Blood Sugar Levels Explained: Your Guide to mg/dL, mmol/L, and More Understanding your blood sugar levels is crucial for maintaining optimal health, e...
Blood Sugar Levels Explained: Your Guide to mg/dL, mmol/L, and More
Understanding your blood sugar levels is crucial for maintaining optimal health, especially if you have diabetes or are at risk of developing it. This comprehensive guide will demystify blood sugar readings, covering everything from the standard units of measurement (mg/dL and mmol/L) to target ranges and what to do if your levels are too high or too low. Let's dive in!
Why Blood Sugar Levels Matter
Your blood sugar level, also known as blood glucose, indicates the amount of glucose (sugar) in your blood. Glucose is your body's primary source of energy, derived from the food you eat. Insulin, a hormone produced by the pancreas, helps glucose move from your bloodstream into your cells for energy utilization. When this process is disrupted, either due to insufficient insulin production (as in Type 1 diabetes) or insulin resistance (as in Type 2 diabetes), blood sugar levels can become dangerously high (hyperglycemia) or low (hypoglycemia). Maintaining healthy blood sugar levels is key to preventing long-term complications associated with diabetes, such as heart disease, kidney disease, nerve damage, and vision problems.
Understanding the Units: mg/dL and mmol/L
Blood sugar levels are typically measured in two units:
- mg/dL (milligrams per deciliter): This is the standard unit of measurement in the United States.
- mmol/L (millimoles per liter): This is the unit of measurement used in most countries outside the United States.
It’s important to know both and how to convert between them. To convert from mg/dL to mmol/L, divide the mg/dL value by 18. To convert from mmol/L to mg/dL, multiply the mmol/L value by 18.
For instance, 100 mg/dL is approximately 5.5 mmol/L (100 / 18 = 5.55). Similarly, 7 mmol/L is roughly 126 mg/dL (7 * 18 = 126).
Target Blood Sugar Ranges
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Target blood sugar ranges can vary based on individual factors, including age, overall health, the type of diabetes (if any), and other medical conditions. It's crucial to discuss your individual target ranges with your healthcare provider. However, general guidelines provided by organizations like the American Diabetes Association (ADA) are as follows:
- Before meals (Fasting):
- For most adults with diabetes: 80-130 mg/dL (4.4-7.2 mmol/L)
- 2 hours after starting a meal (Postprandial):
- For most adults with diabetes: Less than 180 mg/dL (10.0 mmol/L)
For individuals without diabetes, normal blood sugar levels are generally lower:
- Fasting: Less than 100 mg/dL (5.6 mmol/L)
- 2 hours after eating: Less than 140 mg/dL (7.8 mmol/L)
It's crucial to note that these are general guidelines. Your doctor may recommend different target ranges based on your specific circumstances. Pregnant women with diabetes will also have different target ranges.
What Happens When Blood Sugar is Too High (Hyperglycemia)

Hyperglycemia occurs when your blood sugar level is too high. Symptoms can include:
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- Increased thirst
- Frequent urination
- Blurred vision
- Fatigue
- Headaches
Prolonged high blood sugar levels can lead to serious health complications, including diabetic ketoacidosis (DKA), a life-threatening condition, and hyperosmolar hyperglycemic state (HHS).
What to do if your blood sugar is too high:
- Check your blood sugar: Use your glucose meter to confirm the high reading.
- Drink water: Staying hydrated helps to flush out excess sugar.
- Exercise (if appropriate): Physical activity can help lower blood sugar, but avoid strenuous exercise if your blood sugar is very high or if you have ketones in your urine. Consult your doctor regarding safe exercise parameters.
- Adjust your medication: If you take insulin or other diabetes medications, your doctor may have provided instructions on how to adjust your dosage based on your blood sugar levels. Follow those instructions carefully.
- Contact your doctor: If your blood sugar remains high despite your efforts, contact your healthcare provider.
