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What is a Normal Fasting Blood Sugar Level? (mg/dL and mmol/L Explained)

04 Sep 2025 by Ty S. Diwan, M.D.

What is a Normal Fasting Blood Sugar Level? (mg/dL and mmol/L Explained)

Understanding fasting blood sugar levels is crucial for assessing your overall health, particularly in relation to diabetes and prediabetes. This article will explain what a normal fasting blood sugar level is, covering both the common unit of measurement, mg/dL (milligrams per deciliter), and mmol/L (millimoles per liter), which is used internationally. We'll also discuss what different ranges signify and when it's time to consult a doctor.

What is Fasting Blood Sugar?

Before diving into the numbers, let's define what fasting blood sugar actually means. It refers to the level of glucose (sugar) in your blood after you haven't eaten anything for at least eight hours. Typically, this test is done first thing in the morning before breakfast. This measurement provides a baseline understanding of how your body regulates blood sugar without the influence of recent food intake.

Normal Fasting Blood Sugar Levels: mg/dL

The most common unit for measuring blood sugar in the United States is milligrams per deciliter (mg/dL). Here’s a breakdown of normal, prediabetes, and diabetes ranges according to the American Diabetes Association (ADA):

  • Normal: Less than 100 mg/dL
  • Prediabetes: 100 to 125 mg/dL
  • Diabetes: 126 mg/dL or higher (on two separate tests)

If your fasting blood sugar falls within the normal range, it indicates that your body is effectively regulating glucose levels. If it falls into the prediabetes range, it suggests you are at a higher risk of developing type 2 diabetes. A diabetes diagnosis requires confirmation with a second test, as factors like stress or illness can temporarily elevate blood sugar.

Normal Fasting Blood Sugar Levels: mmol/L

Internationally, blood sugar is often measured in millimoles per liter (mmol/L). Converting between mg/dL and mmol/L is possible, but knowing the ranges in both units is helpful. Here's the breakdown in mmol/L: Why Does My Blood Sugar Fluctuate Top Reasons For Spikes And Crashes

  • Normal: Less than 5.6 mmol/L
  • Prediabetes: 5.6 to 6.9 mmol/L
  • Diabetes: 7.0 mmol/L or higher (on two separate tests)
Category mg/dL mmol/L
Normal Less than 100 Less than 5.6
Prediabetes 100 to 125 5.6 to 6.9
Diabetes 126 or higher (on two tests) 7.0 or higher (on two tests)

Factors Affecting Fasting Blood Sugar Levels

Several factors can influence your fasting blood sugar. These include:

  • Diet: What you eat in the days leading up to the test can impact your baseline levels. While the "fasting" aspect focuses on the 8 hours prior to the test, overall dietary habits matter.
  • Exercise: Physical activity helps your body use glucose, which can lower blood sugar levels. However, intense exercise can sometimes temporarily increase blood sugar.
  • Stress: Stress hormones can elevate blood sugar, so try to minimize stress before taking the test.
  • Medications: Certain medications, such as steroids, can raise blood sugar.
  • Illness: Infections and other illnesses can cause temporary spikes in blood sugar.
  • Sleep: Lack of sleep can negatively impact insulin sensitivity and lead to higher fasting blood glucose.
  • Time of Day: Blood sugar tends to rise a bit in the early morning hours, a phenomenon known as the dawn phenomenon.

What to Do if Your Fasting Blood Sugar is High

If your fasting blood sugar is consistently high, especially in the prediabetes or diabetes range, it's essential to take action. Here are some steps you can take: Fasting Blood Sugar Vs A1C Which Test Is A Better Indicator Of Your Health

  1. Consult a Doctor: The first step is to talk to your healthcare provider. They can order further tests (like an A1C test) and provide personalized advice.
  2. Lifestyle Changes: Implement changes in your lifestyle to manage blood sugar levels. This could involve adjusting your diet, increasing physical activity, and managing stress.
  3. Dietary Adjustments: Focus on a balanced diet that includes plenty of fruits, vegetables, and whole grains. Limit your intake of sugary drinks, processed foods, and refined carbohydrates.
  4. Regular Exercise: Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  5. Medication: In some cases, your doctor may prescribe medication to help lower your blood sugar.

Understanding the A1C Test

While the fasting blood sugar test provides a snapshot of your glucose levels at a particular moment, the A1C test provides an average of your blood sugar levels over the past 2-3 months. This test is valuable for monitoring long-term blood sugar control. The ranges are:

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

Your doctor will likely use both the fasting blood sugar test and the A1C test to diagnose and monitor diabetes. Understanding Your A1C Chart From Normal Levels To Diabetes Range

The Importance of Regular Monitoring

Even if your fasting blood sugar is currently within the normal range, it’s a good idea to have it checked regularly, especially if you have risk factors for diabetes, such as a family history of the disease, obesity, or physical inactivity. Early detection and management can help prevent or delay the onset of type 2 diabetes and its associated complications.

Conclusion

Understanding what constitutes a normal fasting blood sugar level, whether expressed in mg/dL or mmol/L, is essential for proactive health management. By knowing these ranges and taking steps to maintain healthy blood sugar levels, you can reduce your risk of developing diabetes and improve your overall well-being. If you have concerns about your blood sugar, consult with your healthcare provider for personalized advice and monitoring. Remember to consider the many factors that affect blood sugar levels to get the most accurate and helpful readings.

References and Further Reading