Regions of Germany (NUTS 2) by diabetes death rate (age-standardised)

Sachsen-Anhalt had the highest diabetes death rate (age-standardised) of 38 regions in 2021, at 42.3 per 100,000 people. Hamburg had the lowest, at 14.7 per 100,000 people. The median was 26.5 per 100,000 people and the figure for Germany was 26.1 per 100,000 people. Source: Eurostat, European Commission.

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Highest42.3Sachsen-Anhalt
Lowest14.7Hamburg
Median26.538 regions
Germany26.1History

All regions, 2021

Sachsen-Anhalt: 42.3 per 100,000 peopleSachsen-Anhalt42.3Saarland: 41.2 per 100,000 peopleSaarland41.2Thüringen: 39.8 per 100,000 peopleThüringen39.8Gießen: 33 per 100,000 peopleGießen33Bremen: 32.6 per 100,000 peopleBremen32.6Kassel: 32.5 per 100,000 peopleKassel32.5Mecklenburg-Vorpommern: 32.3 per 100,000 peopleMecklenburg-Vorpommern32.3Chemnitz: 30.3 per 100,000 peopleChemnitz30.3Oberpfalz: 30.3 per 100,000 peopleOberpfalz30.3Rheinhessen-Pfalz: 30.1 per 100,000 peopleRheinhessen-Pfalz30.1Trier: 29.9 per 100,000 peopleTrier29.9Detmold: 27.9 per 100,000 peopleDetmold27.9Unterfranken: 27.9 per 100,000 peopleUnterfranken27.9Oberfranken: 27.5 per 100,000 peopleOberfranken27.5Brandenburg: 27.4 per 100,000 peopleBrandenburg27.4Stuttgart: 27.1 per 100,000 peopleStuttgart27.1Braunschweig: 26.8 per 100,000 peopleBraunschweig26.8Freiburg: 26.7 per 100,000 peopleFreiburg26.7Karlsruhe: 26.6 per 100,000 peopleKarlsruhe26.6Leipzig: 26.3 per 100,000 peopleLeipzig26.3Tübingen: 26.1 per 100,000 peopleTübingen26.1Niederbayern: 25.9 per 100,000 peopleNiederbayern25.9Berlin: 25.8 per 100,000 peopleBerlin25.8Koblenz: 25.5 per 100,000 peopleKoblenz25.5Weser-Ems: 24.7 per 100,000 peopleWeser-Ems24.7Dresden: 24.6 per 100,000 peopleDresden24.6Arnsberg: 24.2 per 100,000 peopleArnsberg24.2Darmstadt: 24.2 per 100,000 peopleDarmstadt24.2Mittelfranken: 23.9 per 100,000 peopleMittelfranken23.9Hannover: 23.4 per 100,000 peopleHannover23.4Münster: 23.2 per 100,000 peopleMünster23.2Köln: 23.2 per 100,000 peopleKöln23.2Schwaben: 23 per 100,000 peopleSchwaben23Düsseldorf: 22.6 per 100,000 peopleDüsseldorf22.6Lüneburg: 21.3 per 100,000 peopleLüneburg21.3Oberbayern: 18.7 per 100,000 peopleOberbayern18.7Schleswig-Holstein: 15.3 per 100,000 peopleSchleswig-Holstein15.3Hamburg: 14.7 per 100,000 peopleHamburg14.7Sachsen-Anhalt: 42.3 per 100,000 peopleSachsen-Anhalt42.3Saarland: 41.2 per 100,000 peopleSaarland41.2Thüringen: 39.8 per 100,000 peopleThüringen39.8Gießen: 33 per 100,000 peopleGießen33Bremen: 32.6 per 100,000 peopleBremen32.6Kassel: 32.5 per 100,000 peopleKassel32.5Mecklenburg-Vorpommern: 32.3 per 100,000 peopleMecklenburg-Vorpommern32.3Chemnitz: 30.3 per 100,000 peopleChemnitz30.3Oberpfalz: 30.3 per 100,000 peopleOberpfalz30.3Rheinhessen-Pfalz: 30.1 per 100,000 peopleRheinhessen-Pfalz30.1Trier: 29.9 per 100,000 peopleTrier29.9Detmold: 27.9 per 100,000 peopleDetmold27.9Unterfranken: 27.9 per 100,000 peopleUnterfranken27.9Oberfranken: 27.5 per 100,000 peopleOberfranken27.5Brandenburg: 27.4 per 100,000 peopleBrandenburg27.4Stuttgart: 27.1 per 100,000 peopleStuttgart27.1Braunschweig: 26.8 per 100,000 peopleBraunschweig26.8Freiburg: 26.7 per 100,000 peopleFreiburg26.7Karlsruhe: 26.6 per 100,000 peopleKarlsruhe26.6Leipzig: 26.3 per 100,000 peopleLeipzig26.3Tübingen: 26.1 per 100,000 peopleTübingen26.1Niederbayern: 25.9 per 100,000 peopleNiederbayern25.9Berlin: 25.8 per 100,000 peopleBerlin25.8Koblenz: 25.5 per 100,000 peopleKoblenz25.5Weser-Ems: 24.7 per 100,000 peopleWeser-Ems24.7Dresden: 24.6 per 100,000 peopleDresden24.6Arnsberg: 24.2 per 100,000 peopleArnsberg24.2Darmstadt: 24.2 per 100,000 peopleDarmstadt24.2Mittelfranken: 23.9 per 100,000 peopleMittelfranken23.9Hannover: 23.4 per 100,000 peopleHannover23.4Münster: 23.2 per 100,000 peopleMünster23.2Köln: 23.2 per 100,000 peopleKöln23.2Schwaben: 23 per 100,000 peopleSchwaben23Düsseldorf: 22.6 per 100,000 peopleDüsseldorf22.6Lüneburg: 21.3 per 100,000 peopleLüneburg21.3Oberbayern: 18.7 per 100,000 peopleOberbayern18.7Schleswig-Holstein: 15.3 per 100,000 peopleSchleswig-Holstein15.3Hamburg: 14.7 per 100,000 peopleHamburg14.7
per 100,000 people. Source: Eurostat, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2). Retrieved 2026-10-12.

