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

Presidio County had the highest diagnosed diabetes in adults, local model estimate of 254 counties in 2021, at 24.4%. Travis County had the lowest, at 8.6%. The median was 13.8%. Source: the Centers for Disease Control and Prevention.

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Highest24.4Presidio County
Lowest8.6Travis County
Median13.8254 counties

Map of counties, 2021

Anderson County: 13.4 %Andrews County: 12.2 %Angelina County: 15.4 %Aransas County: 16.2 %Archer County: 12.1 %Armstrong County: 11.2 %Atascosa County: 14 %Austin County: 13.5 %Bailey County: 13.9 %Bandera County: 14.5 %Bastrop County: 12.5 %Baylor County: 13.5 %Bee County: 13.8 %Bell County: 11.6 %Bexar County: 12.7 %Blanco County: 13.2 %Borden County: 11.3 %Bosque County: 14.2 %Bowie County: 13.3 %Brazoria County: 11.5 %Brazos County: 9.3 %Brewster County: 13.7 %Briscoe County: 17.4 %Brooks County: 20.9 %Brown County: 13.3 %Burleson County: 13.6 %Burnet County: 12.9 %Caldwell County: 13.7 %Calhoun County: 14.3 %Callahan County: 11.9 %Cameron County: 17.8 %Camp County: 15.1 %Carson County: 11.4 %Cass County: 15.5 %Castro County: 14.5 %Chambers County: 10.7 %Cherokee County: 14 %Childress County: 11.4 %Clay County: 12.4 %Cochran County: 18.8 %Coke County: 14.4 %Coleman County: 15.3 %Collin County: 9 %Collingsworth County: 15.8 %Colorado County: 14.9 %Comal County: 10.9 %Comanche County: 14 %Concho County: 15.7 %Cooke County: 12.3 %Coryell County: 10.2 %Cottle County: 18.5 %Crane County: 12.5 %Crockett County: 14.4 %Crosby County: 17 %Culberson County: 20.3 %Dallam County: 14.7 %Dallas County: 12 %Dawson County: 16 %Deaf Smith County: 15.3 %Delta County: 13.6 %Denton County: 9.2 %DeWitt County: 15.1 %Dickens County: 14.9 %Dimmit County: 23 %Donley County: 13.6 %Duval County: 18.4 %Eastland County: 14.2 %Ector County: 12.2 %Edwards County: 20.6 %Ellis County: 10.9 %El Paso County: 14.4 %Erath County: 10.4 %Falls County: 16 %Fannin County: 12.5 %Fayette County: 13.6 %Fisher County: 14.2 %Floyd County: 15.3 %Foard County: 18.1 %Fort Bend County: 11.4 %Franklin County: 11.6 %Freestone County: 14.2 %Frio County: 14.6 %Gaines County: 11.8 %Galveston County: 11.6 %Garza County: 11.9 %Gillespie County: 12.9 %Glasscock County: 12.1 %Goliad County: 14.7 %Gonzales County: 15.3 %Gray County: 13.7 %Grayson County: 11.6 %Gregg County: 13.1 %Grimes County: 14.5 %Guadalupe County: 11.5 %Hale County: 14.3 %Hall County: 17.1 %Hamilton County: 14.8 %Hansford County: 14.2 %Hardeman County: 13.6 %Hardin County: 12.6 %Harris County: 12.2 %Harrison County: 13.7 %Hartley County: 10.2 %Haskell County: 15 %Hays County: 9.9 %Hemphill County: 11.1 %Henderson County: 14.5 %Hidalgo County: 17.5 %Hill County: 13.3 %Hockley County: 13.7 %Hood County: 11.9 %Hopkins County: 13 %Houston County: 17.1 %Howard County: 13.3 %Hudspeth County: 18.2 %Hunt County: 12.2 %Hutchinson County: 12.5 %Irion County: 13.3 %Jack County: 12.8 %Jackson County: 13.5 %Jasper County: 