Prediabetes

In addition to the number of people who already have diabetes, CDC estimates that 84.1 million US adults aged 18 years or older had prediabetes in 2015. With prediabetes, blood sugar levels are higher than normal but not high enough for a diabetes diagnosis. Prediabetes can increase a person’s risk of developing type 2 diabetes, heart disease, and stroke. Although an estimated 33.9% of US adults had prediabetes in 2015, only 11.6% were aware of it.3 Table 4 shows the percentage of US adults, by state, who said they had ever been told by a health care professional that they had prediabetes.

Table 4. Percentage of US Adults Who Have Ever Been Told by a Health Care Professional That They Have Prediabetes, by State, 2015

Percentage of US Adults Aged 18 or Older with Diagnosed Diabetes Who Reported Receiving Recommended Preventive Care Practices, by State, 2015
State Percentage
All States Mediana 7.0
Alabama 6.1
Alaska 6.6
Arizonab 7.6
Arkansasc 5.4
Californiab 8.2
Coloradob 6.3
Connecticutb 6.1
Delawareb 6.9
District of Columbia 9.2
Florida 7.3
Georgia 6.8
Hawaiib 14.0
Idahob 7.8
Illinoisb 5.8
Indianab 6.4
Iowab 6.6
Kansasb 5.5
Kentucky 6.7
Louisiana 7.1
Maine 6.9
Marylandb 8.4
Massachusettsb 5.7
Michiganb 6.8
Minnesotab 6.2
Mississippib 6.1
Missourib 6.9
Montanac 5.8
Nebraskab 5.4
Nevadab 7.4
New Hampshirec 5.5
New Jerseyb 7.4
New Mexico 7.1
New York 6.8
North Carolina 7.2
North Dakotab 6.1
Ohio 6.1
Oklahoma 7.1
Oregonb 8.0
Pennsylvaniab 6.0
Rhode Islandb 5.7
South Carolina 7.1
South Dakota 5.5
Tennessee 7.3
Texas 6.4
Utahc 5.7
Vermontb 4.8
Virginia 6.9
Washington 7.0
West Virginia 7.6
Wisconsinb 6.4
Wyomingb 5.5

Note: Percentages are age-adjusted to the 2000 US standard population.
a State median calculated with 2015 data only.
b Data from 27 states are from 2014 because 2015 data were not available.
c Data from 4 states are from 2013 because 2014 and 2015 data were not available.

References
  1. Centers for Disease Control and Prevention. Division of Diabetes Translation website. Reports to Congress. https://www.cdc.gov/diabetes/library/reports/congress.html. Accessed September 20, 2017.
  2. Patient Protection and Affordable Care Act of 2009. L No. 111-148,external icon Title X, Sec 10407, 42 USC 247b-9a.
  3. Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2017.
  4. Rutledge SA, Masalovich S, Blacher RJ, Saunders MM. Diabetes self-management education programs in nonmetropolitan counties — United States, 2016.external icon MMWR Surveill Summ. 2017;66(10):1–6.
  5. Beckles GL, Chou C. Disparities in the prevalence of diagnosed diabetes — United States, 1999–2002 and 2011–2014. MMWR Morb Mortal Wkly Rep. 2016;65(45):1265–1269.
  6. Luo H, Beckles GL, Zhang X, Sotnikov S, Thompson T, Bardenheier B. The relationship between county-level contextual characteristics and use of diabetes care services. pdf icon[PDF – 1 MB] J Public Health Manag Pract. 2014;20(4):401–410.
  7. US Department of Health and Human Services. Healthy People 2020 website. Social Determinants of Health. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-healthexternal icon. Accessed September 1, 2017.
  8. Dabelea D, Mayer-Davis EJ, Saydah S, et al. Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA. 2014;311(17):1778–1786.
  9. Mayer-Davis EJ, Lawrence JM, Dabelea D, et al. Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012. N Engl J Med. 2017;376:1419–1429.
  10. Saydah S, Imperatore G, Cheng Y, Geiss LS, Albright A. Disparities in diabetes deaths among children and adolescents — United States, 2000–2014. MMWR Morb Mortal Wkly Rep. 2017;66:502–505.
  11. Powers MA, Bardsley J, Cypress M, et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics.external icon J Acad Nutr Diet. 2015;115(8):1323–1334.
  12. Centers for Disease Control and Prevention. Diabetes Prevention Impact Toolkit website. https://nccd.cdc.gov/Toolkit/DiabetesImpact. Accessed May 25, 2017.
  13. The Policy Surveillance Program and ChangeLab Solutions. Health Insurance Coverage Laws for Diabetes Self-Management Education and Training website. http://lawatlas.org/datasets/diabetes-self-management-education-lawsexternal icon. Accessed May 25, 2017.
  14. Centers for Disease Control and Prevention. Diabetes State Burden Toolkit website. https://nccd.cdc.gov/Toolkit/DiabetesBurdenexternal icon. Accessed May 25, 2017.
  15. National Association of Chronic Disease Directors. National Diabetes Prevention Program Coverage Toolkit website. http://www.nationaldppcoveragetoolkit.org/external icon. Accessed July 13, 2017.

Page last reviewed: June 14, 2019