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How to Read Your Blood Glucose Levels: A Guide to mg/dL and mmol/L

04 Sep 2025 by Sanjeev Nanda, M.D.

How to Read Your Blood Glucose Levels: A Guide to mg/dL and mmol/L

Understanding your blood glucose levels is crucial for managing diabetes and maintaining overall health. Whether you're newly diagnosed or have been managing diabetes for years, knowing how to interpret your blood glucose readings in both mg/dL (milligrams per deciliter) and mmol/L (millimoles per liter) is essential. This comprehensive guide will walk you through everything you need to know.

What are mg/dL and mmol/L?

Mg/dL and mmol/L are the two primary units used to measure blood glucose levels.

  • mg/dL (milligrams per deciliter): This is the standard measurement used in the United States, as well as some other countries. It represents the concentration of glucose in a specific volume of blood.

  • mmol/L (millimoles per liter): This is the standard measurement used in most countries around the world, including Canada, Europe, and Australia. It also represents the concentration of glucose in a specific volume of blood, but uses a different unit.

It's important to know both units so you can understand readings from different devices, healthcare providers, and international sources.

Why Two Different Units?

The reason for having two different units for blood glucose levels boils down to historical and regional preferences. Different regions adopted different measurement systems, and these have persisted over time. Understanding both units is similar to knowing both Celsius and Fahrenheit for temperature – while one might be more common where you live, knowing both allows you to interpret information from other sources.

Converting Between mg/dL and mmol/L

Fortunately, converting between mg/dL and mmol/L is straightforward. Here are the formulas:

  • To convert mg/dL to mmol/L: Divide the mg/dL value by 18.

    • Formula: mmol/L = mg/dL / 18
  • To convert mmol/L to mg/dL: Multiply the mmol/L value by 18.

    • Formula: mg/dL = mmol/L x 18

Example Conversions:

  • If your blood glucose reading is 100 mg/dL, the equivalent in mmol/L is approximately 5.6 mmol/L (100 / 18 = 5.55).
  • If your blood glucose reading is 7 mmol/L, the equivalent in mg/dL is 126 mg/dL (7 x 18 = 126).

You can easily use online converters or apps to perform these calculations, but understanding the underlying formula is helpful.

Target Blood Glucose Levels: What's Considered Normal?

Understanding what's considered a normal range for blood glucose levels is critical. Here's a general guideline, based on recommendations from organizations like the American Diabetes Association (ADA) and the International Diabetes Federation (IDF). It's important to note that individual targets may vary based on age, overall health, and other factors, so always follow your doctor's specific recommendations.

Time of Day Target Range (mg/dL) Target Range (mmol/L)
Fasting (Before Breakfast) 80-130 mg/dL 4.4-7.2 mmol/L
2 Hours After Meal Less than 180 mg/dL Less than 10 mmol/L

Important Considerations:

  • Individualization: These ranges are general guidelines. Your healthcare provider may set different target ranges based on your specific health needs.
  • Age: Target ranges can vary for children, pregnant women, and older adults.
  • Type of Diabetes: People with type 1 and type 2 diabetes may have slightly different target ranges.

What Does a High Blood Glucose Level Mean?

A high blood glucose level, also known as hyperglycemia, occurs when the glucose level in your blood is higher than your target range. In mg/dL, this is generally considered to be above 180 mg/dL two hours after eating or above 130 mg/dL fasting. In mmol/L, it is generally above 10 mmol/L two hours after eating or above 7.2 mmol/L fasting.

Causes of High Blood Glucose:

  • Dietary Intake: Eating too many carbohydrates, especially sugary foods and drinks, can cause blood glucose to rise.
  • Lack of Exercise: Physical activity helps lower blood glucose. Insufficient exercise can lead to higher levels.
  • Illness or Stress: Being sick or under stress can increase blood glucose levels.
  • Medications: Certain medications, such as steroids, can elevate blood glucose.
  • Insufficient Insulin or Oral Medication: For those with diabetes, not taking enough insulin or oral medication can result in high blood glucose.

Symptoms of High Blood Glucose:

  • Frequent urination
  • Increased thirst
  • Blurred vision
  • Fatigue
  • Headaches

What to Do When Blood Glucose is High:

  • Check Blood Glucose: Confirm the reading with a repeat test.
  • Hydrate: Drink plenty of water to help flush out excess glucose.
  • Exercise: Light exercise can help lower blood glucose (but avoid if ketones are present).
  • Adjust Medication: If you take insulin or oral medication, adjust your dose as directed by your healthcare provider.
  • Monitor: Check your blood glucose more frequently until it returns to your target range.
  • Seek Medical Advice: If your blood glucose remains high despite your efforts, contact your healthcare provider.

What Does a Low Blood Glucose Level Mean?

A low blood glucose level, also known as hypoglycemia, occurs when the glucose level in your blood drops below your target range. This is generally considered to be below 70 mg/dL in mg/dL or below 3.9 mmol/L in mmol/L. Decoding Your Results Impaired Fasting Glucose Vs Prediabetes

Causes of Low Blood Glucose:

  • Excessive Insulin or Oral Medication: Taking too much insulin or certain oral medications can lower blood glucose excessively.
  • Skipping Meals: Not eating regularly can cause blood glucose to drop.
  • Excessive Exercise: Intense or prolonged physical activity without sufficient carbohydrate intake can lead to low blood glucose.
  • Alcohol Consumption: Alcohol can interfere with the liver's ability to release glucose into the bloodstream.

