A1c to average glucose converter

Convert an A1c percent into the estimated average glucose it corresponds to, in mg/dL or mmol/L, or an average glucose back into an A1c, with the IFCC mmol/mol value alongside. It uses the published ADAG regression and runs entirely in your browser.

Medically reviewed by Kevin Brandstetter, M.D.Updated September 23, 2026

Start from

The percent on a lab report, such as 6.8.

Glucose unit

Estimated average glucose

Enter an A1c

The average glucose it corresponds to appears here, with the IFCC value.

A converter, not a diagnosis.

The estimated average glucose is what the study's equation predicts for a group of people with that A1c. Any one person's average can sit well above or below it. Anemia, recent blood loss or transfusion, hemoglobin variants, kidney or liver disease, and pregnancy can each move an A1c away from average glucose. Only a laboratory A1c, read by a licensed clinician with your history, says anything about your health.

Methodology

How this is calculated
From an A1c, the estimated average glucose comes from the ADAG study's linear regressions, each in the unit it was published in: “eAG (mg/dl)=28.7 × A1C − 46.7” and “eAG (mmol/l)=1.5944 × A1C − 2.594”. Neither unit is converted from the other. From an average glucose, the mg/dL equation is solved for A1c; a mmol/L entry is first converted to mg/dL at 18.0182 mg/dL per mmol/L, so the answer does not change when you switch units. The IFCC value uses the NGSP master equation, “IFCC = (10.93*NGSP) - 23.50”. Every figure is rounded once, with a half rounded up, from the unrounded result.
Where the data comes from
Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ, for the A1c-Derived Average Glucose (ADAG) Study Group, Translating the A1C Assay Into Estimated Average Glucose Values, Diabetes Care 2008;31(8):1473-1478, Table 2. National Glycohemoglobin Standardization Program, IFCC Standardization of HbA1c, ngsp.org. The published categories below are from the American Diabetes Association Professional Practice Committee, 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2026, Diabetes Care 2026;49(Suppl. 1):S27-S49.
Last updated
September 23, 2026
What this does not account for
How far one person sits from the study average. ADAG enrolled adults aged 18 to 70 with stable glucose and excluded anemia, hemoglobin variants, and kidney or liver disease, so it says less about children, pregnancy, or those conditions. In the study, 98.5 percent of A1c samples were between 4 and 10 percent; outside that range the equation is extended past most of its data, and the result panel says so.

What the two numbers measure

An A1c is the share of hemoglobin in your red blood cells that has glucose attached, and it reflects glucose over roughly the previous three months. Average glucose is the mean of many glucose readings from a meter or a continuous glucose monitor. The ADAG study measured both in 507 adults to find the line that links them, so an A1c can be read in the same units as a glucose meter.

Published A1c categories

The American Diabetes Association publishes these categories for an A1c measured by a laboratory. They are here for reference and are not applied to any number you enter: this page converts numbers and does not diagnose anything. Discuss your result with a clinician.

American Diabetes Association, Standards of Care in Diabetes-2026, section 2.
A1cCategory as published
Below 5.7% (below 39 mmol/mol)Normal
5.7% to 6.4% (39 to 47 mmol/mol)Increased risk for diabetes (prediabetes)
6.5% or above (48 mmol/mol or above)Meets the diagnostic criterion for diabetes

Why your own numbers can differ

The equation describes the middle of the study's data. At an A1c of 7 percent it gives 154 mg/dL, and the study's own table puts the 95 percent interval at 123 to 185 mg/dL. So a meter or monitor average that does not match the converted number is common and is not, by itself, an error in either one.

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