16 %Jeff Davis County: 20.5 %Jefferson County: 14.7 %Jim Hogg County: 20 %Jim Wells County: 17 %Johnson County: 11.4 %Jones County: 13 %Karnes County: 13.7 %Kaufman County: 10.7 %Kendall County: 10.4 %Kenedy County: 19.6 %Kent County: 12.5 %Kerr County: 13.9 %Kimble County: 15.6 %King County: 16.7 %Kinney County: 17.5 %Kleberg County: 13.7 %Knox County: 15.5 %Lamar County: 13.4 %Lamb County: 16.6 %Lampasas County: 13.3 %La Salle County: 14.1 %Lavaca County: 13.7 %Lee County: 14.4 %Leon County: 15.4 %Liberty County: 13.2 %Limestone County: 15.2 %Lipscomb County: 12.8 %Live Oak County: 16.2 %Llano County: 14.6 %Loving County: 10.5 %Lubbock County: 11.5 %Lynn County: 15.1 %McCulloch County: 15.4 %McLennan County: 12.3 %McMullen County: 18.4 %Madison County: 12 %Marion County: 17.3 %Martin County: 11.6 %Mason County: 12.8 %Matagorda County: 15.6 %Maverick County: 17.2 %Medina County: 13.3 %Menard County: 16.7 %Midland County: 10 %Milam County: 14.6 %Mills County: 13.9 %Mitchell County: 13.1 %Montague County: 12.9 %Montgomery County: 10.8 %Moore County: 13.3 %Morris County: 14.9 %Motley County: 14.2 %Nacogdoches County: 12.5 %Navarro County: 14.5 %Newton County: 16.5 %Nolan County: 15.6 %Nueces County: 13.8 %Ochiltree County: 13 %Oldham County: 12.1 %Orange County: 12.3 %Palo Pinto County: 13.3 %Panola County: 13.5 %Parker County: 10.5 %Parmer County: 14.5 %Pecos County: 15.7 %Polk County: 14.6 %Potter County: 14.4 %Presidio County: 24.4 %Rains County: 13.5 %Randall County: 10.2 %Reagan County: 12.8 %Real County: 19.1 %Red River County: 16.3 %Reeves County: 14.7 %Refugio County: 17.1 %Roberts County: 11.6 %Robertson County: 15.1 %Rockwall County: 9.2 %Runnels County: 14.3 %Rusk County: 12.9 %Sabine County: 16.9 %San Augustine County: 18.7 %San Jacinto County: 15.3 %San Patricio County: 14.6 %San Saba County: 14.2 %Schleicher County: 14.2 %Scurry County: 13.4 %Shackelford County: 11.8 %Shelby County: 15.7 %Sherman County: 13.4 %Smith County: 12.6 %Somervell County: 11.7 %Starr County: 19.2 %Stephens County: 12.9 %Sterling County: 11.4 %Stonewall County: 14.6 %Sutton County: 16.2 %Swisher County: 16.5 %Tarrant County: 11.3 %Taylor County: 10.9 %Terrell County: 20.1 %Terry County: 16.6 %Throckmorton County: 14.4 %Titus County: 14.4 %Tom Green County: 11.5 %Travis County: 8.6 %Trinity County: 16.4 %Tyler County: 14.4 %Upshur County: 13.6 %Upton County: 14.5 %Uvalde County: 15.5 %Val Verde County: 16 %Van Zandt County: 13 %Victoria County: 13.8 %Walker County: 12.7 %Waller County: 10.7 %Ward County: 14.4 %Washington County: 13 %Webb County: 16 %Wharton County: 14.8 %Wheeler County: 14.8 %Wichita County: 11.9 %Wilbarger County: 16.2 %Willacy County: 17.4 %Williamson County: 9.1 %Wilson County: 12.5 %Winkler County: 13.4 %Wise County: 11.5 %Wood County: 14.1 %Yoakum County: 13.2 %Young County: 12.8 %Zapata County: 19.4 %Zavala County: 19.6 %
  • Under 12
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  • 16 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