Full ranking

RankRegions2021
per 100,000 people
Change on 2020
1Sachsen-Anhalt42.3+2 pts
2Saarland41.2+4.9 pts
3Thüringen39.8+0.9 pts
4Gießen33-1.7 pts
5Bremen32.6-1.4 pts
6Kassel32.5-1.4 pts
7Mecklenburg-Vorpommern32.3+0.5 pts
8Chemnitz30.3+4.3 pts
9Oberpfalz30.3+0.7 pts
10Rheinhessen-Pfalz30.1-0.9 pts
11Trier29.9-3.9 pts
12Detmold27.9+2 pts
12Unterfranken27.9-0.4 pts
14Oberfranken27.5-3.8 pts
15Brandenburg27.4+0.5 pts
16Stuttgart27.1-0.3 pts
17Braunschweig26.8-1 pts
18Freiburg26.7+1.4 pts
19Karlsruhe26.6-1 pts
20Leipzig26.3+0.8 pts
21Tübingen26.1-0.3 pts
22Niederbayern25.9-1.1 pts
23Berlin25.8-0.9 pts
24Koblenz25.5-2.5 pts
25Weser-Ems24.7+0.5 pts
26Dresden24.6-1.2 pts
27Arnsberg24.2-1.2 pts
28Darmstadt24.2-2.6 pts
29Mittelfranken23.9-1.3 pts
30Hannover23.4+0.7 pts
31Münster23.2+0.8 pts
32Köln23.2-0.4 pts
33Schwaben23-2.1 pts
34Düsseldorf22.6+0.8 pts
35Lüneburg21.3-1.8 pts
36Oberbayern18.7-1.2 pts
37Schleswig-Holstein15.3-2.2 pts
38Hamburg14.7+0.6 pts

Other periods

About this ranking

Deaths from [object Object] (ICD-10 E10 to E14) per 100,000 inhabitants, age-standardised to the revised European Standard Population of 2013. Both sexes, all ages, by place of residence (Eurostat causes of death statistics).

Age standardisation removes the effect of different age structures, so EU countries and regions can be compared with each other. US age-adjusted rates use the 2000 US standard population and are not comparable with these. Death certification and cause coding differ between countries, and Eurostat flags some values as following a different definition. Eurostat publishes these rates about two and a half years after the reference year.

Every value in the ranking comes from the same publisher and the same period, so the regions are compared on one definition. Equal values share a rank.

How to cite

Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.

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

Eurostat, European Commission. (2026). Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2) (Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021) [Data set]. Retrieved October 12, 2026, from https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table

MLA 9

Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2), Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021. Eurostat, European Commission, 8 June 2026, https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Invokely, https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Eurostat, European Commission. 2026. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2). Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021. Dataset. Accessed October 12, 2026. https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Also distributed by Invokely, https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021.

Harvard

Eurostat, European Commission (2026) Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2), Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021 [Dataset]. Available at: https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table, via Invokely: https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{eurostat_regions_of_germany_nuts_2021,
  author = {{Eurostat, European Commission}},
  title = {{Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth\_cd\_asdr2): Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021. Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth\_cd\_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth\_cd\_asdr2/default/table. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - Eurostat, European Commission
TI  - Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2): Regions of Germany (NUTS 2) by diabetes death rate (age-standardised), 2021
PY  - 2026
DA  - 2026/06/08
PB  - Eurostat, European Commission
DB  - