How do I convert a blood sugar reading from milligrams per deciliter (mg/dL) to millimoles per liter (mmol/L)?

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Blood Glucose Conversion from mg/dL to mmol/L

To convert blood glucose from mg/dL to mmol/L, divide the mg/dL value by 18. 1

Conversion Formula

  • To convert from mg/dL to mmol/L: divide the mg/dL value by 18 1
  • Example: 126 mg/dL ÷ 18 = 7.0 mmol/L 1
  • Example: 180 mg/dL ÷ 18 = 10.0 mmol/L 1

Common Blood Glucose Reference Values in Both Units

Normal and Diagnostic Values

  • Normal fasting glucose: 70-110 mg/dL (3.9-6.1 mmol/L) 2
  • Impaired fasting glucose (IFG): 100-125 mg/dL (5.6-6.9 mmol/L) 1
  • Diabetes diagnosis threshold (fasting): ≥126 mg/dL (≥7.0 mmol/L) 1
  • Diabetes diagnosis threshold (2-hour OGTT): ≥200 mg/dL (≥11.1 mmol/L) 1

Critical Values

  • Hypoglycemia alert: <70 mg/dL (<3.9 mmol/L) 1
  • Severe hypoglycemia: <40 mg/dL (<2.2 mmol/L) 1
  • Hyperglycemia requiring attention: >250 mg/dL (>13.9 mmol/L) 1
  • Severe hyperglycemia: >300 mg/dL (>16.7 mmol/L) 1

Quick Reference Conversion Table

mg/dL mmol/L
70 3.9
100 5.6
126 7.0
140 7.8
180 10.0
200 11.1
250 13.9
300 16.7

Important Considerations

  • When reviewing research or international guidelines, pay attention to which unit is being used, as different countries prefer different units 1
  • North America typically uses mg/dL, while most other countries use mmol/L 1
  • For accurate interpretation of glucose values in research, always check which unit is being reported 1
  • When using continuous glucose monitoring (CGM) systems, be aware that some devices may allow switching between units 3

Common Pitfalls to Avoid

  • Confusing the conversion factors (multiplying by 18 instead of dividing) 1
  • Misinterpreting threshold values when reading international literature 1
  • Failing to note which unit is being used when interpreting test results 1
  • Not recognizing that different sample types (plasma vs. whole blood) may have different reference ranges even in the same units 1

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Regulation of blood glucose level in diabetes mellitus using palatable diet composition.

Australasian physical & engineering sciences in medicine, 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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