Presidio County: 24.4 %Presidio County24.4Dimmit County: 23 %Dimmit County23Brooks County: 20.9 %Brooks County20.9Edwards County: 20.6 %Edwards County20.6Jeff Davis County: 20.5 %Jeff Davis County20.5Culberson County: 20.3 %Culberson County20.3Terrell County: 20.1 %Terrell County20.1Jim Hogg County: 20 %Jim Hogg County20Kenedy County: 19.6 %Kenedy County19.6Zavala County: 19.6 %Zavala County19.6Zapata County: 19.4 %Zapata County19.4Starr County: 19.2 %Starr County19.2Real County: 19.1 %Real County19.1Cochran County: 18.8 %Cochran County18.8San Augustine County: 18.7 %San Augustine County18.7Cottle County: 18.5 %Cottle County18.5Duval County: 18.4 %Duval County18.4McMullen County: 18.4 %McMullen County18.4Hudspeth County: 18.2 %Hudspeth County18.2Foard County: 18.1 %Foard County18.1Cameron County: 17.8 %Cameron County17.8Hidalgo County: 17.5 %Hidalgo County17.5Kinney County: 17.5 %Kinney County17.5Briscoe County: 17.4 %Briscoe County17.4Willacy County: 17.4 %Willacy County17.4Marion County: 17.3 %Marion County17.3Maverick County: 17.2 %Maverick County17.2Hall County: 17.1 %Hall County17.1Houston County: 17.1 %Houston County17.1Refugio County: 17.1 %Refugio County17.1Crosby County: 17 %Crosby County17Jim Wells County: 17 %Jim Wells County17Sabine County: 16.9 %Sabine County16.9King County: 16.7 %King County16.7Menard County: 16.7 %Menard County16.7Lamb County: 16.6 %Lamb County16.6Terry County: 16.6 %Terry County16.6Newton County: 16.5 %Newton County16.5Swisher County: 16.5 %Swisher County16.5Trinity County: 16.4 %Trinity County16.4Presidio County: 24.4 %Presidio County24.4Dimmit County: 23 %Dimmit County23Brooks County: 20.9 %Brooks County20.9Edwards County: 20.6 %Edwards County20.6Jeff Davis County: 20.5 %Jeff Davis County20.5Culberson County: 20.3 %Culberson County20.3Terrell County: 20.1 %Terrell County20.1Jim Hogg County: 20 %Jim Hogg County20Kenedy County: 19.6 %Kenedy County19.6Zavala County: 19.6 %Zavala County19.6Zapata County: 19.4 %Zapata County19.4Starr County: 19.2 %Starr County19.2Real County: 19.1 %Real County19.1Cochran County: 18.8 %Cochran County18.8San Augustine County: 18.7 %San Augustine County18.7Cottle County: 18.5 %Cottle County18.5Duval County: 18.4 %Duval County18.4McMullen County: 18.4 %McMullen County18.4Hudspeth County: 18.2 %Hudspeth County18.2Foard County: 18.1 %Foard County18.1Cameron County: 17.8 %Cameron County17.8Hidalgo County: 17.5 %Hidalgo County17.5Kinney County: 17.5 %Kinney County17.5Briscoe County: 17.4 %Briscoe County17.4Willacy County: 17.4 %Willacy County17.4Marion County: 17.3 %Marion County17.3Maverick County: 17.2 %Maverick County17.2Hall County: 17.1 %Hall County17.1Houston County: 17.1 %Houston County17.1Refugio County: 17.1 %Refugio County17.1Crosby County: 17 %Crosby County17Jim Wells County: 17 %Jim Wells County17Sabine County: 16.9 %Sabine County16.9King County: 16.7 %King County16.7Menard County: 16.7 %Menard County16.7Lamb County: 16.6 %Lamb County16.6Terry County: 16.6 %Terry County16.6Newton County: 16.5 %Newton County16.5Swisher County: 16.5 %Swisher County16.5Trinity County: 16.4 %Trinity County16.4
%. 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

