A1C Conversion Chart: % to Blood Glucose Numbers

Medical Disclaimer

This article is for informational purposes only and does not constitute medical advice. Always consult your physician or a qualified healthcare provider regarding any medical condition or treatment.

Key Takeaways

  • The A1C-to-eAG formula is: eAG (mg/dL) = 28.7 × A1C − 46.7.
  • An A1C of 5.7% equals an average glucose of 117 mg/dL (6.5 mmol/L).
  • A1C levels of 5.7–6.4% indicate prediabetes; 6.5% or above indicates diabetes.
  • Use the chart to translate your A1C into the same units your meter or CGM reports.
  • A1C reflects roughly 3 months of blood sugar, so it responds slowly to change.

An A1C conversion chart turns your A1C percentage into an estimated average glucose (eAG) expressed in mg/dL or mmol/L — the same units your home meter or continuous glucose monitor uses. This page gives a full chart from 4.0% to 14.0% in 0.1% steps, the math behind it, and tips on how to use it.

The A1C Conversion Formula

The American Diabetes Association uses a formula derived from a 2008 ADAG study:

eAG (mg/dL) = 28.7 × A1C − 46.7

For mmol/L: eAG (mmol/L) = 1.59 × A1C − 2.59 (or multiply mg/dL by 0.0555).

Example: A1C of 6.5% → (28.7 × 6.5) − 46.7 = 140 mg/dL, or 7.8 mmol/L.

Need a live calculator? See our A1C calculator.

Full A1C to eAG Conversion Chart

All values rounded to the nearest whole number for mg/dL and one decimal for mmol/L.

A1C (%) eAG (mg/dL) eAG (mmol/L) Category
4.0 68 3.8 Normal (low)
4.5 82 4.6 Normal
5.0 97 5.4 Normal
5.1 100 5.5 Normal
5.2 103 5.7 Normal
5.3 105 5.9 Normal
5.4 108 6.0 Normal
5.5 111 6.2 Normal
5.6 114 6.3 Normal (upper)
5.7 117 6.5 Prediabetes
5.8 120 6.7 Prediabetes
5.9 123 6.8 Prediabetes
6.0 126 7.0 Prediabetes
6.1 128 7.1 Prediabetes
6.2 131 7.3 Prediabetes
6.3 134 7.4 Prediabetes
6.4 137 7.6 Prediabetes (upper)
6.5 140 7.8 Diabetes
6.6 143 7.9 Diabetes
6.7 146 8.1 Diabetes
6.8 148 8.2 Diabetes
6.9 151 8.4 Diabetes
7.0 154 8.6 Diabetes (ADA target)
7.5 169 9.4 Diabetes
8.0 183 10.2 Diabetes
8.5 197 10.9 Diabetes
9.0 212 11.8 Diabetes
9.5 226 12.6 Diabetes
10.0 240 13.4 Uncontrolled
10.5 255 14.1 Uncontrolled
11.0 269 14.9 Uncontrolled
11.5 283 15.7 Uncontrolled
12.0 298 16.5 Uncontrolled
12.5 312 17.3 Uncontrolled
13.0 326 18.1 Uncontrolled
13.5 341 18.9 Uncontrolled
14.0 355 19.7 Very uncontrolled

How to Read the Chart

Find your A1C in the left column, then read across:

  • mg/dL column — standard U.S. glucose meter units.
  • mmol/L column — standard units in the U.K., Canada, Australia, and most of the world.
  • Category column — how the ADA classifies that A1C.

A1C Diagnostic Cutoffs

A1C Range Diagnosis
Below 5.7% Normal
5.7% – 6.4% Prediabetes
6.5% or higher Diabetes (requires confirmation)

See our detailed A1C chart article for context on each range, and our normal A1C guide for typical values by age.

Why A1C and Daily Readings Don’t Always Match

The conversion chart shows the average glucose your A1C represents, but daily numbers swing above and below that average. A person with an A1C of 6.0% (eAG 126 mg/dL) might see fasting readings of 95 mg/dL and post-meal readings of 170 mg/dL. Both can be consistent with the same A1C.

Factors that can make A1C and meter numbers disagree:

  • Anemia, recent blood loss, or blood transfusion
  • Kidney disease or liver disease
  • Pregnancy
  • Hemoglobin variants (more common in people of African, Mediterranean, or Southeast Asian descent)
  • Recent illness or steroid use

If your A1C and meter readings consistently disagree, ask your clinician about alternative tests like fructosamine or a continuous glucose monitor.

How Often to Test A1C

Status Recommended Frequency
No risk factors, adult Every 3 years starting at 35
Overweight + 1 risk factor Every 1-3 years
Prediabetes Every year
Diabetes, stable Every 6 months
Diabetes, changing treatment Every 3 months

How to Lower a High A1C

A1C reflects about 3 months of average glucose, with the most recent 4 weeks weighted most heavily. If your number is in the prediabetes or diabetes range, lifestyle changes can move it meaningfully in 8-12 weeks:

  • Lose 5-7% of body weight
  • Walk or exercise at least 150 minutes per week
  • Cut refined carbs and sugar-sweetened drinks
  • Prioritize sleep (7-9 hours)
  • Consider metformin if prescribed

On average, lifestyle change lowers A1C by 0.3 to 1.0 percentage points, and metformin adds another 0.5 to 1.0.

The Bottom Line

The A1C conversion chart bridges your long-term average (a lab test) and your everyday meter numbers. Memorize the anchor points — 5.7% ≈ 117 mg/dL, 6.5% ≈ 140 mg/dL, 7.0% ≈ 154 mg/dL — and the rest is easy arithmetic with the ADA formula. Use it alongside your daily readings, and talk with your clinician about the target that is right for your age, health, and goals.

Frequently Asked Questions

What is a normal A1C level?

A normal A1C is below 5.7%, which corresponds to an average glucose of about 117 mg/dL. Between 5.7% and 6.4% is prediabetes, and 6.5% or higher on two separate tests meets the diagnostic criterion for diabetes. Most people without diabetes fall between 4.5% and 5.6%.

How do I convert A1C to mg/dL?

Use the ADA formula: estimated average glucose (eAG) in mg/dL equals 28.7 times your A1C percentage minus 46.7. For example, an A1C of 7.0% converts to (28.7 × 7) − 46.7 = 154 mg/dL. For mmol/L, multiply mg/dL by 0.0555 or use the chart on this page.

Why does my meter reading not match my A1C?

A1C is an average over 2–3 months, while your meter shows a single moment in time. Daily readings fluctuate widely around that average depending on meals, exercise, stress, and sleep. It is normal to see occasional readings much higher or lower than what the A1C conversion predicts.

Is an A1C of 5.7 really prediabetes?

Yes. Per the American Diabetes Association, an A1C between 5.7% and 6.4% meets the criteria for prediabetes. It signals your blood sugar is higher than normal and raises your risk of progressing to type 2 diabetes. Lifestyle changes can often bring it back below 5.7% within several months.

Sources

  1. American Diabetes Association. eAG/A1C Conversion Calculator. https://professional.diabetes.org/
  2. Nathan DM et al. Translating the A1C Assay Into Estimated Average Glucose Values. Diabetes Care 2008;31:1473-1478.
  3. National Institute of Diabetes and Digestive and Kidney Diseases. The A1C Test & Diabetes. https://www.niddk.nih.gov/
  4. Centers for Disease Control and Prevention. All About Your A1C. https://www.cdc.gov/diabetes/