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

Greene County had the highest diagnosed diabetes in adults, local model estimate of 67 counties in 2022, at 24.9%. Shelby County had the lowest, at 10.9%. The median was 15.8%. Source: the Centers for Disease Control and Prevention.

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Highest24.9Greene County
Lowest10.9Shelby County
Median15.867 counties

Map of counties, 2022

Autauga County: 13 %Baldwin County: 13.1 %Barbour County: 18.9 %Bibb County: 15.1 %Blount County: 14 %Bullock County: 22.4 %Butler County: 18.2 %Calhoun County: 14.5 %Chambers County: 18.2 %Cherokee County: 15.2 %Chilton County: 13.7 %Choctaw County: 20.3 %Clarke County: 18.5 %Clay County: 16.6 %Cleburne County: 15.4 %Coffee County: 13.6 %Colbert County: 14.6 %Conecuh County: 20.4 %Coosa County: 18.1 %Covington County: 14.6 %Crenshaw County: 15.8 %Cullman County: 14.1 %Dale County: 15.6 %Dallas County: 21.4 %DeKalb County: 16.4 %Elmore County: 12.9 %Escambia County: 17.6 %Etowah County: 15.4 %Fayette County: 16.6 %Franklin County: 15.8 %Geneva County: 15.9 %Greene County: 24.9 %Hale County: 19.3 %Henry County: 17.8 %Houston County: 15.3 %Jackson County: 15.6 %Jefferson County: 14.3 %Lamar County: 15.7 %Lauderdale County: 12.7 %Lawrence County: 16.1 %Lee County: 11.5 %Limestone County: 12.8 %Lowndes County: 22.7 %Macon County: 20.2 %Madison County: 12.1 %Marengo County: 19.1 %Marion County: 15.9 %Marshall County: 13.3 %Mobile County: 15.4 %Monroe County: 19 %Montgomery County: 17.1 %Morgan County: 15.3 %Perry County: 22 %Pickens County: 17.2 %Pike County: 13.1 %Randolph County: 16.2 %Russell County: 17.5 %St. Clair County: 12.6 %Shelby County: 10.9 %Sumter County: 18.7 %Talladega County: 16.9 %Tallapoosa County: 16.9 %Tuscaloosa County: 12.2 %Walker County: 15.8 %Washington County: 17.4 %Wilcox County: 23.1 %Winston County: 15.5 %
  • Under 13
  • 13 to 15
  • 15 to 16
  • 16 to 17
  • 17 to 19
  • 19 and over
%, 2022. 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, 2022

Greene County: 24.9 %Greene County24.9Wilcox County: 23.1 %Wilcox County23.1Lowndes County: 22.7 %Lowndes County22.7Bullock County: 22.4 %Bullock County22.4Perry County: 22 %Perry County22Dallas County: 21.4 %Dallas County21.4Conecuh County: 20.4 %Conecuh County20.4Choctaw County: 20.3 %Choctaw County20.3Macon County: 20.2 %Macon County20.2Hale County: 19.3 %Hale County19.3Marengo County: 19.1 %Marengo County19.1Monroe County: 19 %Monroe County19Barbour County: 18.9 %Barbour County18.9Sumter County: 18.7 %Sumter County18.7Clarke County: 18.5 %Clarke County18.5Butler County: 18.2 %Butler County18.2Chambers County: 18.2 %Chambers County18.2Coosa County: 18.1 %Coosa County18.1Henry County: 17.8 %Henry County17.8Escambia County: 17.6 %Escambia County17.6Russell County: 17.5 %Russell County17.5Washington County: 17.4 %Washington County17.4Pickens County: 17.2 %Pickens County17.2Montgomery County: 17.1 %Montgomery County17.1Talladega County: 16.9 %Talladega County16.9Tallapoosa County: 16.9 %Tallapoosa County16.9Clay County: 16.6 %Clay County16.6Fayette County: 16.6 %Fayette County16.6DeKalb County: 16.4 %DeKalb County16.4Randolph County: 16.2 %Randolph County16.2Lawrence County: 16.1 %Lawrence County16.1Geneva County: 15.9 %Geneva County15.9Marion County: 15.9 %Marion County15.9Crenshaw County: 15.8 %Crenshaw County15.8Franklin County: 15.8 %Franklin County15.8Walker County: 15.8 %Walker County15.8Lamar County: 15.7 %Lamar County15.7Dale County: 15.6 %Dale County15.6Jackson County: 15.6 %Jackson County15.6Winston County: 15.5 %Winston County15.5Greene County: 24.9 %Greene County24.9Wilcox County: 23.1 %Wilcox County23.1Lowndes County: 22.7 %Lowndes County22.7Bullock County: 22.4 %Bullock County22.4Perry County: 22 %Perry County22Dallas County: 21.4 %Dallas County21.4Conecuh County: 20.4 %Conecuh County20.4Choctaw County: 20.3 %Choctaw County20.3Macon County: 20.2 %Macon County20.2Hale County: 19.3 %Hale County19.3Marengo County: 19.1 %Marengo County19.1Monroe County: 19 %Monroe County19Barbour County: 18.9 %Barbour County18.9Sumter County: 18.7 %Sumter County18.7Clarke County: 18.5 %Clarke County18.5Butler County: 18.2 %Butler County18.2Chambers County: 18.2 %Chambers County18.2Coosa County: 18.1 %Coosa County18.1Henry County: 17.8 %Henry County17.8Escambia County: 17.6 %Escambia County17.6Russell County: 17.5 %Russell County17.5Washington County: 17.4 %Washington County17.4Pickens County: 17.2 %Pickens County17.2Montgomery County: 17.1 %Montgomery County17.1Talladega County: 16.9 %Talladega County16.9Tallapoosa County: 16.9 %Tallapoosa County16.9Clay County: 16.6 %Clay County16.6Fayette County: 16.6 %Fayette County16.6DeKalb County: 16.4 %DeKalb County16.4Randolph County: 16.2 %Randolph County16.2Lawrence County: 16.1 %Lawrence County16.1Geneva County: 15.9 %Geneva County15.9Marion County: 15.9 %Marion County15.9Crenshaw County: 15.8 %Crenshaw County15.8Franklin County: 15.8 %Franklin County15.8Walker County: 15.8 %Walker County15.8Lamar County: 15.7 %Lamar County15.7Dale County: 15.6 %Dale County15.6Jackson County: 15.6 %Jackson County15.6Winston County: 15.5 %Winston County15.5
%. 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

