Counties in North Dakota by diagnosed diabetes in adults, local model estimate, 2023

Sioux County had the highest diagnosed diabetes in adults, local model estimate of 53 counties in 2023, at 20.2%. Cass County had the lowest, at 7.9%. The median was 12.1%. Source: the Centers for Disease Control and Prevention.

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Highest20.2Sioux County
Lowest7.9Cass County
Median12.153 counties

Map of counties, 2023

Adams County: 14.1 %Barnes County: 11.5 %Benson County: 15.4 %Billings County: 12.1 %Bottineau County: 11.9 %Bowman County: 11.4 %Burke County: 11.1 %Burleigh County: 9.3 %Cass County: 7.9 %Cavalier County: 11.8 %Dickey County: 11.2 %Divide County: 12.6 %Dunn County: 11.5 %Eddy County: 13.5 %Emmons County: 13.5 %Foster County: 11.8 %Golden Valley County: 13.7 %Grand Forks County: 9.1 %Grant County: 15.2 %Griggs County: 12.3 %Hettinger County: 11.7 %Kidder County: 12.8 %LaMoure County: 12.5 %Logan County: 13.2 %McHenry County: 11.9 %McIntosh County: 14.4 %McKenzie County: 9.6 %McLean County: 12.1 %Mercer County: 12.2 %Morton County: 9.6 %Mountrail County: 12.8 %Nelson County: 12.4 %Oliver County: 11.7 %Pembina County: 12.8 %Pierce County: 12.1 %Ramsey County: 12.3 %Ransom County: 12.1 %Renville County: 11.1 %Richland County: 10.5 %Rolette County: 17.9 %Sargent County: 11.8 %Sheridan County: 13.9 %Sioux County: 20.2 %Slope County: 14.6 %Stark County: 9.5 %Steele County: 12.7 %Stutsman County: 10.9 %Towner County: 15 %Traill County: 10.5 %Walsh County: 12.4 %Ward County: 8.8 %Wells County: 13.8 %Williams County: 8.9 %
  • Under 11
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  • 14 and over
%, 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.

