mg/dL or mmol/Lmg/dL or mmol/L

 

Which units mg/dL or mmol/L is used in which country?

Country (A-H)

Unit of Measure

 

Country (J-Z)  

Unit of Measure

Algeria

mg/dL

 

Jamaica

mg/dL

Angola

md/dL

 

Japan

mg/dL

Aruba

mg/dL

 

Jordan

mg/dL

Argentina

mg/dL

 

Kazakhstan

mmol/L

Australia

mmol/L

 

Kenya

mmol/L

Austria

mg/dL

 

Korea

mg/dL

Bahrain

mg/dL

 

Kosova

mmol/L

Barbados

mg/dL

 

Kuwait

mg/dL

Bangladesh

mmol/L

 

Latvia

mmol/L

Belarus

mmol/L

 

Lebanon

mg/dL

Belgium

mg/dL

 

Libya

mg/dL

Bolivia

mg/dL

 

Lithuania

mmol/L

Bosnia & Herzegovina

mmol/L

 

Luxembourg

mg/dL, mmol/L

Botswana

mmol/L

 

Macedonia

mg/dL

Brazil

mg/dL

 

Malaysia

mmol/L

Bulgaria

mmol/L

 

Malta

mmol/L

Cambodia

mg/dL

 

Mauritius

mmol/L

Cameroon

mg/dL

 

Mexico

mg/dL

Canada

mmol/L

 

Montenegro

mmol/L

Caribbean

mg/dL, mmol/L

 

Morocco

mg/dL

Cayman

mg/dL

 

Netherlands

mmol/L

Chile

mg/dL

 

New Zealand

mmol/L

China

mmol/L

 

Nigeria

mg/dL

Columbia

mg/dL

 

Norway

mmol/L

Congo

mg/dL

 

Oman

mg/dL

Costa Rica

mg/dL

 

Pakistan

mg/dL

Curacao

mg/dL

 

Paraguay

mg/dL

Croatia

mmol/L

 

Peru

mg/dL

Cyprus

mg/dL

 

Philippines

mg/dL

Czech Republic

mmol/L

 

Poland

mg/dL

Denmark

mmol/L

 

Portugal

mg/dL

Dominican Rep.

mg/dL

 

Puerto Rico

mg/dL

Ecuador

mg/dL

 

Qatar

mg/dL

Egypt

mg/dL

 

Romania

mmol/L, mg/dL

El Salvador

mg/dL

 

Russia

mmol/L

Estonia

mmol/L

 

Saudi Arabia

mg/dL

Ethiopia

mg/dL

 

Serbia

mmol/L

Finland

mmol/L

 

Singapore

mmol/L

France

mg/dL

 

Slovakia

mmol/L

Georgia

mg/dL

 

Slovenia

mmol/L

Germany

mg/dL, mmol/L

 

South Africa

mmol/L

Greece

mg/dL

 

Spain

mg/dL

Guatemala

mg/dL

 

Sub-Saharan Africa

mg/dL, mmol/L

Guinea

mg/dL

 

Sudan

mg/dL

Honduras

mg/dL

 

Sweden

mmol/L

Hong Kong

mmol/L

 

Switzerland

mmol/L

Hungary

mmol/L

 

Syria

mg/dL

Iceland

mmol/L

 

Taiwan

mg/dL

India

mg/dL

 

Thailand

mg/dL

Indonesia

mg/dL

 

Tunisia

mg/dL

Iran

mg/dL

 

Turkey

mg/dL

Iraq

mg/dL

 

Trinidad & Tobago

mg/dL

Ireland

mmol/L

 

Ukraine

mmol/L

Israel

mg/dL

 

UAE

mg/dL

Italy

mg/dL

 

United Kingdom

mmol/L

Ivory Coast

mg/dL

 

USA

mg/dL

Jamaica

mg/dL

 

Uruguay

mg/dL

Japan

mg/dL

 

Venezuela

mg/dL

Jordan

mg/dL

 

Vietnam

mmol/L

Kazakhstan

mmol/L

 

Yemen

mg/dL

Korea

mg/dL

 

Zambia

mmol/L

Kuwait

mg/dL

 

   

Lebanon

mg/dL

 

   

 

Why are two different units used to measure glucose in blood?

The difference in glucose measurement units—mg/dL versus mmol/L—is rooted in regional medical practices and measurement systems. Here's an explanation of the two, and considerations for which is easier to understand:

1. Why the Difference in Units? (both are metric)

  • mg/dL (milligrams per deciliter):

    • Used in countries like the United States, Japan, and some parts of Latin America.
    • It measures the mass (weight) of glucose (in milligrams) in a specific volume of blood (one deciliter).
    • This aligns with the imperial system of measurement historically used in the U.S.
  • mmol/L (millimoles per liter):

    • Used in most other countries, including Europe, Canada, Australia, and parts of Asia.
    • It measures the concentration of glucose based on the number of molecules (millimoles) in a liter of blood.
    • This is based on the metric system and the SI (International System of Units).

2. Which is Easier to Understand?

  • For Patients:

    • mmol/L is difficult to understand for many patients as don't know what a millimole is, even though they do understand what a litre is. The number is smaller and uses a decimal point eg 3.8-5.5 mmol/L for fasting glucose.
    • In mg/dL, values are much larger (e.g., 70-100 mg/dL for fasting glucose), with no decimal point. This means a small change in glucose is represented by a large change in the number, which can cause more concern for a patient than necessary. Although patients can guess what a milligram is if they don't know, it is harder to understand a what a deciliter (dL) is. 

This has led to some meters having a simple low, medium and high colour symbol next to the result, which ironically harks back to the days of colour change test strips that came before meters (eg BETACHEK Visual, still available today).

  • For Medical Professionals:

    • Medical professionals typically adapt to either system, but mmol/L is often preferred in scientific contexts due to its consistency with the SI system. It is important to use the units for your country so that your medical team can understand your results.

Conversion Between the Units mg/dL and mmol/L

The two units are mathematically related:

  • 1 mmol/L = 18 mg/dL
    For example, a glucose level of 5 mmol/L is equivalent to 90 mg/dL.

Global Trends

  • Many countries are moving toward adopting mmol/L to align with international standards, but the U.S. remains firmly rooted in mg/dL due to historical inertia in medical systems.

Units are Factory Set

If your blood glucose meter displays results in the wrong units you need to return the meter if possible as the units can not be changed.

And then there is the spelling; Litre or Liter...this article uses both until a clear winner is decided.