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Report: Diabetes incidence has increased in every state


The prevalence of diagnosed diabetes increased in all states, the District of Columbia and Puerto Rico between 1995 and 2010, according to a study from the Centers for Disease Control and Prevention.

During that time, the prevalence of diagnosed diabetes increased by 50% or more in 42 states, and by 100% or more in 18 states.

The states with the largest increases were Oklahoma (226%), Kentucky (158%), Georgia (145%), Alabama (140%) and Washington (135%).

“Regionally, we saw the largest increase in diagnosed diabetes prevalence in the South, followed by the West, Midwest and Northeast,” Linda Geiss, the lead author of the report and a statistician with the CDC’s Division of Diabetes Translation, said in a news release. “These data also reinforce findings from previous studies, which indicate that the prevalence of diagnosed diabetes is highest in the southern and Appalachian states.”

The study, which uses data from the Behavioral Risk Factor Surveillance System, an annual telephone survey of health behaviors and conditions of U.S. adults ages 18 and older, found that the prevalence of diagnosed diabetes in 2010 was 10% or more in six states and Puerto Rico.

“In 1995 only three states, the District of Columbia and Puerto Rico had a diagnosed diabetes prevalence of 6% or more. By 2010, all 50 states had a prevalence of more than 6%,” said Ann Albright, PhD, RD, director of the CDC’s Division of Diabetes Translation. “These rates will continue to increase until effective interventions and policies are implemented to prevent both diabetes and obesity.”

The report appears in the Nov. 16 issue of the Morbidity and Mortality Weekly Report and is available at

Type 2 diabetes, which may be prevented through lifestyle changes, accounts for 90% to 95% of all diabetes cases in the U.S. The CDC and its partners are working on a variety of initiatives to prevent type 2 diabetes and to reduce complications in those already diagnosed. The CDC leads the National Diabetes Prevention Program, a public-private partnership that brings evidence-based programs for preventing type 2 diabetes to communities. The program is helping to establish a network of lifestyle-change classes for overweight or obese people at high risk of developing type 2 diabetes.

As well, the National Diabetes Education Program ( — a partnership of the CDC and the National Institutes of Health — provides resources to improve the treatment and outcomes of people with diabetes, promote early diagnosis and prevent or delay the onset of type 2 diabetes.

The CDC also has introduced a new online tool, Diabetes Interactive Atlases (, which provides data for diagnosed diabetes, obesity and leisure-time physical inactivity at the national, state and county levels. The new tool also includes interactive motion charts showing trends in the growth of diabetes and obesity throughout the United States and within states.


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