The Ultimate mmol to mg dl Converter Guide: Decoding Your Blood Sugar

mmol to mg dl converter

Picture this. You just landed in London for a holiday. You’ve been managing your Type 1 diabetes perfectly for years back home in New York. You feel a bit off, so you borrow a friend’s spare glucose meter to check your levels.

You’re expecting a familiar number. Maybe 100, or 120.

Instead, the screen flashes “5.5.”

Your stomach drops. 5.5? In your world, that’s practically a coma. Your hands start shaking—not from low sugar, but from fear. Is the machine broken? Are you about to pass out?

No. You’re fine. You’ve just crossed an invisible border.

It’s a headache millions of diabetics deal with when traveling or reading online forums. The world is split in two: the people who count glucose in millimoles (mmol/L) and the people who count in milligrams (mg/dL).

If you don’t know how to translate between the two, it’s scary. This guide fixes that. No complex chemistry lectures—just the translation you need to stay safe.


The Math is Actually Simple (The Rule of 18)

You don’t need a fancy app or a degree in math to figure this out. You just need to remember one number.

That number is 18.

It’s technically 18.0182, but nobody calculates that in their head. 18 is close enough for checking your blood sugar.

Here is how it works:

  • mmol/L to mg/dL: Take the small number and multiply by 18.Example: 10 mmol/L x 18 = 180 mg/dL.
  • mg/dL to mmol/L: Take the big number and divide by 18.Example: 180 mg/dL / 18 = 10 mmol/L.

That’s it. If you are ever stuck in a foreign pharmacy without wifi, just use the calculator on your phone and the number 18.

mmol to mg dl converter formula graphic using the rule of 18


Why Are There Two Different Units?

It seems ridiculous that we don’t have one global standard, right? It usually comes down to geography and habit.

What is mg/dL?

This stands for milligrams per deciliter. It measures the weight of the sugar in your blood. It’s the standard in the USA, France, Japan, Israel, and India.

  • Think of it like this: It’s a “heavy” number, usually between 70 and 180.

What is mmol/L?

This stands for millimoles per liter. It measures the count of molecules, not the weight. It is the standard almost everywhere else: UK, Canada, Australia, and China.

  • Think of it like this: It’s a “small” number, usually between 4.0 and 10.0.

The danger comes when you mix them up. If you think your blood sugar is 7.0 (a perfect mmol reading) but you treat it like it’s 7.0 mg/dL (deadly low), you are going to have a very bad day.

map of glucose measurement units by country


Quick Reference Conversion Charts

Sometimes you don’t want to do math. You just want to know if you are safe. We broke these down by how you likely feel.

Low Blood Sugar (Hypo)

If your mmol to mg dl calculator gives you these numbers, you need fast-acting carbs immediately to treat hypoglycemia.

mmol/L (International) mg/dL (US Standard) Status
2.0 36 Severe Low
2.5 45 Severe Low
3.0 54 Moderate Low
3.5 63 Mild Low
3.8 68 Borderline

The “Sweet Spot” (Normal Range)

This is where you want to be. For a more detailed breakdown of these targets by age and diabetes type, check our comprehensive Normal Blood Sugar Level Chart guide. Whether you are filling out a logbook or showing results to a new doctor, these are the base targets.

mmol/L (International) mg/dL (US Standard) Status
4.0 72 Fasting Normal
5.0 90 Normal
5.5 99 Optimal
6.0 108 Post-Meal Standard
7.0 126 Diabetic Target
7.8 140 Post-Meal Limit

High Blood Sugar (Hyper)

When you convert mmol l to mg dl and see these numbers, it means your sugar is running high.

mmol/L (International) mg/dL (US Standard) Status
9.0 162 Elevated
10.0 180 High
11.1 200 Hyperglycemia
15.0 270 Very High
20.0 360 Check Ketones
30.0 540 Emergency

printable mmol l to mg dl glucose conversion chart


The A1C Connection

You can’t talk about blood sugar without bringing up the A1C. That’s your three-month average.

A lot of people don’t realize that your A1C test result actually equals a specific blood sugar number (eAG). Here is how that translates.

A1C (%) Est. Avg (mg/dL) Est. Avg (mmol/L)
5.0 97 5.4
6.0 126 7.0
7.0 154 8.6
8.0 183 10.2
9.0 212 11.8
10.0 240 13.4

Choosing the Right Tool

If you aren’t doing the math in your head, you are probably looking for a mg dl to mmol l calculator online. Be careful which one you trust.

  1. Look for decimals: A reading of 4.3 mmol is very different from 4.9 mmol. If the calculator rounds everything to the nearest whole number, skip it.
  2. Sanity Check: A good tool should stop you if you type in something impossible. If you type “500” into the mmol slot, it should warn you that you’re dead, not just give you a conversion.
  3. Context: The best tools tell you what the number means (Low, Normal, High), not just what the number is.

The Bottom Line

Diabetes is hard enough. You shouldn’t have to be a mathematician just to read a lab result or travel to a new country.

Whether you stick to the “Multiply by 18” rule or keep our mmol to mg dl converter charts saved on your phone, knowing these numbers puts you back in control. You are no longer limited by what your meter says—you can speak the language of your body, no matter where you are in the world.

Need a reliable CGM to track your levels automatically? Check out the latest technology below.

Is 7.8 mmol/L high?

It depends on when you tested. If you just ate a big meal two hours ago, 7.8 mmol/L (about 140 mg/dL) is actually okay—it’s the upper limit of normal. If you haven’t eaten anything all day and you’re at 7.8, that’s elevated and you should chat with your doctor.

Can I change the units on my meter?

Usually, yes. Check the “Settings” menu. But be warned: some meters sold in specific countries are locked to one unit to prevent accidents. If you bought your meter in the US, it might be stuck on mg/dL forever.

What is the formula again?

To convert mg dl to mmol l, divide by 18. To go the other way, multiply by 18.

Why do scientists prefer mmol/L?

Because it counts the actual molecules. In the lab, knowing the molecular count is often more useful than knowing the weight. It’s the “SI” or International System standard.

Is a calculator app better than doing it in my head?

For a quick check? No, your head is faster. But if you are calculating an insulin dose, use a calculator. You don’t want to make a math error when dosing insulin.

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