What Happens When Blood Sugar is Too Low (Hypoglycemia)
Hypoglycemia occurs when your blood sugar level drops too low. This is a serious condition that requires immediate treatment. Symptoms can include:
- Shakiness
- Sweating
- Dizziness
- Hunger
- Confusion
- Irritability
- Rapid heartbeat
- Loss of consciousness (in severe cases)
Related reading: Managing Blood Sugar For Beginners Your First 7 Essential Steps
What to do if your blood sugar is too low:
- Check your blood sugar: Use your glucose meter to confirm the low reading.
- Follow the 15-15 rule: Consume 15 grams of fast-acting carbohydrates, such as:
- Glucose tablets
- Fruit juice (4 ounces)
- Regular soda (not diet)
- Hard candies
- Wait 15 minutes: Recheck your blood sugar after 15 minutes.
- Repeat if necessary: If your blood sugar is still low, repeat the 15-15 rule.
- Eat a meal or snack: Once your blood sugar is above 70 mg/dL (3.9 mmol/L), eat a meal or snack containing protein and complex carbohydrates to help stabilize your blood sugar.
- Contact your doctor: If you experience frequent or severe episodes of hypoglycemia, contact your healthcare provider to adjust your medication or treatment plan.
Factors Affecting Blood Sugar Levels
Many factors can influence your blood sugar levels, including:
- Food: The type and amount of food you eat, especially carbohydrates, have a direct impact on your blood sugar.
- Physical activity: Exercise helps lower blood sugar, but strenuous activity can sometimes raise it in the short term.
- Medications: Insulin and other diabetes medications are designed to lower blood sugar, while some other medications, like steroids, can raise it.
- Stress: Stress hormones can increase blood sugar.
- Illness: Infections and illnesses can also raise blood sugar.
- Dehydration: Not drinking enough water can concentrate glucose in the blood.
- Hormonal changes: Fluctuations in hormone levels, especially in women (e.g., menstruation, pregnancy, menopause), can affect blood sugar.
- Alcohol consumption: Alcohol can initially lower blood sugar, but can also cause a delayed rise later on, especially if consumed on an empty stomach.
Monitoring Your Blood Sugar
Regular blood sugar monitoring is a cornerstone of diabetes management. This involves using a blood glucose meter to check your blood sugar levels at home. The frequency of monitoring depends on your individual treatment plan, the type of diabetes you have, and your overall health. Your doctor will advise you on how often to test.
Continuous Glucose Monitoring (CGM) is another option. CGMs use a small sensor inserted under the skin to continuously track blood sugar levels throughout the day and night. They provide real-time readings and alerts for high or low blood sugar, which can be very helpful in managing diabetes.
Blood Sugar Levels Chart (Fasting)
Category | mg/dL | mmol/L | Interpretation |
---|---|---|---|
Normal | Less than 100 | Less than 5.6 | Healthy fasting **blood sugar**. |
Prediabetes | 100-125 | 5.6-6.9 | Increased risk of developing Type 2 diabetes. |
Diabetes | 126 or higher | 7.0 or higher | Indicates diabetes. Requires further evaluation. |
Blood Sugar Levels Chart (2 Hours After Eating)
Category | mg/dL | mmol/L | Interpretation |
---|---|---|---|
Normal | Less than 140 | Less than 7.8 | Healthy postprandial **blood sugar**. |
Prediabetes | 140-199 | 7.8-11.0 | Increased risk of developing Type 2 diabetes. |
Diabetes | 200 or higher | 11.1 or higher | Indicates diabetes. Requires further evaluation. |
Conclusion
Understanding and managing your blood sugar levels is vital for maintaining good health and preventing complications, especially if you have diabetes. By understanding the units of measurement (mg/dL and mmol/L), target ranges, and factors that affect blood sugar, you can take proactive steps to keep your blood sugar within a healthy range. Always consult with your healthcare provider to develop a personalized diabetes management plan. Regular monitoring, healthy lifestyle choices, and proper medication adherence are key to successful blood sugar control.