Incidence of Newly Diagnosed Diabetes
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Incidence Among Adults
Among US adults aged 18 years or older, crude estimates for 2019 were:
- 1.4 million new cases of diabetes—or 5.9 per 1,000 persons—were diagnosed (Table 2).
- Compared to adults aged 18 to 44 years, incidence rates of diagnosed diabetes were higher among adults aged 45 to 64 years and those aged 65 years and older (Table 2).
Among US adults aged 18 years or older, age-adjusted data for 2018–2019 indicated:
- Incidence estimates did not vary significantly by race-ethnicity (Appendix Table 4).
- Compared to adults with high school education only, incidence rates of diagnosed diabetes were lower among those with more than high school education and similar for those with less than high school education (Appendix Table 4).
Characteristic | Population Estimates, 2019a Number in thousands (95% CI) |
Incidence Estimates, 2018–2019 Rate per 1,000 (95% CI) |
|
---|---|---|---|
Total | 1,398 (1,234–1,562) | 5.9 (5.0–6.9)b | |
Age in years | |||
18–44 | 401 (309–493) | 3.2 (2.3–4.4)b | |
45–64 | 703 (583–823) | 10.1 (8.1–12.5)b | |
≥65 | 293 (230–356) | 5.8 (4.3–7.8)b | |
Sex | |||
Men | 723 (604–841) | 6.6 (5.3–8.2)b | |
Women | 675 (562–788) | 5.2 (4.1–6.6)b | |
Race/ethnicity | |||
White, non-Hispanic | 860 (739–982) | 6.0 (5.2–6.9) | |
Black, non-Hispanic | 181 (127–235) | 6.5 (4.8–8.8) | |
Asian, non-Hispanic | 71 (36–106) | 5.0 (3.1–8.1) | |
Hispanic | 261 (173–349) | 7.0 (5.0–9.9) |
Trends in Incidence Among Adults
- Among adults aged 18 years or older, the age-adjusted incidence of diagnosed diabetes was similar in 2000 (6.2 per 1,000 adults) and 2019 (5.7 per 1,000 adults). A significant decreasing trend in incidence was detected after 2008 (8.4 per 1,000 adults) through 2019. (Figure 4).
Figure 4. Trends in age-adjusted incidence of diagnosed diabetes among adults aged 18 years or older, United States, 2000–2019

Notes: Data shown are estimated incidence rates (solid blue line) and 95% confidence intervals (shaded). Joinpoint identified in 2008 (See Appendix B: Detailed Methods and Data Sources).
Data source: 2000–2019 National Health Interview Survey.
County-Level Incidence Among Adults
Among US adults aged 20 years or older, age-adjusted, county-level data indicated:
- Estimates of diagnosed diabetes incidence varied across US counties, ranging from 1.6 to 51.7 per 1,000 persons in 2018 (For more detail, see US Diabetes Surveillance System).
- Median county-level incidence of diagnosed diabetes was 9.7, 10.3 and 9.6 per 1,000 persons in 2004, 2008, and 2018, respectively (For more detail, see US Diabetes Surveillance System).
Incidence Among Children and Adolescents
Data from the SEARCH for Diabetes in Youth Study indicated that during 2014–2015, the estimated annual number of newly diagnosed cases in the United States included:
- 18,291 children and adolescents younger than age 20 years with type 1 diabetes.
- 5,758 children and adolescents age 10 to 19 years with type 2 diabetes.
Trends in Incidence Among Children and Adolescents
Among US children and adolescents aged less than 20 years, modeled data in Figure 5 showed:
- For the period 2002–2015, overall incidence of type 1 diabetes significantly increased.
- During 2002–2010, Hispanic children and adolescents had the largest significant increases in incidence of type 1 diabetes.
- During 2011–2015, non-Hispanic Asian and Pacific Islander children and adolescents had the largest significant increases in incidence of type 1 diabetes.
Among US children and adolescents aged 10 to 19 years, modeled data in Figure 5 showed:
- For the entire period 2002–2015, overall incidence of type 2 diabetes significantly increased.
- During the 2002–2010 and 2011–2015 periods, changes in incidence of type 2 diabetes were consistent across race/ethnic groups. Specifically, incidence of type 2 diabetes remained stable among non-Hispanic Whites and significantly increased for all others, especially non-Hispanic Blacks.
Figure 5. Trends in incidence of type 1 and type 2 diabetes in children and adolescents, overall and by race/ethnicity, 2002–2015

Note: Adapted from Divers et al. (2020).1 Data are model-adjusted incidence estimates (See Appendix B: Detailed Methods and Data Sources).
Data source: SEARCH for Diabetes in Youth Study.
Report Pages
- National Diabetes Statistics Report
- Prevalence of Both Diagnosed and Undiagnosed Diabetes
- Prevalence of Diagnosed Diabetes
- ›Incidence of Newly Diagnosed Diabetes
- Prevalence of Prediabetes Among Adults
- Risk Factors for Diabetes-Related Complications
- Preventing Diabetes-Related Complications
- Coexisting Conditions and Complications
- Appendix