Navigate to where you’ve installed Inkscape (for me, this is C:\Program Files (x86)\Inkscape), then open the share folder, then open the ui folder. The folder you should be in is C:\Program Files (x86)\Inkscape\share\ui and you should see a file called units.xml.
Make a copy of units.xml called units.bak.xml and then open the original units.xml in a text editor.
Change your file from
% % %1.00 Percentage pixel pixels px1.00 CSS Pixels (90/inch) point points pt1.25 PostScript points (72/inch) pica picas pc15.0 12 points inch inches in90.0 Inches (90 px/in) millimeter millimeters mm3.543307086614174 Millimeters (25.4 mm/in) centimeter centimeters cm35.43307086614174 Centimeters (10 mm/cm) meter meters m3543.307086614174 Meters (100 cm/m) foot feet ft1080 Feet (12 in/ft) degree degrees Γö¼Γûæ1.00 Degrees radian radians rad57.29577951308232 Radians (180/pi deg/rad) gradian gradians grad0.9 Gradians (360/400 deg/grad) turn turns turn360 Turns (360 deg/turn) font-height font-heights em1.00 Font height x-height x-heights ex0.50 Height of letter 'x' half-em half-ems en0.50 Half of font height
to
% % %1.00 Percentage pixel pixels px1.00 CSS Pixels (72/inch) point points pt1.00 PostScript points (72/inch) pica picas pc12.0 12 points inch inches in72.0 Inches (72 px/in) millimeter millimeters mm2.834645669291339 Millimeters (25.4 mm/in) centimeter centimeters cm28.34645669291339 Centimeters (10 mm/cm) meter meters m2834.645669291339 Meters (100 cm/m) foot feet ft864 Feet (12 in/ft) degree degrees Γö¼Γûæ1.00 Degrees radian radians rad57.29577951308232 Radians (180/pi deg/rad) gradian gradians grad0.9 Gradians (360/400 deg/grad) turn turns turn360 Turns (360 deg/turn) font-height font-heights em1.00 Font height x-height x-heights ex0.50 Height of letter 'x' half-em half-ems en0.50 Half of font height
All of your units now will calculate correctly! As a test, create a box with size 72px by 72px. Changing the units afterward, you’ll see that this is equal to 1in and correct for the other values as well.
Make sure you also set your default bitmap resolution to 72dpi in Preferences (Shift + Ctrl + P) -> Bitmaps
Another cool feature is that Inkscape supports em units! However, after reviewing the source, the base font size is fixed at 12px. Maybe I can submit a fix for this, hmm.
Happy Inkscaping!