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

Keya Paha County had the highest diagnosed diabetes in adults, local model estimate of 93 counties in 2021, at 14.7%. Sarpy County had the lowest, at 8.4%. The median was 11.5%. Source: the Centers for Disease Control and Prevention.

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Highest14.7Keya Paha County
Lowest8.4Sarpy County
Median11.593 counties

Map of counties, 2021

Adams County: 10.9 %Antelope County: 11.6 %Arthur County: 11.3 %Banner County: 11.2 %Blaine County: 11.3 %Boone County: 11.1 %Box Butte County: 11.9 %Boyd County: 13.3 %Brown County: 12 %Buffalo County: 9.3 %Burt County: 11.7 %Butler County: 10.9 %Cass County: 10.4 %Cedar County: 10.6 %Chase County: 11.8 %Cherry County: 12 %Cheyenne County: 11.8 %Clay County: 11.6 %Colfax County: 12.3 %Cuming County: 10.8 %Custer County: 12.1 %Dakota County: 11.9 %Dawes County: 9.5 %Dawson County: 11.7 %Deuel County: 13.5 %Dixon County: 11.8 %Dodge County: 10.8 %Douglas County: 9.4 %Dundy County: 12.7 %Fillmore County: 10.4 %Franklin County: 13.7 %Frontier County: 10.7 %Furnas County: 11.4 %Gage County: 11.9 %Garden County: 13.6 %Garfield County: 11.1 %Gosper County: 11 %Grant County: 12.5 %Greeley County: 11.8 %Hall County: 11.1 %Hamilton County: 9.6 %Harlan County: 11.4 %Hayes County: 13.6 %Hitchcock County: 12.4 %Holt County: 11.8 %Hooker County: 11.2 %Howard County: 10.8 %Jefferson County: 11.6 %Johnson County: 10.5 %Kearney County: 10.8 %Keith County: 12.8 %Keya Paha County: 14.7 %Kimball County: 13.9 %Knox County: 12.9 %Lancaster County: 8.7 %Lincoln County: 11.7 %Logan County: 11.1 %Loup County: 12.8 %McPherson County: 12.3 %Madison County: 10.5 %Merrick County: 11.2 %Morrill County: 11.5 %Nance County: 12 %Nemaha County: 10.4 %Nuckolls County: 11.9 %Otoe County: 10.6 %Pawnee County: 13.6 %Perkins County: 10.9 %Phelps County: 10.6 %Pierce County: 10.3 %Platte County: 10.6 %Polk County: 10.8 %Red Willow County: 10.1 %Richardson County: 12.9 %Rock County: 12 %Saline County: 11 %Sarpy County: 8.4 %Saunders County: 9.6 %Scotts Bluff County: 12.2 %Seward County: 9.1 %Sheridan County: 13.2 %Sherman County: 12.1 %Sioux County: 13.7 %Stanton County: 10.5 %Thayer County: 11.9 %Thomas County: 11.5 %Thurston County: 14.1 %Valley County: 11.4 %Washington County: 9.8 %Wayne County: 8.8 %Webster County: 11.9 %Wheeler County: 13.3 %York County: 10.1 %
  • Under 10
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  • 13 and over
%, 2021. 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, 2021

