Blood Sugar mg/dL vs. mmol/L: Understanding Your Test Results

23 Aug 2025

Blood Sugar mg/dL vs. mmol/L: Understanding Your Test Results Understanding your blood sugar levels is vital, especially if you have diabetes or are a...

Blood Sugar mg/dL vs. mmol/L: Understanding Your Test Results

Understanding your blood sugar levels is vital, especially if you have diabetes or are at risk. Blood sugar, or glucose, is measured in two primary units: milligrams per deciliter (mg/dL) and millimoles per liter (mmol/L). This article will delve into the differences between these units, how to convert between them, and what your test results mean for your overall health.

Why Are There Different Units for Measuring Blood Sugar?

The use of mg/dL and mmol/L stems from different measurement systems: the United States typically uses mg/dL, while many other countries, including Canada and those in Europe, use mmol/L. Both units quantify the concentration of glucose in your blood, but they do so using different scales. This can lead to confusion, especially when traveling or reading medical information from various sources. Being familiar with both units is crucial for accurate interpretation of your blood sugar readings.

Converting Between mg/dL and mmol/L

Converting between mg/dL and mmol/L is straightforward once you know the conversion factor. Here’s the basic formula:

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  • mg/dL to mmol/L: Divide the mg/dL value by 18.
  • mmol/L to mg/dL: Multiply the mmol/L value by 18.

Related reading: Fasting Vs Postprandial Blood Sugar Understanding The Difference

For example, if your blood sugar reading is 100 mg/dL, the equivalent in mmol/L is approximately 5.5 mmol/L (100 / 18 ≈ 5.5). Conversely, a reading of 7 mmol/L is equivalent to 126 mg/dL (7 * 18 = 126).

Using this conversion factor ensures you can accurately translate and understand your blood glucose readings, regardless of the unit used by your healthcare provider or monitoring device.

Normal Blood Sugar Levels in mg/dL and mmol/L

Understanding what constitutes a normal blood sugar level is essential for managing your health. The ranges vary slightly depending on whether you are fasting, before a meal, or after a meal. Here’s a general guide:

Category mg/dL mmol/L
Fasting Blood Sugar (Before Breakfast) 70-99 3.9-5.5
2 Hours After Meal Less than 140 Less than 7.8
Target Range for People with Diabetes (Before Meal) 80-130 4.4-7.2
Target Range for People with Diabetes (2 Hours After Meal) Less than 180 Less than 10.0

It is essential to consult with your healthcare provider to determine the specific target range that is right for you, as individual needs may vary based on age, overall health, and other factors. Monitoring your blood sugar regularly and understanding these ranges is key to effective diabetes management.

Understanding High and Low Blood Sugar

Hyperglycemia (High Blood Sugar)

Hyperglycemia occurs when your blood sugar levels are too high. In mg/dL, this generally means readings consistently above 130 mg/dL before meals or above 180 mg/dL two hours after eating. In mmol/L, this translates to above 7.2 mmol/L before meals and above 10.0 mmol/L two hours after eating. Symptoms of hyperglycemia can include:

  • Frequent urination
  • Increased thirst
  • Blurred vision
  • Fatigue

Untreated hyperglycemia can lead to serious complications, including diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), both of which require immediate medical attention.

Hypoglycemia (Low Blood Sugar)

Hypoglycemia occurs when your blood sugar levels are too low. In mg/dL, this is generally considered a reading below 70 mg/dL. In mmol/L, this is below 3.9 mmol/L. Symptoms of hypoglycemia can include:

  • Shakiness
  • Sweating
  • Dizziness
  • Confusion
  • Irritability

Severe hypoglycemia can lead to loss of consciousness, seizures, and even coma. It's crucial to treat hypoglycemia promptly by consuming a fast-acting source of glucose, such as juice, glucose tablets, or hard candies.

Understanding both high and low blood sugar symptoms is essential for quickly addressing any imbalances and preventing serious health consequences.

How to Monitor Your Blood Sugar

Regular blood sugar monitoring is crucial for managing diabetes and pre-diabetes. There are several methods available:

  1. Blood Glucose Meter: This involves pricking your finger with a lancet and placing a drop of blood on a test strip, which is then inserted into the meter for a reading. Meters typically display results in either mg/dL or mmol/L, so ensure you understand which unit your meter uses.
  2. Continuous Glucose Monitor (CGM): A CGM is a small device inserted under the skin that continuously measures glucose levels in interstitial fluid. CGMs provide real-time data and trends, alerting you to highs and lows. They are particularly helpful for individuals who require frequent monitoring.
  3. A1C Test: While not a daily monitoring method, the A1C test measures your average blood sugar levels over the past 2-3 months. It’s usually performed in a healthcare provider’s office and helps assess long-term blood sugar control. The A1C result is given as a percentage.

Choosing the right monitoring method depends on your individual needs and preferences, as well as your healthcare provider’s recommendations. Consistent monitoring allows you to make informed decisions about diet, exercise, and medication, contributing to better blood sugar control.

Factors That Affect Blood Sugar Levels

Many factors can influence your blood sugar levels, including:

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  • Diet: The types and amounts of food you eat have a direct impact on your blood sugar. Carbohydrates, in particular, can raise blood sugar levels.
  • Exercise: Physical activity can help lower blood sugar by increasing insulin sensitivity and burning glucose for energy.
  • Medications: Insulin and oral diabetes medications can lower blood sugar levels. Other medications, such as steroids, can raise blood sugar.
  • Stress: Stress can cause your body to release hormones that raise blood sugar levels.
  • Illness: Infections and other illnesses can affect blood sugar levels, often making them harder to control.
  • Dehydration: Can lead to higher blood sugar readings

Understanding these factors can help you better manage your blood sugar levels by making informed lifestyle choices and adjusting your treatment plan as needed. Regular communication with your healthcare provider is essential for managing your health effectively.

Tips for Maintaining Healthy Blood Sugar Levels

Maintaining healthy blood sugar levels involves a combination of lifestyle modifications and, in some cases, medication. Here are some practical tips:

  • Follow a Balanced Diet: Focus on whole, unprocessed foods, including fruits, vegetables, lean proteins, and whole grains. Limit sugary drinks, processed foods, and excessive amounts of carbohydrates.
  • Engage in Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, cycling, or swimming.
  • Monitor Your Blood Sugar Regularly: Use a blood glucose meter or CGM as directed by your healthcare provider. Keep a log of your readings to identify trends and patterns.
  • Take Medications as Prescribed: If you have diabetes, take your medications as prescribed by your doctor.
  • Manage Stress: Practice relaxation techniques, such as deep breathing, meditation, or yoga.
  • Stay Hydrated: Drink plenty of water throughout the day to help regulate blood sugar levels.
  • Get Enough Sleep: Aim for 7-9 hours of quality sleep each night to support overall health and blood sugar control.
  • Regular check ups with healthcare provider: It is always important to maintain a relationship with your healthcare provider in order to make any adjustments needed.

By adopting these habits, you can significantly improve your blood sugar control and reduce your risk of diabetes-related complications.

Conclusion

Understanding the difference between mg/dL and mmol/L in blood sugar measurements is essential for anyone managing diabetes or monitoring their glucose levels. Being able to convert between these units and knowing your target ranges will empower you to make informed decisions about your health. Regular monitoring, a balanced diet, regular exercise, and effective stress management are all key components of maintaining healthy blood sugar levels. Always consult with your healthcare provider to develop a personalized management plan that meets your individual needs.