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

Mellette County had the highest diagnosed diabetes in adults, local model estimate of 66 counties in 2023, at 21.1%. Clay County had the lowest, at 8.1%. The median was 12.9%. Source: the Centers for Disease Control and Prevention.

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Highest21.1Mellette County
Lowest8.1Clay County
Median12.966 counties

Map of counties, 2023

Aurora County: 12.2 %Beadle County: 13.4 %Bennett County: 18.7 %Bon Homme County: 12.8 %Brookings County: 8.5 %Brown County: 11.2 %Brule County: 13.2 %Buffalo County: 17.5 %Butte County: 12.5 %Campbell County: 13.8 %Charles Mix County: 15.3 %Clark County: 13.1 %Clay County: 8.1 %Codington County: 12.1 %Corson County: 19.9 %Custer County: 13.9 %Davison County: 12.2 %Day County: 14.7 %Deuel County: 11.9 %Dewey County: 18 %Douglas County: 13.6 %Edmunds County: 12.4 %Fall River County: 16.4 %Faulk County: 14.4 %Grant County: 12.8 %Gregory County: 14.1 %Haakon County: 13.5 %Hamlin County: 10.1 %Hand County: 11.9 %Hanson County: 12.1 %Harding County: 11.2 %Hughes County: 10.8 %Hutchinson County: 12.1 %Hyde County: 13.6 %Jackson County: 18.6 %Jerauld County: 13.8 %Jones County: 14.7 %Kingsbury County: 12.1 %Lake County: 12 %Lawrence County: 11.4 %Lincoln County: 8.8 %Lyman County: 15.8 %McCook County: 11 %McPherson County: 14.8 %Marshall County: 12.7 %Meade County: 9.5 %Mellette County: 21.1 %Miner County: 13.3 %Minnehaha County: 10.6 %Moody County: 12.1 %Oglala Lakota County: 21.1 %Pennington County: 12.1 %Perkins County: 14.3 %Potter County: 13.1 %Roberts County: 16.3 %Sanborn County: 12.6 %Spink County: 12.9 %Stanley County: 11.1 %Sully County: 12.5 %Todd County: 20.7 %Tripp County: 15.3 %Turner County: 11.8 %Union County: 10.6 %Walworth County: 13.4 %Yankton County: 11.8 %Ziebach County: 18.7 %
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%, 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.

