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

Sioux County had the highest diagnosed diabetes in adults, local model estimate of 53 counties in 2022, at 19.1%. Cass County had the lowest, at 7.8%. The median was 11.6%. Source: the Centers for Disease Control and Prevention.

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Highest19.1Sioux County
Lowest7.8Cass County
Median11.653 counties

Map of counties, 2022

Adams County: 13.2 %Barnes County: 10.7 %Benson County: 15.1 %Billings County: 10.9 %Bottineau County: 12.2 %Bowman County: 12.2 %Burke County: 10.6 %Burleigh County: 9.4 %Cass County: 7.8 %Cavalier County: 11.9 %Dickey County: 11.5 %Divide County: 12.9 %Dunn County: 10.8 %Eddy County: 12.8 %Emmons County: 12.7 %Foster County: 11.1 %Golden Valley County: 12.9 %Grand Forks County: 8.5 %Grant County: 15.2 %Griggs County: 12.7 %Hettinger County: 11.5 %Kidder County: 12.1 %LaMoure County: 11.6 %Logan County: 13.4 %McHenry County: 11.6 %McIntosh County: 14.5 %McKenzie County: 9.6 %McLean County: 11.3 %Mercer County: 12.1 %Morton County: 10.3 %Mountrail County: 11.8 %Nelson County: 12.2 %Oliver County: 12.5 %Pembina County: 12.5 %Pierce County: 11 %Ramsey County: 11.3 %Ransom County: 11.2 %Renville County: 11 %Richland County: 10.3 %Rolette County: 16.7 %Sargent County: 11.5 %Sheridan County: 13.3 %Sioux County: 19.1 %Slope County: 12.5 %Stark County: 9.4 %Steele County: 11.5 %Stutsman County: 11 %Towner County: 14.8 %Traill County: 10.4 %Walsh County: 13.1 %Ward County: 8.9 %Wells County: 12.4 %Williams County: 8.8 %
  • Under 10
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%, 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.