RankCounties2021 (%)
1Presidio County24.4
2Dimmit County23
3Brooks County20.9
4Edwards County20.6
5Jeff Davis County20.5
6Culberson County20.3
7Terrell County20.1
8Jim Hogg County20
9Kenedy County19.6
9Zavala County19.6
11Zapata County19.4
12Starr County19.2
13Real County19.1
14Cochran County18.8
15San Augustine County18.7
16Cottle County18.5
17Duval County18.4
17McMullen County18.4
19Hudspeth County18.2
20Foard County18.1
21Cameron County17.8
22Hidalgo County17.5
22Kinney County17.5
24Briscoe County17.4
24Willacy County17.4
26Marion County17.3
27Maverick County17.2
28Hall County17.1
28Houston County17.1
28Refugio County17.1
31Crosby County17
31Jim Wells County17
33Sabine County16.9
34King County16.7
34Menard County16.7
36Lamb County16.6
36Terry County16.6
38Newton County16.5
38Swisher County16.5
40Trinity County16.4
41Red River County16.3
42Aransas County16.2
42Live Oak County16.2
42Sutton County16.2
42Wilbarger County16.2
46Dawson County16
46Falls County16
46Jasper County16
46Val Verde County16
46Webb County16
51Collingsworth County15.8
52Concho County15.7
52Pecos County15.7
52Shelby County15.7
55Kimble County15.6
55Matagorda County15.6
55Nolan County15.6
58Cass County15.5
58Knox County15.5
58Uvalde County15.5
61Angelina County15.4
61Leon County15.4
61McCulloch County15.4
64Coleman County15.3
64Deaf Smith County15.3
64Floyd County15.3
64Gonzales County15.3
64San Jacinto County15.3
69Limestone County15.2
70Camp County15.1
70DeWitt County15.1
70Lynn County15.1
70Robertson County15.1
74Haskell County15
75Colorado County14.9
75Dickens County14.9
75Morris County14.9
78Hamilton County14.8
78Wharton County14.8
78Wheeler County14.8
81Dallam County14.7
81Goliad County14.7
81Jefferson County14.7
81Reeves County14.7
85Frio County14.6
85Llano County14.6
85Milam County14.6
85Polk County14.6
85San Patricio County14.6
85Stonewall County14.6
91Bandera County14.5
91Castro County14.5
91Grimes County14.5
91Henderson County14.5
91Navarro County14.5
91Parmer County14.5
91Upton County14.5
98Coke County14.4
98Crockett County14.4
98El Paso County14.4
98Lee County14.4
98Potter County14.4
98Throckmorton County14.4
98Titus County14.4
98Tyler County14.4
98Ward County14.4
107Calhoun County14.3
107Hale County14.3
107Runnels County14.3
110Bosque County14.2
110Eastland County14.2
110Fisher County14.2
110Freestone County14.2
110Hansford County14.2
110Motley County14.2
110San Saba County14.2
110Schleicher County14.2
118La Salle County14.1
118Wood County14.1
120Atascosa County14
120Cherokee County14
120Comanche County14
123Bailey County13.9
123Kerr County13.9
123Mills County13.9
126Bee County13.8
126Nueces County13.8
126Victoria County13.8
129Brewster County13.7
129Caldwell County13.7
129Gray County13.7
129Harrison County13.7
129Hockley County13.7
129Karnes County13.7
129Kleberg County13.7
129Lavaca County13.7
137Burleson County13.6
137Delta County13.6
137Donley County13.6
137Fayette County13.6
137Hardeman County13.6
137Upshur County13.6
143Austin County13.5
143Baylor County13.5
143Jackson County13.5
143Panola County13.5
143Rains County13.5
148Anderson County13.4
148Lamar County13.4
148Scurry County13.4
148Sherman County13.4
148Winkler County13.4
153Bowie County13.3
153Brown County13.3
153Hill County13.3
153Howard County13.3
153Irion County13.3
153Lampasas County13.3
153Medina County13.3
153Moore County13.3
153Palo Pinto County13.3
162Blanco County13.2
162Liberty County13.2
162Yoakum County13.2
165Gregg County13.1
165Mitchell County13.1
167Hopkins County13
167Jones County13
167Ochiltree County13
167Van Zandt County13
167Washington County13
172Burnet County12.9
172Gillespie County12.9
172Montague County12.9
172Rusk County12.9
172Stephens County12.9
177Jack County12.8
177Lipscomb County12.8
177Mason County12.8
177Reagan County12.8
177Young County12.8
182Bexar County12.7
182Walker County12.7
184Hardin County12.6
184Smith County12.6
186Bastrop County12.5
186Crane County12.5
186Fannin County12.5
186Hutchinson County12.5
186Kent County12.5
186Nacogdoches County12.5
186Wilson County12.5
193Clay County12.4
194Cooke County12.3
194McLennan County12.3
194Orange County12.3
197Andrews County12.2
197Ector County12.2
197Harris County12.2
197Hunt County12.2
201Archer County12.1
201Glasscock County12.1
201Oldham County12.1
204Dallas County12
204Madison County12
206Callahan County11.9
206Garza County11.9
206Hood County11.9
206Wichita County11.9
210Gaines County11.8
210Shackelford County11.8
212Somervell County11.7
213Bell County11.6
213Franklin County11.6
213Galveston County11.6
213Grayson County11.6
213Martin County11.6
213Roberts County11.6
219Brazoria County11.5
219Guadalupe County11.5
219Lubbock County11.5
219Tom Green County11.5
219Wise County11.5
224Carson County11.4
224Childress County11.4
224Fort Bend County11.4
224Johnson County11.4
224Sterling County11.4
229Borden County11.3
229Tarrant County11.3
231Armstrong County11.2
232Hemphill County11.1
233Comal County10.9
233Ellis County10.9
233Taylor County10.9
236Montgomery County10.8
237Chambers County10.7
237Kaufman County10.7
237Waller County10.7
240Loving County10.5
240Parker County10.5
242Erath County10.4
242Kendall County10.4
244Coryell County10.2
244Hartley County10.2
244Randall County10.2
247Midland County10
248Hays County9.9
249Brazos County9.3
250Denton County9.2

Showing the top 250 of 254. The Excel download has every row.

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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_texas_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 Texas 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/texas-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 Texas 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/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-diabetes-rate-county-estimate/texas-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 Texas 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?

Presidio County, with 24.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Travis County, with 8.6% 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 Texas: more rankings