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A1C mmol/mol to % Converter (NGSP ↔ IFCC)

Lab reports outside the US usually give A1C in IFCC units (mmol/mol) rather than the NGSP percentage familiar in the US, and the two are easy to confuse. The conversion is mmol/mol = (A1C% − 2.15) × 10.929, so a 7% NGSP A1C equals about 53 mmol/mol, and a 6.5% diabetes threshold is about 48 mmol/mol. This calculator shows your A1C in both systems side by side, along with the estimated average glucose (eAG) in mg/dL and mmol/L and the ADA screening category, so you can read any lab report no matter which unit it uses. Getting units right on a medical value matters — this tool keeps NGSP % and IFCC mmol/mol in sync and labels every figure. Free, private, browser-only.

Quick answer

IFCC mmol/mol = (NGSP A1C% − 2.15) × 10.929; reverse: A1C% = mmol/mol ÷ 10.929 + 2.15

  • Worked example: 7% ≈ 53 mmol/mol; the 6.5% diabetes cut-off ≈ 48 mmol/mol
  • Both units shown with eAG (mg/dL & mmol/L) and the ADA category
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Frequently asked questions

How do I convert A1C mmol/mol to percent?

Use A1C% = (mmol/mol ÷ 10.929) + 2.15. For example, 53 mmol/mol is about 7.0%, and 48 mmol/mol is about 6.5%. The reverse is mmol/mol = (A1C% − 2.15) × 10.929. NGSP percent is used in the US; IFCC mmol/mol is standard in much of the rest of the world.

Why do labs use mmol/mol instead of percent?

IFCC mmol/mol is the internationally standardised unit for A1C, tied to a reference measurement method, which makes results comparable across countries and labs. The NGSP percentage is the older, US-aligned scale. Many reports show both; this converter lets you move between them and also see the estimated average glucose.

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