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Your Guide to Understanding Blood Glucose Levels (mg/dL vs mmol/L)

04 Sep 2025 by Vinaya Simha, M.B.B.S., M.D.

Your Guide to Understanding Blood Glucose Levels (mg/dL vs mmol/L)

Understanding your blood glucose levels is vital for managing conditions like diabetes and maintaining overall health. This article breaks down everything you need to know, including the difference between mg/dL (milligrams per deciliter) and mmol/L (millimoles per liter), normal ranges, and how to effectively monitor your levels.

Why Blood Glucose Levels Matter

Blood glucose, or blood sugar, is the main sugar found in your blood and comes from the food you eat. It's your body's primary source of energy. Maintaining healthy blood glucose levels is crucial because:

  • Energy Supply: Glucose fuels your cells, tissues, and organs.
  • Hormone Regulation: Blood glucose levels trigger the release of insulin and glucagon, which help regulate glucose metabolism.
  • Disease Prevention: Consistent high or low levels can lead to complications like diabetes, heart disease, and nerve damage.

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

Blood glucose is typically measured in two units:

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

Knowing the conversion between these two units is useful, especially if you move or travel internationally or consult research published using the other unit. Fasting Blood Sugar Vs Post Meal Understanding Your Test Results

Conversion:

To convert mg/dL to mmol/L, divide the mg/dL value by 18. Example: 100 mg/dL = 100 / 18 = 5.55 mmol/L Decoding The A1C Chart From Normal A1C Levels To The Prediabetes Range

To convert mmol/L to mg/dL, multiply the mmol/L value by 18. Example: 5 mmol/L = 5 * 18 = 90 mg/dL Are Your Blood Glucose Levels In The Prediabetes Range A Comprehensive Guide

Normal Blood Glucose Ranges

These ranges are general guidelines and may vary depending on individual health conditions, age, and other factors. Always consult your healthcare provider for personalized recommendations.

Category mg/dL mmol/L
Fasting (after at least 8 hours of no eating) - Normal Less than 100 mg/dL Less than 5.6 mmol/L
Fasting - Prediabetes 100-125 mg/dL 5.6-6.9 mmol/L
Fasting - Diabetes 126 mg/dL or higher 7.0 mmol/L or higher
2 hours after eating (postprandial) - Normal Less than 140 mg/dL Less than 7.8 mmol/L
2 hours after eating (postprandial) - Diabetes 200 mg/dL or higher 11.1 mmol/L or higher

Monitoring Your Blood Glucose Levels

Regular monitoring is essential, especially if you have diabetes or are at risk. Common methods include:

  • Blood Glucose Meter: This involves pricking your finger with a lancet and testing a small drop of blood on a test strip. Meters typically display results in mg/dL or mmol/L based on the settings.
  • Continuous Glucose Monitor (CGM): A CGM is a device that tracks glucose levels continuously throughout the day via a sensor inserted under the skin. This provides real-time data and trends, helping you and your healthcare team make more informed decisions. CGMs are especially helpful for diabetic patients managing their blood sugar daily.
  • A1C Test: This blood test measures your average blood glucose level over the past 2-3 months. It provides a broader picture of your glucose control than single-point readings.

Factors Affecting Blood Glucose Levels

Numerous factors can influence your blood glucose readings:

  • Diet: Carbohydrates have the most significant impact, as they are broken down into glucose.
  • Physical Activity: Exercise helps lower blood glucose by increasing insulin sensitivity and glucose uptake by muscles.
  • Stress: Stress hormones can increase blood glucose levels.
  • Medications: Certain medications, such as steroids, can raise blood glucose.
  • Illness: Infections and other illnesses can affect blood glucose.
  • Dehydration: Lack of adequate hydration can elevate blood sugar.

Managing High Blood Glucose (Hyperglycemia)

Hyperglycemia, or high blood glucose, can occur due to:

  • Skipping or missing doses of diabetes medication.
  • Eating too many carbohydrates.
  • Lack of physical activity.
  • Illness or infection.
  • Stress.

Symptoms of hyperglycemia include:

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

Managing hyperglycemia typically involves:

  • Adjusting medication dosages with guidance from your healthcare provider.
  • Modifying your diet.
  • Increasing physical activity.
  • Staying hydrated.

Managing Low Blood Glucose (Hypoglycemia)

Hypoglycemia, or low blood glucose, can occur due to:

  • Taking too much insulin or other diabetes medication.
  • Skipping meals.
  • Exercising more than usual.
  • Drinking alcohol.

Symptoms of hypoglycemia include:

  • Shakiness.
  • Sweating.
  • Dizziness.
  • Confusion.
  • Hunger.
  • Irritability.

Managing hypoglycemia involves:

  • Consuming fast-acting carbohydrates, such as glucose tablets, fruit juice, or regular soda.
  • Rechecking your blood glucose level after 15 minutes.
  • Following up with a snack or meal to prevent a recurrence.

Tips for Maintaining Healthy Blood Glucose Levels

  • Follow a Balanced Diet: Focus on whole foods, including fruits, vegetables, whole grains, and lean proteins. Limit processed foods, sugary drinks, and saturated fats.
  • Engage in Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity exercise per week.
  • Monitor Your Blood Glucose Regularly: This will help you understand how different factors affect your levels and make necessary adjustments to your treatment plan.
  • Manage Stress: Practice stress-reducing techniques, such as meditation, yoga, or deep breathing exercises.
  • Get Enough Sleep: Lack of sleep can affect hormone levels and increase blood glucose.
  • Stay Hydrated: Drink plenty of water throughout the day.
  • Work Closely with Your Healthcare Team: Regularly consult your doctor, diabetes educator, and registered dietitian for personalized guidance.

The Importance of Knowing Your Numbers

Understanding your blood glucose levels, whether expressed in mg/dL or mmol/L, is crucial for effectively managing your health. By monitoring your levels, understanding the factors that affect them, and working closely with your healthcare team, you can take control of your health and reduce the risk of complications associated with high or low blood glucose. Remember, proactive management is key to living a healthy and fulfilling life. Regular monitoring and understanding how your body responds to various factors enables you to tailor your blood glucose management plan, ensuring stable and healthy blood glucose levels over time.

References and Further Reading