Data / Rankings / Diagnosed diabetes in adults, local model estimate / Counties in Alabama

Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023

Greene County had the highest diagnosed diabetes in adults, local model estimate of 67 counties in 2023, at 27.1%. Shelby County had the lowest, at 11.2%. The median was 16.3%. Source: the Centers for Disease Control and Prevention.

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Highest27.1Greene County
Lowest11.2Shelby County
Median16.367 counties

Map of counties, 2023

Autauga County: 13.3 %Baldwin County: 13.4 %Barbour County: 19.6 %Bibb County: 16.2 %Blount County: 13.8 %Bullock County: 24.6 %Butler County: 18.9 %Calhoun County: 14.8 %Chambers County: 17.9 %Cherokee County: 16 %Chilton County: 14.1 %Choctaw County: 20.1 %Clarke County: 18.4 %Clay County: 16.5 %Cleburne County: 14.6 %Coffee County: 14.8 %Colbert County: 15 %Conecuh County: 22.1 %Coosa County: 18.6 %Covington County: 16.3 %Crenshaw County: 16.6 %Cullman County: 13.4 %Dale County: 15.8 %Dallas County: 22.4 %DeKalb County: 15.7 %Elmore County: 13 %Escambia County: 18.5 %Etowah County: 16.3 %Fayette County: 16.6 %Franklin County: 16.4 %Geneva County: 16.4 %Greene County: 27.1 %Hale County: 19.7 %Henry County: 16.7 %Houston County: 15.7 %Jackson County: 16 %Jefferson County: 15.1 %Lamar County: 16.7 %Lauderdale County: 12.9 %Lawrence County: 15.5 %Lee County: 12.5 %Limestone County: 12.5 %Lowndes County: 24.1 %Macon County: 20 %Madison County: 12.1 %Marengo County: 19.8 %Marion County: 15.5 %Marshall County: 14.5 %Mobile County: 16.1 %Monroe County: 19.7 %Montgomery County: 16.4 %Morgan County: 14.7 %Perry County: 24.6 %Pickens County: 18 %Pike County: 14.1 %Randolph County: 16.1 %Russell County: 17.3 %St. Clair County: 13 %Shelby County: 11.2 %Sumter County: 19.7 %Talladega County: 17.2 %Tallapoosa County: 16.8 %Tuscaloosa County: 12 %Walker County: 15.1 %Washington County: 17 %Wilcox County: 23.8 %Winston County: 16.5 %
  • Under 14
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%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Greene County: 27.1 %Greene County27.1Bullock County: 24.6 %Bullock County24.6Perry County: 24.6 %Perry County24.6Lowndes County: 24.1 %Lowndes County24.1Wilcox County: 23.8 %Wilcox County23.8Dallas County: 22.4 %Dallas County22.4Conecuh County: 22.1 %Conecuh County22.1Choctaw County: 20.1 %Choctaw County20.1Macon County: 20 %Macon County20Marengo County: 19.8 %Marengo County19.8Hale County: 19.7 %Hale County19.7Monroe County: 19.7 %Monroe County19.7Sumter County: 19.7 %Sumter County19.7Barbour County: 19.6 %Barbour County19.6Butler County: 18.9 %Butler County18.9Coosa County: 18.6 %Coosa County18.6Escambia County: 18.5 %Escambia County18.5Clarke County: 18.4 %Clarke County18.4Pickens County: 18 %Pickens County18Chambers County: 17.9 %Chambers County17.9Russell County: 17.3 %Russell County17.3Talladega County: 17.2 %Talladega County17.2Washington County: 17 %Washington County17Tallapoosa County: 16.8 %Tallapoosa County16.8Henry County: 16.7 %Henry County16.7Lamar County: 16.7 %Lamar County16.7Crenshaw County: 16.6 %Crenshaw County16.6Fayette County: 16.6 %Fayette County16.6Clay County: 16.5 %Clay County16.5Winston County: 16.5 %Winston County16.5Franklin County: 16.4 %Franklin County16.4Geneva County: 16.4 %Geneva County16.4Montgomery County: 16.4 %Montgomery County16.4Covington County: 16.3 %Covington County16.3Etowah County: 16.3 %Etowah County16.3Bibb County: 16.2 %Bibb County16.2Mobile County: 16.1 %Mobile County16.1Randolph County: 16.1 %Randolph County16.1Cherokee County: 16 %Cherokee County16Jackson County: 16 %Jackson County16Greene County: 27.1 %Greene County27.1Bullock County: 24.6 %Bullock County24.6Perry County: 24.6 %Perry County24.6Lowndes County: 24.1 %Lowndes County24.1Wilcox County: 23.8 %Wilcox County23.8Dallas County: 22.4 %Dallas County22.4Conecuh County: 22.1 %Conecuh County22.1Choctaw County: 20.1 %Choctaw County20.1Macon County: 20 %Macon County20Marengo County: 19.8 %Marengo County19.8Hale County: 19.7 %Hale County19.7Monroe County: 19.7 %Monroe County19.7Sumter County: 19.7 %Sumter County19.7Barbour County: 19.6 %Barbour County19.6Butler County: 18.9 %Butler County18.9Coosa County: 18.6 %Coosa County18.6Escambia County: 18.5 %Escambia County18.5Clarke County: 18.4 %Clarke County18.4Pickens County: 18 %Pickens County18Chambers County: 17.9 %Chambers County17.9Russell County: 17.3 %Russell County17.3Talladega County: 17.2 %Talladega County17.2Washington County: 17 %Washington County17Tallapoosa County: 16.8 %Tallapoosa County16.8Henry County: 16.7 %Henry County16.7Lamar County: 16.7 %Lamar County16.7Crenshaw County: 16.6 %Crenshaw County16.6Fayette County: 16.6 %Fayette County16.6Clay County: 16.5 %Clay County16.5Winston County: 16.5 %Winston County16.5Franklin County: 16.4 %Franklin County16.4Geneva County: 16.4 %Geneva County16.4Montgomery County: 16.4 %Montgomery County16.4Covington County: 16.3 %Covington County16.3Etowah County: 16.3 %Etowah County16.3Bibb County: 16.2 %Bibb County16.2Mobile County: 16.1 %Mobile County16.1Randolph County: 16.1 %Randolph County16.1Cherokee County: 16 %Cherokee County16Jackson County: 16 %Jackson County16
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Greene County27.1+2.2 pts
2Bullock County24.6+2.2 pts
2Perry County24.6+2.6 pts
4Lowndes County24.1+1.4 pts
5Wilcox County23.8+0.7 pts
6Dallas County22.4+1 pts
7Conecuh County22.1+1.7 pts
8Choctaw County20.1-0.2 pts
9Macon County20-0.2 pts
10Marengo County19.8+0.7 pts
11Hale County19.7+0.4 pts
11Monroe County19.7+0.7 pts
11Sumter County19.7+1 pts
14Barbour County19.6+0.7 pts
15Butler County18.9+0.7 pts
16Coosa County18.6+0.5 pts
17Escambia County18.5+0.9 pts
18Clarke County18.4-0.1 pts
19Pickens County18+0.8 pts
20Chambers County17.9-0.3 pts
21Russell County17.3-0.2 pts
22Talladega County17.2+0.3 pts
23Washington County17-0.4 pts
24Tallapoosa County16.8-0.1 pts
25Henry County16.7-1.1 pts
25Lamar County16.7+1 pts
27Crenshaw County16.6+0.8 pts
27Fayette County16.60 pts
29Clay County16.5-0.1 pts
29Winston County16.5+1 pts
31Franklin County16.4+0.6 pts
31Geneva County16.4+0.5 pts
31Montgomery County16.4-0.7 pts
34Covington County16.3+1.7 pts
34Etowah County16.3+0.9 pts
36Bibb County16.2+1.1 pts
37Mobile County16.1+0.7 pts
37Randolph County16.1-0.1 pts
39Cherokee County16+0.8 pts
39Jackson County16+0.4 pts
41Dale County15.8+0.2 pts
42DeKalb County15.7-0.7 pts
42Houston County15.7+0.4 pts
44Lawrence County15.5-0.6 pts
44Marion County15.5-0.4 pts
46Jefferson County15.1+0.8 pts
46Walker County15.1-0.7 pts
48Colbert County15+0.4 pts
49Calhoun County14.8+0.3 pts
49Coffee County14.8+1.2 pts
51Morgan County14.7-0.6 pts
52Cleburne County14.6-0.8 pts
53Marshall County14.5+1.2 pts
54Chilton County14.1+0.4 pts
54Pike County14.1+1 pts
56Blount County13.8-0.2 pts
57Baldwin County13.4+0.3 pts
57Cullman County13.4-0.7 pts
59Autauga County13.3+0.3 pts
60Elmore County13+0.1 pts
60St. Clair County13+0.4 pts
62Lauderdale County12.9+0.2 pts
63Lee County12.5+1 pts
63Limestone County12.5-0.3 pts
65Madison County12.10 pts
66Tuscaloosa County12-0.2 pts
67Shelby County11.2+0.3 pts

Other periods

About this ranking

Percentage of adults who report being told by a doctor or other health professional that they have diabetes, other than diabetes only during pregnancy. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence (Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence, Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence, Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence: Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence: Counties in Alabama by diagnosed diabetes in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Alabama by diagnosed diabetes in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest diagnosed diabetes in adults, local model estimate?

Greene County, with 27.1% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest diagnosed diabetes in adults, local model estimate?

Shelby County, with 11.2% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), diagnosed diabetes in adults, crude prevalence. Retrieved 2026-10-12.

Diagnosed diabetes in adults, local model estimate: other rankings

Counties in Alabama: more rankings