- National data for this population is limited.
- From 2022-2024, Native Hawaiian/Pacific Islander adults were diagnosed with diabetes at the same rate as adults from the total population.1
- In 2022, non-Hispanic Native Hawaiians/Pacific Islanders died from diabetes at a rate 57% higher than the total population.2
- In 2014, American Samoans had the highest rate of diagnosed diabetes among surveyed Native Hawaiian and Pacific Islander sub-populations. They were diagnosed with diabetes at a rate that was 31% higher than all Native Hawaiian/Pacific Islander adults.3
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Diagnosed cases of diabetes
| Adults ages 18 and over with diagnosed diabetes, percentage, 2022–2024 | ||
|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| 9.8 | 9.8 | 1.00 |
| Adults ages 18 and over with diagnosed diabetes by Native Hawaiian/Pacific Islander single race subgroup, age-adjusted percentage, 2014 | |||
|---|---|---|---|
| Population | Population / All NH/PI Ratio | Population / Total Population Ratio | |
| U.S. Total | 9.3 | 0.50 | 1.00 |
| All NH/PI | 17.8 | 1.00 | 1.91 |
| Native Hawaiian | 17.8 | 1.00 | 1.91 |
| Pacific Islander | 18.0 | 1.01 | 1.94 |
| Samoan | 23.4 | 1.31 | 2.52 |
| Guamanian or Chamorro | 14.4 | 0.81 | 1.55 |
| Other Pacific Islander | 15.9 | 0.89 | 1.71 |
| Adults ages 18 and over with diagnosed diabetes, age-adjusted percentage, 2023 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | 41.1 | Not Reported |
Death rates
| Diabetes mortality, age-adjusted rate per 100,000 population, 2022 | |||
|---|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Total Population | Non-Hispanic Asian / Total Population Ratio | |
| Male | 49.8 | 34.8 | 1.43 |
| Female | 45.5 | 26.0 | 1.75 |
| Both Sexes | 47.6 | 30.4 | 1.57 |
Related conditions
| Visual impairment among adults ages 18 and over with diabetes, age-adjusted percentage, 2022 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | 91.7 | Not Reported |
| Hospital admissions for uncontrolled diabetes without complications among adults ages 18 and over, rate per 100,000 population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
| Lower extremity amputations among admissions for diabetes among adults ages 18 and over, rate per 100,000 population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
| Incidence of end stage renal disease (ESRD) due to diabetes, age-adjusted rate per million population, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
Preventive health
| Adults ages 18 and over with diagnosed diabetes who received an annual eye examination in the calendar year, percentage, 2023 | ||
|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Total Population | Non-Hispanic Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | 66.0 | Not Reported |
| Adults ages 40 and over with diagnosed diabetes who received a flu vaccination in the calendar year, percentage, 2020 | ||
|---|---|---|
| Non-Hispanic Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
| Adults ages 40 and over with diagnosed diabetes who had their feet checked for sores or irritation in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
| Adults ages 40 and over with diagnosed diabetes who received a dilated eye examination in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
| Adults ages 40 and over with diagnosed diabetes who received at least two hemoglobin A1c measurements in the calendar year, percentage, 2020 | ||
|---|---|---|
| Native Hawaiian/Pacific Islander | Total Population | Native Hawaiian/Pacific Islander / Total Population Ratio |
| Not Reported | Not Reported | Not Reported |
1 CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults by Detailed Race and Ethnicity. Percentage of diagnosed diabetes for adults aged 18 and over, United States, 2022–2024. (Back to top)
2 CDC, 2025. Deaths: Final Data for 2022. National Vital Statistics Report, Vol. 74, No. 4. Table 10. (Back to top)
3 CDC, 2017. National Center for Health Statistics. Health Conditions and Behaviors of Native Hawaiian and Pacific Islander Persons in the United States, 2014. Table 9. (Back to top)
Date Last Reviewed: September 2025