Blood Sugar Conversion: From mg/dL to mmol/L and A1c to eAG Understanding blood sugar levels is crucial for anyone managing diabetes or simply aiming ...
Blood Sugar Conversion: From mg/dL to mmol/L and A1c to eAG
Understanding blood sugar levels is crucial for anyone managing diabetes or simply aiming to maintain optimal health. Different regions use different units of measurement for blood sugar, leading to potential confusion. This article provides a comprehensive guide on blood sugar conversion, covering the conversion from milligrams per deciliter (mg/dL) to millimoles per liter (mmol/L), and the conversion between A1c and estimated Average Glucose (eAG). Let's dive in and make sense of these conversions.
Understanding the Basics: mg/dL and mmol/L
Before we delve into the conversion process, let’s understand what mg/dL and mmol/L represent.
- mg/dL (milligrams per deciliter): This unit measures the concentration of glucose in a specific volume of blood. It's primarily used in the United States and other countries following American medical standards.
- mmol/L (millimoles per liter): Similar to mg/dL, mmol/L also measures the concentration of glucose in blood. It's more commonly used in Canada, Europe, and other parts of the world.

Both units provide the same information, just in different scales. Understanding the difference and knowing how to convert between the two is vital for interpreting blood glucose readings correctly.
Converting mg/dL to mmol/L: The Formula and Process
The conversion between mg/dL and mmol/L is quite straightforward. To convert mg/dL to mmol/L, you divide the mg/dL value by 18.018 (often rounded to 18).
Formula:
mmol/L = mg/dL ÷ 18
Example:
Let's say your blood glucose reading is 120 mg/dL. To convert this to mmol/L:
mmol/L = 120 ÷ 18 = 6.67 mmol/L
Therefore, 120 mg/dL is equivalent to approximately 6.67 mmol/L.
Converting mmol/L to mg/dL: The Reverse Calculation
The reverse conversion, from mmol/L to mg/dL, is equally simple. To convert mmol/L to mg/dL, you multiply the mmol/L value by 18.
Formula:
mg/dL = mmol/L × 18
Example:
If your blood glucose reading is 7 mmol/L, the conversion to mg/dL would be:
mg/dL = 7 × 18 = 126 mg/dL
Thus, 7 mmol/L is equivalent to 126 mg/dL.
Related reading: The Ultimate Guide To Reading A Blood Sugar Chart
A Quick Conversion Table
For quick reference, here's a handy table showing common blood glucose readings in both mg/dL and mmol/L. Remember that because the conversion factor is not precise and rounded, the numbers provided might not be exact:
mg/dL | mmol/L |
---|---|
70 | 3.9 |
100 | 5.6 |
126 (Diabetes Diagnosis Threshold) | 7.0 |
180 | 10.0 |
200 | 11.1 |
Understanding A1c and Estimated Average Glucose (eAG)
Moving beyond immediate blood glucose readings, let's discuss A1c and eAG. The A1c test provides an average of your blood glucose levels over the past 2-3 months. The estimated Average Glucose (eAG) is derived from the A1c result and gives you an idea of what your average glucose levels have been during that same period.
- A1c (Glycated Hemoglobin): Expressed as a percentage, A1c represents the amount of glucose attached to your red blood cells. Higher percentages indicate higher average blood sugar levels.
- eAG (Estimated Average Glucose): Expressed in either mg/dL or mmol/L, eAG translates your A1c percentage into an estimated average glucose level.
Both A1c and eAG are important for long-term diabetes management.
Converting A1c to eAG: The Formula and Process
The formula to convert A1c to eAG is fairly simple and accepted across medical guidelines. It provides an estimate, so variations may occur. There are slight variations of the formulas. The most used formula follows:
Formula:
eAG (mg/dL) = (28.7 x A1c) - 46.7
Example:
Related reading: The Complete Guide To Understanding Your Blood Sugar Test Results
Let's say your A1c is 7%. To calculate your eAG in mg/dL:
eAG (mg/dL) = (28.7 x 7) - 46.7 = 200.9 - 46.7 = 154.2 mg/dL
Therefore, an A1c of 7% is approximately equivalent to an eAG of 154 mg/dL.
Related reading: Surprising Symptoms Of High Blood Sugar Hyperglycemia
To convert this eAG from mg/dL to mmol/L, use the previously mentioned formula:
eAG (mmol/L) = 154.2 / 18 = 8.57 mmol/L
Quick Conversion Table: A1c to eAG
Here’s a quick reference table for common A1c values and their corresponding eAG in both mg/dL and mmol/L. Again, be aware that these are estimates:
A1c (%) | eAG (mg/dL) | eAG (mmol/L) |
---|---|---|
6.0 | 126 | 7.0 |
6.5 (Prediabetes Threshold) | 140 | 7.8 |
7.0 (Diabetes Target) | 154 | 8.6 |
8.0 | 183 | 10.2 |
9.0 | 212 | 11.8 |
Why Are These Conversions Important?
Understanding these blood sugar conversions is important for several reasons:
- Travel: If you are traveling internationally, knowing how to convert readings helps you understand and communicate your blood glucose levels with healthcare professionals.
- Medical Literature: Medical research and guidelines might use different units. Familiarity with conversions ensures you correctly interpret health information.
- Consistency: Using a consistent unit of measurement, regardless of location or source of information, simplifies diabetes management.
- Clarity: Converting A1c to eAG helps people better understand their long-term glucose control in a unit of measure they are more accustomed to.
Practical Tips for Managing Blood Sugar
In addition to understanding the conversions, here are a few practical tips for managing your blood sugar levels effectively:
- Regular Monitoring: Regularly check your blood glucose levels using a blood glucose meter.
- Balanced Diet: Follow a balanced diet, focusing on whole foods, lean proteins, and healthy fats.
- Regular Exercise: Incorporate regular physical activity into your routine to help improve insulin sensitivity.
- Medication Adherence: If prescribed medications, take them as directed by your healthcare provider.
- Consult a Healthcare Professional: Work with a diabetes educator or healthcare provider to develop a personalized diabetes management plan.
Conclusion
Mastering blood sugar conversion from mg/dL to mmol/L and A1c to eAG is a valuable skill for anyone managing or interested in understanding their blood glucose levels. By understanding these conversions, you can confidently interpret readings, track your progress, and communicate effectively with healthcare professionals. Combined with healthy lifestyle habits and regular monitoring, these conversions are key to effective diabetes management and overall health.