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Understanding Your Results: mg/dL vs. mmol/L in Blood Glucose Testing

04 Sep 2025 by David A. Galbreath, M.D.

Understanding Your Results: mg/dL vs. mmol/L in Blood Glucose Testing

When managing diabetes or simply monitoring your blood sugar, understanding the units your blood glucose meter uses is crucial. You'll commonly encounter two units: mg/dL (milligrams per deciliter) and mmol/L (millimoles per liter). This article will break down the differences between these units, explain how to convert between them, and help you interpret your results accurately, leading to better health management.

What are mg/dL and mmol/L?

  • mg/dL (milligrams per deciliter): This is the unit most commonly used in the United States, and also in other countries, for measuring blood glucose levels. It indicates the mass of glucose (in milligrams) present in a specific volume of blood (one deciliter, which is equivalent to 100 milliliters). Low Blood Sugar Hypoglycemia Symptoms And How To Treat It Fast

  • mmol/L (millimoles per liter): This unit is more frequently used internationally, particularly in countries like Canada, the United Kingdom, and Australia. It represents the molar concentration of glucose (in millimoles) present in a liter of blood.

In essence, both units measure the concentration of glucose in your blood, but they express it using different scales and measurement systems.

Why are there Different Units?

The difference arises from the use of different measurement systems and traditions across the globe. Just like some countries use miles and others use kilometers, the same principle applies to blood glucose measurement. While both systems are scientifically sound, the adoption of one or the other is largely based on historical and regional preferences. This is important to note because you may move or travel and need to switch your meter’s settings or understand different medical documentation.

How to Convert Between mg/dL and mmol/L

Converting between mg/dL and mmol/L is straightforward. The conversion factor is approximately 18.

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

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

    • Formula: mg/dL = mmol/L x 18

Let’s look at some examples:

Knowing how to convert between these units is especially handy when travelling or when reading medical literature from different regions. Some blood glucose meters have an option in their settings to switch between displaying results in mg/dL and mmol/L, saving you the hassle of manual conversions.

Interpreting Your Blood Glucose Results in mg/dL and mmol/L

Understanding the ranges for normal, pre-diabetic, and diabetic blood glucose levels is crucial for proper management. The following table shows the typical ranges in both mg/dL and mmol/L: The Hormonal Reason You Crave Sugar Before Your Period

Category mg/dL (Fasting) mmol/L (Fasting)
Normal Less than 100 Less than 5.6
Pre-diabetes 100 to 125 5.6 to 6.9
Diabetes 126 or higher 7.0 or higher

Note: These ranges are general guidelines. Always consult with your healthcare provider for personalized advice. Targets can vary based on age, health conditions, and other individual factors. Also, readings taken after meals will have different ranges. It is imperative to discuss your individual target ranges with your doctor.

Common Mistakes to Avoid

  • Misinterpreting Units: Confusing mg/dL with mmol/L can lead to incorrect medication dosages or lifestyle adjustments. Always double-check the units on your blood glucose meter.
  • Ignoring Symptoms: Don’t rely solely on numbers. Pay attention to symptoms of high blood sugar (hyperglycemia) or low blood sugar (hypoglycemia), such as excessive thirst, frequent urination, dizziness, or confusion.
  • Inconsistent Testing: Erratic testing times and intervals can lead to skewed readings. Establish a routine that aligns with your healthcare provider’s recommendations.
  • Relying Solely on Blood Glucose: Don't only use your meter readings to assess diabetes control. HbA1c levels are a better long-term average.

Choosing the Right Blood Glucose Meter

When selecting a blood glucose meter, consider the following:

  • Ease of Use: Choose a meter with a simple interface and clear display, especially if you are new to blood glucose monitoring.
  • Accuracy: Look for meters that meet international accuracy standards.
  • Units of Measurement: Ensure the meter displays results in the units you are most comfortable with (mg/dL or mmol/L). Check if it offers the option to switch between units if needed.
  • Connectivity: Some meters can connect to smartphones or computers, allowing you to track your results over time.
  • Cost: Consider the cost of the meter and test strips.

Conclusion

Understanding the difference between mg/dL and mmol/L in blood glucose testing is fundamental for effectively managing your health. By knowing how to convert between these units and accurately interpreting your results, you can make informed decisions about your diet, exercise, and medication. Remember to consult with your healthcare provider for personalized advice and to address any concerns you may have. Consistent monitoring and education are key to living a healthy life with diabetes.

References and Further Reading