Keya Paha County: 14.7 %Keya Paha County14.7Thurston County: 14.1 %Thurston County14.1Kimball County: 13.9 %Kimball County13.9Franklin County: 13.7 %Franklin County13.7Sioux County: 13.7 %Sioux County13.7Garden County: 13.6 %Garden County13.6Hayes County: 13.6 %Hayes County13.6Pawnee County: 13.6 %Pawnee County13.6Deuel County: 13.5 %Deuel County13.5Boyd County: 13.3 %Boyd County13.3Wheeler County: 13.3 %Wheeler County13.3Sheridan County: 13.2 %Sheridan County13.2Knox County: 12.9 %Knox County12.9Richardson County: 12.9 %Richardson County12.9Keith County: 12.8 %Keith County12.8Loup County: 12.8 %Loup County12.8Dundy County: 12.7 %Dundy County12.7Grant County: 12.5 %Grant County12.5Hitchcock County: 12.4 %Hitchcock County12.4Colfax County: 12.3 %Colfax County12.3McPherson County: 12.3 %McPherson County12.3Scotts Bluff County: 12.2 %Scotts Bluff County12.2Custer County: 12.1 %Custer County12.1Sherman County: 12.1 %Sherman County12.1Brown County: 12 %Brown County12Cherry County: 12 %Cherry County12Nance County: 12 %Nance County12Rock County: 12 %Rock County12Box Butte County: 11.9 %Box Butte County11.9Dakota County: 11.9 %Dakota County11.9Gage County: 11.9 %Gage County11.9Nuckolls County: 11.9 %Nuckolls County11.9Thayer County: 11.9 %Thayer County11.9Webster County: 11.9 %Webster County11.9Chase County: 11.8 %Chase County11.8Cheyenne County: 11.8 %Cheyenne County11.8Dixon County: 11.8 %Dixon County11.8Greeley County: 11.8 %Greeley County11.8Holt County: 11.8 %Holt County11.8Burt County: 11.7 %Burt County11.7Keya Paha County: 14.7 %Keya Paha County14.7Thurston County: 14.1 %Thurston County14.1Kimball County: 13.9 %Kimball County13.9Franklin County: 13.7 %Franklin County13.7Sioux County: 13.7 %Sioux County13.7Garden County: 13.6 %Garden County13.6Hayes County: 13.6 %Hayes County13.6Pawnee County: 13.6 %Pawnee County13.6Deuel County: 13.5 %Deuel County13.5Boyd County: 13.3 %Boyd County13.3Wheeler County: 13.3 %Wheeler County13.3Sheridan County: 13.2 %Sheridan County13.2Knox County: 12.9 %Knox County12.9Richardson County: 12.9 %Richardson County12.9Keith County: 12.8 %Keith County12.8Loup County: 12.8 %Loup County12.8Dundy County: 12.7 %Dundy County12.7Grant County: 12.5 %Grant County12.5Hitchcock County: 12.4 %Hitchcock County12.4Colfax County: 12.3 %Colfax County12.3McPherson County: 12.3 %McPherson County12.3Scotts Bluff County: 12.2 %Scotts Bluff County12.2Custer County: 12.1 %Custer County12.1Sherman County: 12.1 %Sherman County12.1Brown County: 12 %Brown County12Cherry County: 12 %Cherry County12Nance County: 12 %Nance County12Rock County: 12 %Rock County12Box Butte County: 11.9 %Box Butte County11.9Dakota County: 11.9 %Dakota County11.9Gage County: 11.9 %Gage County11.9Nuckolls County: 11.9 %Nuckolls County11.9Thayer County: 11.9 %Thayer County11.9Webster County: 11.9 %Webster County11.9Chase County: 11.8 %Chase County11.8Cheyenne County: 11.8 %Cheyenne County11.8Dixon County: 11.8 %Dixon County11.8Greeley County: 11.8 %Greeley County11.8Holt County: 11.8 %Holt County11.8Burt County: 11.7 %Burt County11.7
%. 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

RankCounties2021 (%)
1Keya Paha County14.7
2Thurston County14.1
3Kimball County13.9
4Franklin County13.7
4Sioux County13.7
6Garden County13.6
6Hayes County13.6
6Pawnee County13.6
9Deuel County13.5
10Boyd County13.3
10Wheeler County13.3
12Sheridan County13.2
13Knox County12.9
13Richardson County12.9
15Keith County12.8
15Loup County12.8
17Dundy County12.7
18Grant County12.5
19Hitchcock County12.4
20Colfax County12.3
20McPherson County12.3
22Scotts Bluff County12.2
23Custer County12.1
23Sherman County12.1
25Brown County12
25Cherry County12
25Nance County12
25Rock County12
29Box Butte County11.9
29Dakota County11.9
29Gage County11.9
29Nuckolls County11.9
29Thayer County11.9
29Webster County11.9
35Chase County11.8
35Cheyenne County11.8
35Dixon County11.8
35Greeley County11.8
35Holt County11.8
40Burt County11.7
40Dawson County11.7
40Lincoln County11.7
43Antelope County11.6
43Clay County11.6
43Jefferson County11.6
46Morrill County11.5
46Thomas County11.5
48Furnas County11.4
48Harlan County11.4
48Valley County11.4
51Arthur County11.3
51Blaine County11.3
53Banner County11.2
53Hooker County11.2
53Merrick County11.2
56Boone County11.1
56Garfield County11.1
56Hall County11.1
56Logan County11.1
60Gosper County11
60Saline County11
62Adams County10.9
62Butler County10.9
62Perkins County10.9
65Cuming County10.8
65Dodge County10.8
65Howard County10.8
65Kearney County10.8
65Polk County10.8
70Frontier County10.7
71Cedar County10.6
71Otoe County10.6
71Phelps County10.6
71Platte County10.6
75Johnson County10.5
75Madison County10.5
75Stanton County10.5
78Cass County10.4
78Fillmore County10.4
78Nemaha County10.4
81Pierce County10.3
82Red Willow County10.1
82York County10.1
84Washington County9.8
85Hamilton County9.6
85Saunders County9.6
87Dawes County9.5
88Douglas County9.4
89Buffalo County9.3
90Seward County9.1
91Wayne County8.8
92Lancaster County8.7
93Sarpy County8.4

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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021) [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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/nebraska-counties?period=2021. 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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/nebraska-counties?period=2021.

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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/nebraska-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_nebraska_by_2021,
  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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021}},
  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/nebraska-counties?period=2021. 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 Nebraska by diagnosed diabetes in adults, local model estimate, 2021
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/nebraska-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/nebraska-counties?period=2021.
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 Nebraska 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?

Keya Paha County, with 14.7% in 2021, according to the Centers for Disease Control and Prevention.

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

Sarpy County, with 8.4% in 2021.

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 Nebraska: more rankings