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Clinical Reference Matrix

Blood Sugar Chart

Reference official clinical diagnostic thresholds for fasting blood glucose, post-meal readings, and random testing in Canadian standard units (mmol/L) and mg/dL.

Diagnostic Blood Sugar Thresholds

Standard venous and capillary glucose targets used for screening and monitoring in Canada. (Values displayed in mmol/L and mg/dL.)

Testing Context Normal Range Prediabetes Window Diabetes Diagnostic
Fasting (no food for ≥ 8 hours)
70–99 mg/dL
3.9–5.5 mmol/L
100–125 mg/dL
5.6–6.9 mmol/L
126 mg/dL or higher
7.0 mmol/L or higher
2 Hours After Meals (Postprandial)
< 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 or higher
Bedtime / Overnight
90–120 mg/dL
5.0–6.7 mmol/L
120–140 mg/dL
6.7–7.8 mmol/L
> 140 mg/dL
> 7.8 mmol/L
Hemoglobin A1C (3-month avg)
< 5.7%
< 39 mmol/mol
5.7% – 6.4%
39–46 mmol/mol
6.5% or higher
48 mmol/mol or higher

Hypoglycemia (Low Blood Sugar) Action Levels

Low blood sugar requires immediate carbohydrate intake to prevent neuroglycopenic symptoms and loss of consciousness:

Level 1 Hypoglycemia
3.0–3.8 mmol/L (54–69 mg/dL)

Consume 15g of fast-acting glucose (125ml fruit juice, 3–4 glucose tablets). Re-check in 15 minutes (Rule of 15).

Level 2 Hypoglycemia
< 3.0 mmol/L (< 54 mg/dL)

Immediate action required. Consume rapidly absorbable carbohydrates; seek assistance if cognitive confusion begins.

Level 3 Hypoglycemia (Severe)
Variable (Severe cognitive impairment)

Medical emergency. Requires assistance from another person. Administer emergency glucagon; call 911 immediately if unconscious.

Factors That Cause Temporary Glucose Spikes

Dawn Phenomenon

Natural nocturnal release of cortisol, growth hormone, and glucagon between 4 AM and 8 AM stimulates hepatic glucose release.

Physical Stress & Illness

Infections, fever, acute pain, or surgery trigger adrenaline and systemic inflammation that significantly elevate circulating glucose.

Medication Interactions

Systemic corticosteroids (prednisone), certain beta-blockers, and thiazide diuretics can artificially raise blood sugar levels.