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U.S. Department of Health and Human Services

Office of Minority Health

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Diabetes and American Indians/Alaska Natives

  • American Indian/Alaska Native adults are almost three times more likely than non-Hispanic white adults to be diagnosed with diabetes.
  • American Indians/Alaska Natives were 2.5 times more likely than non-Hispanic whites to die from diabetes, in 2017.
  • In 2016, American Indians/Native Americans were 2.4 times more likely to be diagnosed with end stage renal disease than non-Hispanic whites.

Diagnosed Cases of Diabetes

Age-adjusted percentage of persons 18 years of age and over with diabetes, 2018
American Indian/Native American Non-Hispanic White American Indian/Native American /
Non-Hispanic White Ratio
23.5 8.0 2.9

Source: CDC 2019. Summary Health Statistics: National Health Interview Survey: 2018. Table A-4a. http://www.cdc.gov/nchs/nhis/shs/tables.htm

Age-adjusted percentage of diagnosed diabetes for adults age 18 and over, 2013-2015
  American Indian/Native American Non-Hispanic White American Indian/Native American /
Non-Hispanic White Ratio
Men 14.9 8.1 1.8
Women 15.3 6.8 2.3
Total 15.1 7.4 2.0

Source: CDC 2019. National Diabetes Statistics Report, 2017. Table 1c.
https://www.cdc.gov/diabetes/data/statistics-report/index.html
 

Death Rates

Age-adjusted diabetes death rates per 100,000 (2017)
  American Indian/Native American Non-Hispanic White American Indian/Native American/
Non-Hispanic White Ratio
Male 55.0 24.0 2.3
Female 38.3 14.6 2.6
Total 46.1 18.8 2.5

Source: CDC, 2018. National Vital Statistics Report. Vol. 68, No. 9. Table 10.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf [PDF | 1.76MB]

Risk Factors

There are several risk factors related to diabetes. Some of these risk factors are:

Obesity and Overweight – See Obesity and American Indians/Native Americans
Hypertension – See Heart Disease and American Indians/Native Americans
High Cholesterol – See Heart Disease and American Indians/Native Americans
Cigarette Smoking – See Heart Disease and American Indians/Native Americans

Related Conditions

Age-adjusted incidence rate per million of end stage renal disease (ESRD) due to diabetes, 2016
American Indian/Native American Non-Hispanic White American Indian/Native American /
Non-Hispanic White Ratio
275.8 116.8 2.4

Source:  National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_3_6_1.2a and 2b. [Accessed 12/05/2019]
http://nhqrnet.ahrq.gov/inhqrdr/data/query

Treatment

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a foot examination, 2015
American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native /
Non-Hispanic White Ratio
55.8 69.6 0.8

Source: CDC, 2016. Healthy People 2020 Database. Table D-9.
http://www.healthypeople.gov/2020/Data/default.aspx  


Age-adjusted percentage of persons 40 years of age and over with diabetes who had a retinal eye examination, 2017
American Indian/Alaska Native Non-Hispanic White American Indian/Alaska Native /
Non-Hispanic White Ratio
63.9 65.8 1.0

Source: CDC, 2016. Healthy People 2020 Database. Table D-10.
http://www.healthypeople.gov/2020/Data/default.aspx  

12/19/2019 10:08:00 AM