Symptoms of Low Blood Glucose:

  • Shakiness
  • Sweating
  • Dizziness
  • Confusion
  • Hunger
  • Irritability
  • Rapid heartbeat
  • Blurred vision
  • Seizures (in severe cases)
  • Loss of consciousness (in severe cases)

What to Do When Blood Glucose is Low:

  • Check Blood Glucose: Confirm the reading with a repeat test.
  • Treat Immediately: If your blood glucose is low, consume a fast-acting carbohydrate source, such as:
    • 15-20 grams of glucose tablets
    • 4 ounces (120 ml) of juice or regular soda (not diet)
    • 1 tablespoon of honey or sugar
  • Wait 15 Minutes: After consuming the carbohydrate source, wait 15 minutes and recheck your blood glucose.
  • Repeat if Necessary: If your blood glucose is still low, repeat the treatment.
  • Eat a Snack: Once your blood glucose is back within your target range, eat a snack containing both carbohydrates and protein to help stabilize your levels.
  • Seek Medical Advice: If you experience frequent or severe episodes of hypoglycemia, consult your healthcare provider.

Factors Affecting Blood Glucose Levels

Many factors can influence your blood glucose levels, making consistent monitoring and management essential. Understanding these factors can help you make informed decisions about your diet, exercise, and medication.

Factor Impact on Blood Glucose
Food Carbohydrates are the primary macronutrient that affects blood glucose. Sugary foods and refined grains cause the most significant spikes.
Exercise Physical activity can lower blood glucose during and after exercise. The effect can last for several hours.
Stress Stress hormones can increase blood glucose levels.
Illness Being sick can cause blood glucose levels to rise.
Medications Certain medications, such as steroids and some diuretics, can raise blood glucose. Other medications like insulin and oral hypoglycemic agents, are designed to lower blood glucose.
Alcohol Alcohol can initially raise blood glucose but may subsequently cause hypoglycemia, especially if consumed on an empty stomach.
Dehydration Dehydration can cause blood glucose levels to appear higher due to a more concentrated blood volume.
Menstrual Cycle Hormonal changes during the menstrual cycle can affect blood glucose levels.
Sleep Poor sleep can increase insulin resistance and affect blood glucose control.

Monitoring Methods

There are two primary methods for monitoring blood glucose levels:

  • Blood Glucose Meters (Glucometers): These devices require a small blood sample, typically obtained by pricking your finger. You insert a test strip into the meter, apply the blood sample, and the meter displays your blood glucose reading. Blood glucose meters are reliable and relatively inexpensive.

  • Continuous Glucose Monitors (CGMs): These devices continuously track your blood glucose levels throughout the day and night. A small sensor is inserted under your skin and measures glucose levels in the interstitial fluid. CGMs provide real-time data and can alert you to trends, such as rising or falling blood glucose levels, allowing for proactive management. Continuous Glucose Monitor Cgm Vs Traditional Meter A 2024 Comparison

Choosing the Right Monitoring Method:

The choice between a blood glucose meter and a CGM depends on individual needs and preferences. Factors to consider include:

  • Frequency of Monitoring: If you need to check your blood glucose frequently, a CGM may be more convenient.
  • Cost: CGMs are typically more expensive than blood glucose meters.
  • Accuracy: Both methods are generally accurate, but CGMs may have a slight lag compared to blood glucose meters.
  • Personal Preferences: Some people prefer the convenience of a CGM, while others prefer the simplicity of a blood glucose meter.

Discuss your options with your healthcare provider to determine the best monitoring method for you. How To Lower Blood Sugar Naturally 15 Simple Ways To Manage Glucose

Tips for Managing Blood Glucose Levels

Managing blood glucose levels effectively involves a combination of lifestyle modifications, medication management, and regular monitoring. Here are some tips to help you stay within your target range:

  • Follow a Balanced Diet: Focus on consuming whole, unprocessed foods, including plenty of fruits, vegetables, whole grains, and lean protein. Limit sugary foods, refined grains, and unhealthy fats.
  • Exercise Regularly: Aim for at least 150 minutes of moderate-intensity aerobic exercise per week. Include strength training exercises at least two days per week.
  • Monitor Blood Glucose Regularly: Check your blood glucose as directed by your healthcare provider. Keep a record of your readings and share them with your doctor.
  • Take Medications as Prescribed: Follow your doctor's instructions for taking insulin or oral medications. Don't skip doses or change your dosage without consulting your doctor.
  • Manage Stress: Practice stress-reduction techniques, such as yoga, meditation, or deep breathing exercises.
  • Get Enough Sleep: Aim for 7-8 hours of quality sleep each night.
  • Stay Hydrated: Drink plenty of water throughout the day.
  • Limit Alcohol Consumption: If you choose to drink alcohol, do so in moderation and always with food.
  • Quit Smoking: Smoking can worsen insulin resistance and make it harder to control blood glucose levels.
  • Work with Your Healthcare Team: Regularly consult with your doctor, diabetes educator, and other healthcare professionals to optimize your diabetes management plan.

Conclusion

Understanding and managing your blood glucose levels in both mg/dL and mmol/L is crucial for maintaining optimal health, especially if you have diabetes. By knowing the conversion formulas, target ranges, and factors that influence blood glucose, you can take proactive steps to keep your levels within a healthy range. Consistent monitoring, a balanced diet, regular exercise, and adherence to your medication regimen are essential components of effective diabetes management. Always consult with your healthcare provider to personalize your treatment plan and address any specific concerns you may have.

References and Further Reading