All counties, 2022

Sioux County: 19.1 %Sioux County19.1Rolette County: 16.7 %Rolette County16.7Grant County: 15.2 %Grant County15.2Benson County: 15.1 %Benson County15.1Towner County: 14.8 %Towner County14.8McIntosh County: 14.5 %McIntosh County14.5Logan County: 13.4 %Logan County13.4Sheridan County: 13.3 %Sheridan County13.3Adams County: 13.2 %Adams County13.2Walsh County: 13.1 %Walsh County13.1Divide County: 12.9 %Divide County12.9Golden Valley County: 12.9 %Golden Valley County12.9Eddy County: 12.8 %Eddy County12.8Emmons County: 12.7 %Emmons County12.7Griggs County: 12.7 %Griggs County12.7Oliver County: 12.5 %Oliver County12.5Pembina County: 12.5 %Pembina County12.5Slope County: 12.5 %Slope County12.5Wells County: 12.4 %Wells County12.4Bottineau County: 12.2 %Bottineau County12.2Bowman County: 12.2 %Bowman County12.2Nelson County: 12.2 %Nelson County12.2Kidder County: 12.1 %Kidder County12.1Mercer County: 12.1 %Mercer County12.1Cavalier County: 11.9 %Cavalier County11.9Mountrail County: 11.8 %Mountrail County11.8LaMoure County: 11.6 %LaMoure County11.6McHenry County: 11.6 %McHenry County11.6Dickey County: 11.5 %Dickey County11.5Hettinger County: 11.5 %Hettinger County11.5Sargent County: 11.5 %Sargent County11.5Steele County: 11.5 %Steele County11.5McLean County: 11.3 %McLean County11.3Ramsey County: 11.3 %Ramsey County11.3Ransom County: 11.2 %Ransom County11.2Foster County: 11.1 %Foster County11.1Pierce County: 11 %Pierce County11Renville County: 11 %Renville County11Stutsman County: 11 %Stutsman County11Billings County: 10.9 %Billings County10.9Dunn County: 10.8 %Dunn County10.8Barnes County: 10.7 %Barnes County10.7Burke County: 10.6 %Burke County10.6Traill County: 10.4 %Traill County10.4Morton County: 10.3 %Morton County10.3Richland County: 10.3 %Richland County10.3McKenzie County: 9.6 %McKenzie County9.6Burleigh County: 9.4 %Burleigh County9.4Stark County: 9.4 %Stark County9.4Ward County: 8.9 %Ward County8.9Williams County: 8.8 %Williams County8.8Grand Forks County: 8.5 %Grand Forks County8.5Cass County: 7.8 %Cass County7.8Sioux County: 19.1 %Sioux County19.1Rolette County: 16.7 %Rolette County16.7Grant County: 15.2 %Grant County15.2Benson County: 15.1 %Benson County15.1Towner County: 14.8 %Towner County14.8McIntosh County: 14.5 %McIntosh County14.5Logan County: 13.4 %Logan County13.4Sheridan County: 13.3 %Sheridan County13.3Adams County: 13.2 %Adams County13.2Walsh County: 13.1 %Walsh County13.1Divide County: 12.9 %Divide County12.9Golden Valley County: 12.9 %Golden Valley County12.9Eddy County: 12.8 %Eddy County12.8Emmons County: 12.7 %Emmons County12.7Griggs County: 12.7 %Griggs County12.7Oliver County: 12.5 %Oliver County12.5Pembina County: 12.5 %Pembina County12.5Slope County: 12.5 %Slope County12.5Wells County: 12.4 %Wells County12.4Bottineau County: 12.2 %Bottineau County12.2Bowman County: 12.2 %Bowman County12.2Nelson County: 12.2 %Nelson County12.2Kidder County: 12.1 %Kidder County12.1Mercer County: 12.1 %Mercer County12.1Cavalier County: 11.9 %Cavalier County11.9Mountrail County: 11.8 %Mountrail County11.8LaMoure County: 11.6 %LaMoure County11.6McHenry County: 11.6 %McHenry County11.6Dickey County: 11.5 %Dickey County11.5Hettinger County: 11.5 %Hettinger County11.5Sargent County: 11.5 %Sargent County11.5Steele County: 11.5 %Steele County11.5McLean County: 11.3 %McLean County11.3Ramsey County: 11.3 %Ramsey County11.3Ransom County: 11.2 %Ransom County11.2Foster County: 11.1 %Foster County11.1Pierce County: 11 %Pierce County11Renville County: 11 %Renville County11Stutsman County: 11 %Stutsman County11Billings County: 10.9 %Billings County10.9Dunn County: 10.8 %Dunn County10.8Barnes County: 10.7 %Barnes County10.7Burke County: 10.6 %Burke County10.6Traill County: 10.4 %Traill County10.4Morton County: 10.3 %Morton County10.3Richland County: 10.3 %Richland County10.3McKenzie County: 9.6 %McKenzie County9.6Burleigh County: 9.4 %Burleigh County9.4Stark County: 9.4 %Stark County9.4Ward County: 8.9 %Ward County8.9Williams County: 8.8 %Williams County8.8Grand Forks County: 8.5 %Grand Forks County8.5Cass County: 7.8 %Cass County7.8
%. 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
1Sioux County19.10 pts
2Rolette County16.7-0.8 pts
3Grant County15.2+2 pts
4Benson County15.1-0.9 pts
5Towner County14.8+0.6 pts
6McIntosh County14.5+1.1 pts
7Logan County13.4+0.9 pts
8Sheridan County13.3+0.8 pts
9Adams County13.20 pts
10Walsh County13.1+0.7 pts
11Divide County12.9+0.6 pts
11Golden Valley County12.9+1.3 pts
13Eddy County12.8-0.1 pts
14Emmons County12.7+0.1 pts
14Griggs County12.7+1.4 pts
16Oliver County12.5+0.5 pts
16Pembina County12.5+0.9 pts
16Slope County12.5+0.8 pts
19Wells County12.4+0.5 pts
20Bottineau County12.2+1.1 pts
20Bowman County12.2+1.1 pts
20Nelson County12.2+0.2 pts
23Kidder County12.1-0.9 pts
23Mercer County12.1+0.2 pts
25Cavalier County11.9-0.4 pts
26Mountrail County11.8+0.8 pts
27LaMoure County11.6-0.5 pts
27McHenry County11.6+0.6 pts
29Dickey County11.5+0.8 pts
29Hettinger County11.5+0.1 pts
29Sargent County11.5+1.2 pts
29Steele County11.5+0.1 pts
33McLean County11.3-0.6 pts
33Ramsey County11.3+0.2 pts
35Ransom County11.2+0.2 pts
36Foster County11.1+0.1 pts
37Pierce County11-0.4 pts
37Renville County11+0.4 pts
37Stutsman County11+0.7 pts
40Billings County10.9+0.2 pts
41Dunn County10.80 pts
42Barnes County10.70 pts
43Burke County10.60 pts
44Traill County10.4+0.8 pts
45Morton County10.3+0.7 pts
45Richland County10.3+0.1 pts
47McKenzie County9.6+0.1 pts
48Burleigh County9.4+0.5 pts
48Stark County9.4+0.3 pts
50Ward County8.9+0.4 pts
51Williams County8.8+0.7 pts
52Grand Forks County8.5-0.1 pts
53Cass County7.8+0.2 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, 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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_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 North Dakota 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/north-dakota-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 North Dakota 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/north-dakota-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/north-dakota-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 North Dakota 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?

Sioux County, with 19.1% in 2022, according to the Centers for Disease Control and Prevention.

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

Cass County, with 7.8% 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 North Dakota: more rankings