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Fasting Blood Sugar Levels Explained (mg/dL and mmol/L)

04 Sep 2025 by Dan Echols, M.D.

Fasting Blood Sugar Levels Explained (mg/dL and mmol/L)

Understanding your fasting blood sugar (FBS) level is a key component of monitoring your overall health, especially if you have diabetes or are at risk of developing it. This article provides a comprehensive guide to interpreting your FBS readings, whether measured in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). We'll delve into what each range means, what factors can affect your FBS, and when it's crucial to consult with a healthcare professional.

What is Fasting Blood Sugar?

Fasting blood sugar is the glucose level in your blood after you have fasted for at least eight hours. This test is commonly used to screen for and monitor diabetes. Because you haven’t eaten, the reading provides a baseline of how well your body regulates blood sugar without the influence of food intake. A healthcare professional usually conducts the test in the morning before you've had breakfast. The results can offer valuable insights into your body's ability to manage glucose effectively.

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

Blood glucose levels are commonly reported in two different units:

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

Converting between the two units is relatively straightforward:

  • To convert mg/dL to mmol/L, divide by 18.
  • To convert mmol/L to mg/dL, multiply by 18.

Knowing how to interpret your fasting blood sugar levels in either unit is vital for managing your health effectively.

Fasting Blood Sugar Levels Chart: Interpretation

The following chart provides a detailed overview of what different FBS ranges mean, in both mg/dL and mmol/L: The Ultimate Blood Sugar Levels Chart Ranges By Age And Time Of Day

Category mg/dL mmol/L Interpretation
Normal Less than 100 Less than 5.6 Indicates healthy blood sugar regulation.
Prediabetes 100 to 125 5.6 to 6.9 Suggests impaired glucose tolerance and increased risk of developing **type 2 diabetes**. Lifestyle changes can help prevent progression.
Diabetes 126 or higher 7.0 or higher Indicates **diabetes**. Requires further evaluation and a tailored management plan.

Understanding these levels is a critical step in diabetes management and prevention.

Factors That Can Affect Your Fasting Blood Sugar

Several factors can influence your fasting blood sugar levels, leading to fluctuations outside of your typical range: What Are The Sneaky Symptoms Of High Blood Sugar You Shouldn T Ignore

  • Diet: While this is a fasting test, what you ate the day before can have a residual impact.
  • Medications: Certain medications, like corticosteroids, can elevate blood sugar.
  • Stress: Stress hormones can cause a temporary increase in glucose levels.
  • Illness: Being sick can also temporarily increase your blood sugar.
  • Lack of Sleep: Insufficient sleep can disrupt your body’s hormonal balance and affect glucose regulation.
  • Dehydration: Dehydration can concentrate the glucose in your blood, leading to a higher reading.
  • Time of Day: Blood sugar tends to be higher in the early morning due to hormonal changes (the "dawn phenomenon").

If you notice unexpected changes in your FBS, it’s important to consider these potential factors.

How to Prepare for a Fasting Blood Sugar Test

Proper preparation is crucial to ensure accurate results:

  • Fast for at least 8 hours: Avoid eating or drinking anything (except water) for at least 8 hours before the test.
  • Inform your doctor about medications: Let your healthcare provider know about all medications and supplements you are taking.
  • Avoid strenuous exercise: Refrain from intense physical activity the day before the test.
  • Stay hydrated: Drink water as usual to avoid dehydration.

Following these steps will help provide a more accurate representation of your fasting blood sugar levels.

What to Do If Your Fasting Blood Sugar Is High

If your fasting blood sugar reading is higher than normal, don't panic. Here are steps you can take: What Is A Normal Blood Sugar For Non Diabetics

  1. Consult Your Doctor: Discuss your results with your doctor. They can provide personalized advice and order further testing if needed.
  2. Monitor Your Blood Sugar Regularly: If advised by your doctor, start monitoring your blood sugar at home to track trends.
  3. Adopt a Healthy Lifestyle: Focus on a balanced diet, regular exercise, and stress management.
  4. Follow Your Doctor’s Recommendations: Adhere to any treatment plan or lifestyle changes recommended by your healthcare provider.
  5. Re-test: Your doctor may recommend a re-test to confirm the results.

Addressing elevated blood sugar promptly can help prevent or delay the onset of type 2 diabetes.

When to Seek Medical Attention

While monitoring your fasting blood sugar is important, certain symptoms warrant immediate medical attention. Seek medical help if you experience any of the following, especially if accompanied by high blood sugar readings:

  • Severe thirst
  • Frequent urination
  • Unexplained weight loss
  • Blurred vision
  • Slow-healing sores
  • Numbness or tingling in your hands or feet
  • Fruity-smelling breath

These symptoms could indicate severe hyperglycemia or other complications that require immediate medical intervention. Regular blood glucose monitoring and proactive management are crucial components of staying healthy.

Conclusion

Understanding your fasting blood sugar levels and what they mean, whether expressed in mg/dL or mmol/L, is essential for managing your health. By knowing the normal ranges, recognizing the factors that can affect your FBS, and taking appropriate action based on your readings, you can proactively manage your blood sugar levels and reduce your risk of diabetes-related complications. Remember to always consult with a healthcare professional for personalized guidance and treatment. By staying informed and proactive, you can maintain better control over your blood sugar and overall well-being.

References and Further Reading