- In 2023, American Indian/Alaska Native adults were 1.5 times more likely than non-Hispanic white adults to be diagnosed with diabetes.1
- In 2021, non-Hispanic American Indians/Alaska Natives were 1.6 times more likely than non-Hispanic whites to die from diabetes.2
- In 2020, American Indians/ Alaska Natives were more than two times as likely to be diagnosed with end stage renal disease due to diabetes than non-Hispanic whites.3
Diagnosed Cases of Diabetes
| Adults age 18 and over with diagnosed diabetes, percentage, 2023 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| 13.2 | 8.9 | 1.5 |
| Adults age 18 and over with diagnosed diabetes, age-adjusted percentage, 2019–2021 | |||
|---|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio | |
| Men | 13.4 | 7.7 | 1.7 |
| Women | 13.7 | 6.1 | 2.2 |
| Total | 13.6 | 6.9 | 2.0 |
| Crude prevalence of diagnosed diabetes among adults age 18 and over, percentage, 2019–2021 | ||
|---|---|---|
| Non-Hispanic American Indian/Alaska Native | Non-Hispanic White | Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio |
| 16.0 | 8.5 | 1.9 |
Death Rates
| Diabetes mortality, age-adjusted rate per 100,000 population, 2021 | |||
|---|---|---|---|
| Non-Hispanic American Indian/Alaska Native | Non-Hispanic White | Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio | |
| Male | 56.9 | 39.3 | 1.4 |
| Female | 46.7 | 27.6 | 1.7 |
| Both Sexes | 51.8 | 33.4 | 1.6 |
Related Conditions
| Visual impairment among adults age 18 and over with diabetes, age-adjusted percentage, 2022 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 26.3 | -- |
| Hospital admissions for uncontrolled diabetes without complications among adults age 18 and over, rate per 100,000 population, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 26.8 | -- |
| Lower extremity amputations among admissions adults age 18 and over with diabetes, rate per 100,000 population, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 27.8 | -- |
| Incidence of end stage renal disease (ESRD) due to diabetes, age-adjusted rate per million population, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| 288.4 | 121.1 | 2.4 |
Preventative Health
| Adults age 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year, percentage, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 69.3 | -- |
| Adults age 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year, percentage, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 63.2 | -- |
| Adults age 18 and over with diagnosed diabetes who received an annual eye examination in the calendar year, percentage, 2023 | ||
|---|---|---|
| Non-Hispanic American Indian/Alaska Native | Non-Hispanic White | Non-Hispanic American Indian/Alaska Native / Non-Hispanic White Ratio |
| 83.7 | 63.6 | 1.3 |
| Adults age 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year, percentage, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 59.2 | -- |
| Adults age 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year, percentage, 2020 | ||
|---|---|---|
| American Indian/Alaska Native | Non-Hispanic White | American Indian/Alaska Native / Non-Hispanic White Ratio |
| -- | 80.7 | -- |
1 CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of diagnosed diabetes for adults aged 18 and over, United States, 2023. (Back to top)
2 CDC, 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 10. (Back to top)
3 AHRQ. National Healthcare Quality and Disparities Reports. Data Query. (Back to top)
Date Last Reviewed: February 2025