Estimated Average Glucose Calculator

Convert HbA1c into estimated average blood glucose in mmol/L and mg/dL using the ADA ADAG formula, with interpretation and a quick-reference table.

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Estimated average glucose
8.6 mmol/L
154.2 mg/dL
from HbA1c 7%
Diabetes — above typical target
An HbA1c of 7% gives an eAG of 8.6 mmol/L (154.2 mg/dL). This is above the typical clinical target. Discuss management options with your healthcare team.
For reference: a fasting blood glucose of 3.9–5.5 mmol/L (70–99 mg/dL) is normal. Your eAG of 8.6 mmol/L represents an average across all times of day, including post-meal peaks, so it will typically be higher than a fasting-only reading.
A1c → eAG quick reference
A1c (%)mmol/Lmg/dL
5.05.497
5.56.2111
6.07126
6.57.8140
7.08.6154
7.59.4169
8.010.2183
9.011.8212
10.013.4240

eAG is an estimate. Actual average glucose may differ by ±0.5–1.5 mmol/L. Individual HbA1c targets should be set with a healthcare provider based on clinical context.

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Health — Medical

Estimated Average Glucose Calculator

HbA1c is reported as a percentage — a number that is clinically meaningful but abstract for many people. Estimated average glucose (eAG) translates A1c into the same blood glucose units seen on a home meter, making the result more intuitive for daily diabetes management discussions.

Why eAG was introduced

The ADA introduced eAG reporting to help bridge the gap between the A1c percentage that clinicians monitor and the mmol/L or mg/dL values that people with diabetes see on their meters every day. An A1c of 7% corresponds to an eAG of approximately 8.6 mmol/L (154 mg/dL) — a value that feels concrete when compared against meter readings.

The ADAG (A1c-Derived Average Glucose) study validated this formula using continuous glucose monitoring data across a racially diverse population with and without diabetes. The resulting linear formula provides a reasonable estimate for most individuals, though individual variation of up to ±0.5–1.5 mmol/L (10–30 mg/dL) is documented.

eAG versus daily readings

eAG represents an average across all times of day, including post-meal peaks. It will therefore typically be higher than a pre-breakfast fasting reading on a home meter. A person with an A1c of 7% (eAG 8.6 mmol/L) might see fasting readings of 6–7 mmol/L and post-meal readings of 9–11 mmol/L, both consistent with that average.

Frequently asked questions

Is eAG the same as average glucose on a CGM?

Not exactly. CGM average glucose is a direct measurement average from hundreds of readings per day. eAG is a formula estimate derived from A1c. Both reflect average glucose over a similar period, but they are calculated differently and typically agree within 1–2 mmol/L. CGM average glucose is generally more precise for individuals because it is measured rather than estimated.

Why does my eAG seem higher than my typical meter readings?

Home meters are typically used for fasting or specific test times (before meals, before bed). eAG includes the post-meal peaks that make up a large proportion of daily glucose time, which most people do not routinely measure. The average including those peaks is typically higher than fasting-focused self-monitoring suggests.

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