to Do If Your Blood Sugar Is High

If your blood sugar readings are consistently high, consult your doctor. They may recommend:

  • Lifestyle Modifications: Dietary changes and regular exercise can significantly impact your blood glucose.
  • Medication: If lifestyle changes are insufficient, your doctor may prescribe oral medications or insulin.
  • Regular Monitoring: Keeping track of your blood sugar helps you understand trends and adjust your treatment accordingly.

What to Do If Your Blood Sugar Is Low

Hypoglycemia (low blood sugar) can be dangerous, especially for people taking insulin or certain diabetes medications. Symptoms may include shakiness, sweating, confusion, and dizziness. If your blood sugar is consistently low (below 70 mg/dL or 3.9 mmol/L), consult your doctor. Treatment often involves adjusting medication dosages or dietary habits. A Holistic Guide To Thriving With Your Condition

The Importance of Consulting Your Doctor

While this guide provides valuable information, it's not a substitute for professional medical advice. Always discuss your blood sugar test results and any concerns you have with your doctor. They can provide personalized recommendations based on your individual health profile and help you create an effective diabetes management plan. They can also check if there is any damage in your kidneys because of high blood sugar. What If I Feel Low But My Meter Says I M Normal

Conclusion

Understanding your blood sugar test results, whether in mg/dL or mmol/L, is a key step in managing your health and preventing diabetes-related complications. Regularly monitor your levels, make informed lifestyle choices, and always seek guidance from your healthcare provider. Effective blood sugar management can significantly improve your quality of life.

References and Further Reading