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Below 70? The 15-15 rule

All forDiabetes

Diabetes (Diabetes Type 1, Diabetes Type 2) symptoms and information

Type 1 · Type 2 · Gestational diabetes

Living well with diabetes, in range.

Plain-language guides to blood sugar, symptoms and treatment, plus 250+ articles and news stories from two decades of diabetes research and care.

adults worldwide live with diabetes
1 in 9
adults worldwide live with diabetes
US adults with prediabetes don’t know it
8 in 10
US adults with prediabetes don’t know it
lower risk of type 2 with lifestyle change
58%
lower risk of type 2 with lifestyle change

A1C converter

What does my A1C mean?

Average glucose—mg/dLestimated
4%5.76.514%

A1C shows your average blood sugar over the past two to three months. Enter a result to see the matching average glucose and where it sits on the diagnostic scale.

Average glucose from the ADAG formula (28.7 × A1C − 46.7). Ranges from the American Diabetes Association. For information only, not a diagnosis.

What’s new

Latest articles

GLP-1 medicines

Semaglutide, explained.

Two brands of the same medicine, approved for different uses. Both are prescription-only weekly injections; ask your doctor whether either is right for you.

Illustration of an injection pen above a chart of falling weightWeight managementWegovy (semaglutide)A once-weekly semaglutide medicine for long-term weight management in people with obesity, or overweight with a weight-related health problem, used together with diet and physical activity.
Illustration of an injection pen above a glucose curve settling into the target rangeType 2 diabetesOzempic (semaglutide)A once-weekly semaglutide injection for adults with type 2 diabetes, used with diet and exercise to lower blood sugar. It is also used to lower the risk of heart attack and stroke in people with type 2 diabetes and heart disease.

Wegovy and Ozempic are trademarks of Novo Nordisk. All for Diabetes is independent and not affiliated with the manufacturer.

Reading the numbers

Three tests, three ranges.

Diabetes is diagnosed with a blood test. A1C reflects the past two to three months; fasting glucose is measured after eight hours without food; the glucose tolerance test checks your level two hours after a sugary drink. A result in the diabetes range is normally confirmed with a second test.

Convert your A1C to average glucose
  1. NormalA1CBelow 5.7%FastingBelow 1002-hourBelow 140
  2. PrediabetesA1C5.7–6.4%Fasting100–1252-hour140–199
  3. DiabetesA1C6.5% or higherFasting126 or higher2-hour200 or higher

Source: American Diabetes Association, Standards of Care in Diabetes. Glucose values in mg/dL (divide by 18 for mmol/L), for non-pregnant adults. Pregnancy uses different thresholds.

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Diabetes, by the numbers

Common. Often hidden. Manageable.

Type 2 diabetes and prediabetes can go unnoticed for years. A simple blood test finds them, and with the right care most people live long, full lives.

adults aged 20–79 live with diabetes worldwide
589M
adults aged 20–79 live with diabetes worldwide
Source: IDF Diabetes Atlas, 2025
people in the US have diabetes, 11.6% of the population
38.4M
people in the US have diabetes, 11.6% of the population
Source: CDC National Diabetes Statistics Report
US adults have prediabetes, most without knowing
97.6M
US adults have prediabetes, most without knowing
Source: CDC National Diabetes Statistics Report

The three main types

Same name, different conditions.

All three mean too much sugar in the blood, but they start differently and are treated differently.

Type 1

The body stops making insulin

An autoimmune condition, usually diagnosed in children and young adults but possible at any age. It is not caused by lifestyle, and it is treated with insulin from day one.

  • About 5–10% of all diabetes
  • Often starts suddenly: thirst, weight loss, tiredness
  • Insulin by injection or pump
Read about type 1 diabetes

Type 2

The body stops using insulin well

The most common type. It develops slowly, often without symptoms, and is linked to genes, weight and activity. Prediabetes comes first, and that is where it can often be prevented.

  • About 90–95% of all diabetes
  • Can go unnoticed for years
  • Lifestyle, tablets, injectables or insulin
Read about type 2 diabetes

Gestational

High blood sugar during pregnancy

Found with a glucose test, usually between 24 and 28 weeks. It normally goes away after the birth, but it raises the chance of type 2 diabetes later for mother and child.

  • Screened for in most pregnancies
  • Diet, activity, sometimes insulin
  • Test again after the baby is born
Read about gestational diabetes

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Typical targets for adults

80–130
mg/dL before meals
< 180
mg/dL 1–2 hours after

ADA general goals for non-pregnant adults. Yours may differ: agree them with your care team.

At home

Checking your blood sugar in six steps

  1. 1Wash and dry your handsSugar on your skin from food can give a falsely high reading.
  2. 2Prepare the meterInsert a fresh test strip and load a new lancet into the lancing device.
  3. 3Prick the side of a fingertipThe sides hurt less than the pad. Rotate fingers from day to day.
  4. 4Apply the dropTouch the edge of the strip to the blood and wait for the result.
  5. 5Write it downNote the time, the number and anything relevant: meals, exercise, illness.
  6. 6Dispose safelyPut used lancets in a sharps container, never loose in the trash.
Living with type 1 diabetes

Gestational Diabetes

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.