Top 40 counties, 2023

Mellette County: 21.1 %Mellette County21.1Oglala Lakota County: 21.1 %Oglala Lakota County21.1Todd County: 20.7 %Todd County20.7Corson County: 19.9 %Corson County19.9Bennett County: 18.7 %Bennett County18.7Ziebach County: 18.7 %Ziebach County18.7Jackson County: 18.6 %Jackson County18.6Dewey County: 18 %Dewey County18Buffalo County: 17.5 %Buffalo County17.5Fall River County: 16.4 %Fall River County16.4Roberts County: 16.3 %Roberts County16.3Lyman County: 15.8 %Lyman County15.8Charles Mix County: 15.3 %Charles Mix County15.3Tripp County: 15.3 %Tripp County15.3McPherson County: 14.8 %McPherson County14.8Day County: 14.7 %Day County14.7Jones County: 14.7 %Jones County14.7Faulk County: 14.4 %Faulk County14.4Perkins County: 14.3 %Perkins County14.3Gregory County: 14.1 %Gregory County14.1Custer County: 13.9 %Custer County13.9Campbell County: 13.8 %Campbell County13.8Jerauld County: 13.8 %Jerauld County13.8Douglas County: 13.6 %Douglas County13.6Hyde County: 13.6 %Hyde County13.6Haakon County: 13.5 %Haakon County13.5Beadle County: 13.4 %Beadle County13.4Walworth County: 13.4 %Walworth County13.4Miner County: 13.3 %Miner County13.3Brule County: 13.2 %Brule County13.2Clark County: 13.1 %Clark County13.1Potter County: 13.1 %Potter County13.1Spink County: 12.9 %Spink County12.9Bon Homme County: 12.8 %Bon Homme County12.8Grant County: 12.8 %Grant County12.8Marshall County: 12.7 %Marshall County12.7Sanborn County: 12.6 %Sanborn County12.6Butte County: 12.5 %Butte County12.5Sully County: 12.5 %Sully County12.5Edmunds County: 12.4 %Edmunds County12.4Mellette County: 21.1 %Mellette County21.1Oglala Lakota County: 21.1 %Oglala Lakota County21.1Todd County: 20.7 %Todd County20.7Corson County: 19.9 %Corson County19.9Bennett County: 18.7 %Bennett County18.7Ziebach County: 18.7 %Ziebach County18.7Jackson County: 18.6 %Jackson County18.6Dewey County: 18 %Dewey County18Buffalo County: 17.5 %Buffalo County17.5Fall River County: 16.4 %Fall River County16.4Roberts County: 16.3 %Roberts County16.3Lyman County: 15.8 %Lyman County15.8Charles Mix County: 15.3 %Charles Mix County15.3Tripp County: 15.3 %Tripp County15.3McPherson County: 14.8 %McPherson County14.8Day County: 14.7 %Day County14.7Jones County: 14.7 %Jones County14.7Faulk County: 14.4 %Faulk County14.4Perkins County: 14.3 %Perkins County14.3Gregory County: 14.1 %Gregory County14.1Custer County: 13.9 %Custer County13.9Campbell County: 13.8 %Campbell County13.8Jerauld County: 13.8 %Jerauld County13.8Douglas County: 13.6 %Douglas County13.6Hyde County: 13.6 %Hyde County13.6Haakon County: 13.5 %Haakon County13.5Beadle County: 13.4 %Beadle County13.4Walworth County: 13.4 %Walworth County13.4Miner County: 13.3 %Miner County13.3Brule County: 13.2 %Brule County13.2Clark County: 13.1 %Clark County13.1Potter County: 13.1 %Potter County13.1Spink County: 12.9 %Spink County12.9Bon Homme County: 12.8 %Bon Homme County12.8Grant County: 12.8 %Grant County12.8Marshall County: 12.7 %Marshall County12.7Sanborn County: 12.6 %Sanborn County12.6Butte County: 12.5 %Butte County12.5Sully County: 12.5 %Sully County12.5Edmunds County: 12.4 %Edmunds County12.4
%. 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
1Mellette County21.1+4.7 pts
1Oglala Lakota County21.1+3.1 pts
3Todd County20.7+4.3 pts
4Corson County19.9+3.8 pts
5Bennett County18.7+5.1 pts
5Ziebach County18.7+3.6 pts
7Jackson County18.6+3.1 pts
8Dewey County18+2.8 pts
9Buffalo County17.5+1.8 pts
10Fall River County16.4+2 pts
11Roberts County16.3+1.7 pts
12Lyman County15.8+1.5 pts
13Charles Mix County15.3+2.5 pts
13Tripp County15.3+1.7 pts
15McPherson County14.8+2.4 pts
16Day County14.7+2.1 pts
16Jones County14.7+2.9 pts
18Faulk County14.4+1.8 pts
19Perkins County14.3+4 pts
20Gregory County14.1+1.1 pts
21Custer County13.9+0.9 pts
22Campbell County13.8+1.5 pts
22Jerauld County13.8+1.4 pts
24Douglas County13.6+2.3 pts
24Hyde County13.6+3.1 pts
26Haakon County13.5+1.7 pts
27Beadle County13.4+1.2 pts
27Walworth County13.4+1.5 pts
29Miner County13.3+1.9 pts
30Brule County13.2+1.6 pts
31Clark County13.1+2.1 pts
31Potter County13.1+1.5 pts
33Spink County12.9+1.7 pts
34Bon Homme County12.8+1.7 pts
34Grant County12.8+1.9 pts
36Marshall County12.7+2.3 pts
37Sanborn County12.6+1.8 pts
38Butte County12.5+1.8 pts
38Sully County12.5+1.5 pts
40Edmunds County12.4+1.8 pts
41Aurora County12.2+1.8 pts
41Davison County12.2+1.1 pts
43Codington County12.1+1.4 pts
43Hanson County12.1+2.2 pts
43Hutchinson County12.1+1.9 pts
43Kingsbury County12.1+1.3 pts
43Moody County12.1+1.1 pts
43Pennington County12.1+2.2 pts
49Lake County12+1.8 pts
50Deuel County11.9+0.4 pts
50Hand County11.9+1.1 pts
52Turner County11.8+1.7 pts
52Yankton County11.8+1.9 pts
54Lawrence County11.4+1.5 pts
55Brown County11.2+2.1 pts
55Harding County11.2+1.3 pts
57Stanley County11.1+0.9 pts
58McCook County11+1.4 pts
59Hughes County10.8+1.8 pts
60Minnehaha County10.6+2.6 pts
60Union County10.6+1 pts
62Hamlin County10.1+1.3 pts
63Meade County9.5+1.3 pts
64Lincoln County8.8+1 pts
65Brookings County8.5+1.4 pts
66Clay County8.1+0.7 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 South 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 South 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/south-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 South 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/south-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 South 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/south-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_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 South 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/south-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 South 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/south-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/south-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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Rank Counties in South 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?

Mellette County, with 21.1% in 2023, according to the Centers for Disease Control and Prevention.

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

Clay County, with 8.1% 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 South Dakota: more rankings