Counties in North Carolina by diagnosed diabetes in adults, local model estimate

Northampton County had the highest diagnosed diabetes in adults, local model estimate of 100 counties in 2021, at 20.7%. Onslow County had the lowest, at 8.7%. The median was 13.3%. Source: the Centers for Disease Control and Prevention.

Lowest8.7Onslow County
Median13.3100 counties

Top 40 counties, 2021

Northampton County: 20.7 %Northampton County20.7Halifax County: 20 %Halifax County20Bertie County: 19.9 %Bertie County19.9Warren County: 19.9 %Warren County19.9Washington County: 19.5 %Washington County19.5Hertford County: 18.3 %Hertford County18.3Edgecombe County: 18.2 %Edgecombe County18.2Martin County: 18.2 %Martin County18.2Robeson County: 17.9 %Robeson County17.9Lenoir County: 17.8 %Lenoir County17.8Scotland County: 17.7 %Scotland County17.7Jones County: 17.5 %Jones County17.5Bladen County: 17.4 %Bladen County17.4Vance County: 17.1 %Vance County17.1Anson County: 16.9 %Anson County16.9Chowan County: 16.8 %Chowan County16.8Alleghany County: 16.6 %Alleghany County16.6Hyde County: 16.5 %Hyde County16.5Sampson County: 16.4 %Sampson County16.4Tyrrell County: 16.4 %Tyrrell County16.4Richmond County: 16.3 %Richmond County16.3Wilson County: 16.1 %Wilson County16.1Columbus County: 16 %Columbus County16Duplin County: 16 %Duplin County16Greene County: 15.9 %Greene County15.9Caswell County: 15.7 %Caswell County15.7Beaufort County: 15.6 %Beaufort County15.6Cherokee County: 15.6 %Cherokee County15.6Gates County: 15.5 %Gates County15.5Pamlico County: 15.4 %Pamlico County15.4Perquimans County: 15.1 %Perquimans County15.1Nash County: 14.7 %Nash County14.7Montgomery County: 14.6 %Montgomery County14.6Person County: 14.6 %Person County14.6Clay County: 14.5 %Clay County14.5Rockingham County: 14.5 %Rockingham County14.5Swain County: 14.4 %Swain County14.4Rutherford County: 14.1 %Rutherford County14.1Wayne County: 14.1 %Wayne County14.1Macon County: 14 %Macon County14
%. 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 (%)
1Northampton County20.7
2Halifax County20
3Bertie County19.9
3Warren County19.9
5Washington County19.5
6Hertford County18.3
7Edgecombe County18.2
7Martin County18.2
9Robeson County17.9
10Lenoir County17.8
11Scotland County17.7
12Jones County17.5
13Bladen County17.4
14Vance County17.1
15Anson County16.9
16Chowan County16.8
17Alleghany County16.6
18Hyde County16.5
19Sampson County16.4
19Tyrrell County16.4
21Richmond County16.3
22Wilson County16.1
23Columbus County16
23Duplin County16
25Greene County15.9
26Caswell County15.7
27Beaufort County15.6
27Cherokee County15.6
29Gates County15.5
30Pamlico County15.4
31Perquimans County15.1
32Nash County14.7
33Montgomery County14.6
33Person County14.6
35Clay County14.5
35Rockingham County14.5
37Swain County14.4
38Rutherford County14.1
38Wayne County14.1
40Macon County14
41Cleveland County13.8
41Granville County13.8
43Ashe County13.6
43Surry County13.6
45Burke County13.5
45Lee County13.5
47Brunswick County13.4
47Wilkes County13.4
49Graham County13.3
49Rowan County13.3
49Stokes County13.3
49Yancey County13.3
53Caldwell County13.2
54Yadkin County13.1
55Davidson County13
55Polk County13
55Randolph County13
58Franklin County12.9
58Mitchell County12.9
58Transylvania County12.9
61Craven County12.8
61Hoke County12.8
63Chatham County12.6
63Pasquotank County12.6
65Haywood County12.5
65Henderson County12.5
65McDowell County12.5
68Cumberland County12.4
68Forsyth County12.4
70Alamance County12.3
70Avery County12.3
70Stanly County12.3
73Carteret County12.2
74Alexander County12.1
74Catawba County12.1
74Davie County12.1
74Gaston County12.1
74Pender County12.1
79Guilford County11.8
79Jackson County11.8
79Madison County11.8
82Johnston County11.7
83Pitt County11.6
84Moore County11.5
85Harnett County11.4
85Lincoln County11.4
87Camden County10.9
87Dare County10.9
89Iredell County10.8
90Durham County10.7
91Buncombe County10.6
91Mecklenburg County10.6
91New Hanover County10.6
94Cabarrus County10.5
95Currituck County10.4
96Union County10.3
97Watauga County9.6
98Wake County9.1
99Orange County9
100Onslow County8.7

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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/north-carolina-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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Questions

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

Northampton County, with 20.7% in 2021, according to the Centers for Disease Control and Prevention.

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

Onslow County, with 8.7% 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 North Carolina: more rankings