Glucose Level Chart: A Complete Guide

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

  • Normal fasting glucose is under 100 mg/dL, prediabetes is 100-125, and diabetes is 126 or higher.
  • Normal 2-hour post-meal glucose is under 140 mg/dL, prediabetes is 140-199, and diabetes is 200 or higher.
  • A1C normal is under 5.7 percent, prediabetes is 5.7-6.4, and diabetes is 6.5 or higher.
  • Any test meeting diabetes criteria needs confirmation with a second test on a different day.

A complete glucose level chart shows normal, prediabetes, and diabetes cutoffs across the four main testing modalities: fasting plasma glucose, 2-hour post-meal (or OGTT) glucose, random glucose, and A1C. Each test measures a different aspect of glucose regulation, and a comprehensive picture often requires more than one result.

Master Glucose Level Chart

Test Normal Prediabetes Diabetes
Fasting plasma glucose Under 100 mg/dL (5.6 mmol/L) 100-125 mg/dL (5.6-6.9 mmol/L) 126 mg/dL or higher (7.0+ mmol/L)
2-hour OGTT or post-meal Under 140 mg/dL (7.8 mmol/L) 140-199 mg/dL (7.8-11.0 mmol/L) 200 mg/dL or higher (11.1+ mmol/L)
A1C Under 5.7% 5.7-6.4% 6.5% or higher
Random glucose (with symptoms) Under 140 mg/dL N/A 200 mg/dL or higher

All thresholds are from the ADA Standards of Care 2024. A diagnosis of diabetes requires two separate tests meeting criteria, either the same test repeated on a different day or two different tests at the same draw.

Fasting Glucose Detail

Fasting plasma glucose is measured after no food or drink except water for at least 8 hours. It reflects overnight hepatic glucose production and basal insulin resistance.

Fasting mg/dL Fasting mmol/L Meaning
70-99 3.9-5.5 Normal
100-109 5.6-6.0 Prediabetes (lower)
110-125 6.1-6.9 Prediabetes (upper)
126-150 7.0-8.3 Diabetes (mild)
151-250 8.4-13.9 Diabetes (moderate to high)
Over 250 Over 13.9 Diabetes (uncontrolled)

Post-Meal Glucose Detail

2-hour glucose can be measured two ways: after a standardized 75-gram oral glucose tolerance test, or 2 hours after a regular meal. The OGTT is more reproducible and is the gold standard for gestational diabetes screening.

2-Hour mg/dL 2-Hour mmol/L Meaning
Under 140 Under 7.8 Normal
140-169 7.8-9.4 Prediabetes (IGT, lower)
170-199 9.4-11.0 Prediabetes (IGT, upper)
200-249 11.1-13.8 Diabetes (mild)
Over 250 Over 13.9 Diabetes (uncontrolled)

A1C Chart Detail

A1C reflects the average percentage of hemoglobin bound to glucose over the past 2-3 months. It is the easiest screening test because it does not require fasting and is stable across the day.

A1C eAG mg/dL eAG mmol/L Category
5.0% 97 5.4 Normal
5.6% 114 6.3 Normal (upper)
5.7% 117 6.5 Prediabetes (lower)
6.4% 137 7.6 Prediabetes (upper)
6.5% 140 7.8 Diabetes
7.0% 154 8.6 Diabetes (typical target)
9.0% 212 11.8 Poorly controlled

See our A1C levels hub for the full chart and interpretation guide.

Why Different Tests Disagree

It is common for one glucose test to fall into prediabetes while another looks normal. The tests measure different things:

  • Fasting glucose measures the overnight state. Sensitive to hepatic insulin resistance and sleep quality.
  • 2-hour glucose measures meal response. Sensitive to beta-cell function and muscle insulin sensitivity.
  • A1C measures 3-month average across all states. Sensitive to both fasting and post-meal glucose over time.

Isolated impaired fasting glucose, isolated impaired glucose tolerance, and elevated A1C alone are all valid prediabetes patterns. Having two abnormal tests together carries higher progression risk than one alone.

Target Ranges for People With Diabetes

Once diabetes is diagnosed, the ADA recommends treatment targets rather than diagnostic cutoffs:

Time Typical Target
Fasting or pre-meal 80-130 mg/dL
2 hours post-meal Under 180 mg/dL
A1C Under 7% (most adults)
Time in range (CGM) Over 70% in 70-180 mg/dL
Time below range (CGM) Under 4% below 70 mg/dL

Converting Between Units

United States labs report glucose in mg/dL. Most of the rest of the world uses mmol/L. Conversion is simple:

  • mg/dL to mmol/L: divide by 18.018
  • mmol/L to mg/dL: multiply by 18.018

Examples: 100 mg/dL = 5.6 mmol/L, 126 mg/dL = 7.0 mmol/L, 200 mg/dL = 11.1 mmol/L.

How Often to Test

  • Adults without diabetes, no risk factors: screen at age 35, repeat every 3 years if normal.
  • Overweight or obese with risk factors: screen earlier and more often.
  • Prediabetes: annual A1C at minimum.
  • Type 2 diabetes on oral meds: A1C every 3-6 months; home glucose as directed.
  • Insulin users: multiple daily home tests or continuous glucose monitoring.

For treatment-specific monitoring, see our treatment hub.

The Bottom Line

A complete glucose level chart covers fasting (under 100 normal, 100-125 prediabetes, 126+ diabetes), 2-hour post-meal (under 140, 140-199, 200+), and A1C (under 5.7, 5.7-6.4, 6.5+). Each test captures a different dimension of glucose regulation, and discrepancies between tests are common and clinically meaningful. Use the chart to interpret your results, confirm elevated values with a second test, and track progress over time.

Frequently Asked Questions

What is a normal glucose level?

Normal fasting plasma glucose is under 100 mg/dL (5.6 mmol/L). Normal 2-hour post-meal glucose is under 140 mg/dL (7.8 mmol/L). Normal random glucose in a non-diabetic is typically 70 to 140 mg/dL. Normal A1C is under 5.7 percent. A person is considered to have normal glucose tolerance when all of these criteria are met.

What is the glucose level for diabetes?

Diabetes is diagnosed when any of the following is met, confirmed on a second test: fasting glucose 126 mg/dL or higher, 2-hour OGTT glucose 200 mg/dL or higher, A1C 6.5 percent or higher, or random glucose 200 mg/dL or higher with classic symptoms. If two different tests meet criteria simultaneously, confirmation on a second day is still recommended.

How do mg/dL and mmol/L convert for glucose?

To convert mg/dL to mmol/L, divide by 18.018. To convert mmol/L to mg/dL, multiply by 18.018. For example, 100 mg/dL equals 5.6 mmol/L, and 5 mmol/L equals 90 mg/dL. United States clinical labs use mg/dL. Most other countries use mmol/L. Home glucose meters typically allow switching between the two units in their settings.

How often does glucose need to be checked?

For adults without diabetes, the USPSTF recommends screening between ages 35 and 70 if overweight, at least every 3 years. For prediabetes, the ADA recommends annual testing. For diabetes, self-monitoring depends on treatment, with insulin users often checking multiple times daily. Continuous glucose monitors are increasingly used in type 2 diabetes and prediabetes for 14-day diagnostic periods.

Sources

  1. American Diabetes Association. Standards of Care in Diabetes 2024. Diabetes Care 2024;47(Suppl 1).
  2. Centers for Disease Control and Prevention. National Diabetes Statistics Report 2022.
  3. Nathan DM et al. ADAG Study. Diabetes Care 2008;31:1473-1478.