All counties, 2023

Sioux County: 20.2 %Sioux County20.2Rolette County: 17.9 %Rolette County17.9Benson County: 15.4 %Benson County15.4Grant County: 15.2 %Grant County15.2Towner County: 15 %Towner County15Slope County: 14.6 %Slope County14.6McIntosh County: 14.4 %McIntosh County14.4Adams County: 14.1 %Adams County14.1Sheridan County: 13.9 %Sheridan County13.9Wells County: 13.8 %Wells County13.8Golden Valley County: 13.7 %Golden Valley County13.7Eddy County: 13.5 %Eddy County13.5Emmons County: 13.5 %Emmons County13.5Logan County: 13.2 %Logan County13.2Kidder County: 12.8 %Kidder County12.8Mountrail County: 12.8 %Mountrail County12.8Pembina County: 12.8 %Pembina County12.8Steele County: 12.7 %Steele County12.7Divide County: 12.6 %Divide County12.6LaMoure County: 12.5 %LaMoure County12.5Nelson County: 12.4 %Nelson County12.4Walsh County: 12.4 %Walsh County12.4Griggs County: 12.3 %Griggs County12.3Ramsey County: 12.3 %Ramsey County12.3Mercer County: 12.2 %Mercer County12.2Billings County: 12.1 %Billings County12.1McLean County: 12.1 %McLean County12.1Pierce County: 12.1 %Pierce County12.1Ransom County: 12.1 %Ransom County12.1Bottineau County: 11.9 %Bottineau County11.9McHenry County: 11.9 %McHenry County11.9Cavalier County: 11.8 %Cavalier County11.8Foster County: 11.8 %Foster County11.8Sargent County: 11.8 %Sargent County11.8Hettinger County: 11.7 %Hettinger County11.7Oliver County: 11.7 %Oliver County11.7Barnes County: 11.5 %Barnes County11.5Dunn County: 11.5 %Dunn County11.5Bowman County: 11.4 %Bowman County11.4Dickey County: 11.2 %Dickey County11.2Burke County: 11.1 %Burke County11.1Renville County: 11.1 %Renville County11.1Stutsman County: 10.9 %Stutsman County10.9Richland County: 10.5 %Richland County10.5Traill County: 10.5 %Traill County10.5McKenzie County: 9.6 %McKenzie County9.6Morton County: 9.6 %Morton County9.6Stark County: 9.5 %Stark County9.5Burleigh County: 9.3 %Burleigh County9.3Grand Forks County: 9.1 %Grand Forks County9.1Williams County: 8.9 %Williams County8.9Ward County: 8.8 %Ward County8.8Cass County: 7.9 %Cass County7.9Sioux County: 20.2 %Sioux County20.2Rolette County: 17.9 %Rolette County17.9Benson County: 15.4 %Benson County15.4Grant County: 15.2 %Grant County15.2Towner County: 15 %Towner County15Slope County: 14.6 %Slope County14.6McIntosh County: 14.4 %McIntosh County14.4Adams County: 14.1 %Adams County14.1Sheridan County: 13.9 %Sheridan County13.9Wells County: 13.8 %Wells County13.8Golden Valley County: 13.7 %Golden Valley County13.7Eddy County: 13.5 %Eddy County13.5Emmons County: 13.5 %Emmons County13.5Logan County: 13.2 %Logan County13.2Kidder County: 12.8 %Kidder County12.8Mountrail County: 12.8 %Mountrail County12.8Pembina County: 12.8 %Pembina County12.8Steele County: 12.7 %Steele County12.7Divide County: 12.6 %Divide County12.6LaMoure County: 12.5 %LaMoure County12.5Nelson County: 12.4 %Nelson County12.4Walsh County: 12.4 %Walsh County12.4Griggs County: 12.3 %Griggs County12.3Ramsey County: 12.3 %Ramsey County12.3Mercer County: 12.2 %Mercer County12.2Billings County: 12.1 %Billings County12.1McLean County: 12.1 %McLean County12.1Pierce County: 12.1 %Pierce County12.1Ransom County: 12.1 %Ransom County12.1Bottineau County: 11.9 %Bottineau County11.9McHenry County: 11.9 %McHenry County11.9Cavalier County: 11.8 %Cavalier County11.8Foster County: 11.8 %Foster County11.8Sargent County: 11.8 %Sargent County11.8Hettinger County: 11.7 %Hettinger County11.7Oliver County: 11.7 %Oliver County11.7Barnes County: 11.5 %Barnes County11.5Dunn County: 11.5 %Dunn County11.5Bowman County: 11.4 %Bowman County11.4Dickey County: 11.2 %Dickey County11.2Burke County: 11.1 %Burke County11.1Renville County: 11.1 %Renville County11.1Stutsman County: 10.9 %Stutsman County10.9Richland County: 10.5 %Richland County10.5Traill County: 10.5 %Traill County10.5McKenzie County: 9.6 %McKenzie County9.6Morton County: 9.6 %Morton County9.6Stark County: 9.5 %Stark County9.5Burleigh County: 9.3 %Burleigh County9.3Grand Forks County: 9.1 %Grand Forks County9.1Williams County: 8.9 %Williams County8.9Ward County: 8.8 %Ward County8.8Cass County: 7.9 %Cass County7.9
%. 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
1Sioux County20.2+1.1 pts
2Rolette County17.9+1.2 pts
3Benson County15.4+0.3 pts
4Grant County15.20 pts
5Towner County15+0.2 pts
6Slope County14.6+2.1 pts
7McIntosh County14.4-0.1 pts
8Adams County14.1+0.9 pts
9Sheridan County13.9+0.6 pts
10Wells County13.8+1.4 pts
11Golden Valley County13.7+0.8 pts
12Eddy County13.5+0.7 pts
12Emmons County13.5+0.8 pts
14Logan County13.2-0.2 pts
15Kidder County12.8+0.7 pts
15Mountrail County12.8+1 pts
15Pembina County12.8+0.3 pts
18Steele County12.7+1.2 pts
19Divide County12.6-0.3 pts
20LaMoure County12.5+0.9 pts
21Nelson County12.4+0.2 pts
21Walsh County12.4-0.7 pts
23Griggs County12.3-0.4 pts
23Ramsey County12.3+1 pts
25Mercer County12.2+0.1 pts
26Billings County12.1+1.2 pts
26McLean County12.1+0.8 pts
26Pierce County12.1+1.1 pts
26Ransom County12.1+0.9 pts
30Bottineau County11.9-0.3 pts
30McHenry County11.9+0.3 pts
32Cavalier County11.8-0.1 pts
32Foster County11.8+0.7 pts
32Sargent County11.8+0.3 pts
35Hettinger County11.7+0.2 pts
35Oliver County11.7-0.8 pts
37Barnes County11.5+0.8 pts
37Dunn County11.5+0.7 pts
39Bowman County11.4-0.8 pts
40Dickey County11.2-0.3 pts
41Burke County11.1+0.5 pts
41Renville County11.1+0.1 pts
43Stutsman County10.9-0.1 pts
44Richland County10.5+0.2 pts
44Traill County10.5+0.1 pts
46McKenzie County9.60 pts
46Morton County9.6-0.7 pts
48Stark County9.5+0.1 pts
49Burleigh County9.3-0.1 pts
50Grand Forks County9.1+0.6 pts
51Williams County8.9+0.1 pts
52Ward County8.8-0.1 pts
53Cass County7.9+0.1 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 North Dakota 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/north-dakota-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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Questions

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

Sioux County, with 20.2% in 2023, according to the Centers for Disease Control and Prevention.

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

Cass County, with 7.9% 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 North Dakota: more rankings