RankCounties2022 (%)Change on 2021
1Greene County24.9-1.2 pts
2Wilcox County23.1+1.1 pts
3Lowndes County22.7+1.2 pts
4Bullock County22.4+1.1 pts
5Perry County22-0.1 pts
6Dallas County21.4+1.5 pts
7Conecuh County20.4+1 pts
8Choctaw County20.3+1 pts
9Macon County20.2+1.2 pts
10Hale County19.30 pts
11Marengo County19.1+0.8 pts
12Monroe County19+0.3 pts
13Barbour County18.9+0.5 pts
14Sumter County18.7-1.2 pts
15Clarke County18.5+0.9 pts
16Butler County18.2+0.9 pts
16Chambers County18.2+1.7 pts
18Coosa County18.1+1.7 pts
19Henry County17.8+2.4 pts
20Escambia County17.6+0.8 pts
21Russell County17.5+1.8 pts
22Washington County17.4+0.7 pts
23Pickens County17.2+0.3 pts
24Montgomery County17.1+1.1 pts
25Talladega County16.9+1 pts
25Tallapoosa County16.9+0.9 pts
27Clay County16.6+1.3 pts
27Fayette County16.6+1 pts
29DeKalb County16.4+1.6 pts
30Randolph County16.2+0.8 pts
31Lawrence County16.1+1.4 pts
32Geneva County15.9-0.2 pts
32Marion County15.9+1.5 pts
34Crenshaw County15.8+0.7 pts
34Franklin County15.8+1.1 pts
34Walker County15.8+1.8 pts
37Lamar County15.7+0.7 pts
38Dale County15.6+1.5 pts
38Jackson County15.6+0.9 pts
40Winston County15.5+0.5 pts
41Cleburne County15.4+1.6 pts
41Etowah County15.4+1.6 pts
41Mobile County15.40 pts
44Houston County15.3+1.3 pts
44Morgan County15.3+1.7 pts
46Cherokee County15.2+0.1 pts
47Bibb County15.1+1 pts
48Colbert County14.6+1.1 pts
48Covington County14.6-0.4 pts
50Calhoun County14.5+0.4 pts
51Jefferson County14.3+0.2 pts
52Cullman County14.1+1.7 pts
53Blount County14+1.2 pts
54Chilton County13.70 pts
55Coffee County13.6+0.4 pts
56Marshall County13.3-0.1 pts
57Baldwin County13.1+0.5 pts
57Pike County13.1-0.1 pts
59Autauga County13+0.7 pts
60Elmore County12.9+0.8 pts
61Limestone County12.8+0.7 pts
62Lauderdale County12.7-0.2 pts
63St. Clair County12.6+0.3 pts
64Tuscaloosa County12.2-0.1 pts
65Madison County12.1+0.6 pts
66Lee County11.5+0.6 pts
67Shelby County10.9+0.6 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, 2022) [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, 2022. 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?period=2022. 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, 2022. 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?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2022,
  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, 2022}},
  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?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/alabama-counties?period=2022.
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.
rank_places {"indicator":"adult_diabetes_rate_modelled","level":"province","within":"Alabama","limit":10}
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Questions

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

Greene County, with 24.9% in 2022, according to the Centers for Disease Control and Prevention.

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

Shelby County, with 10.9% in 2022.

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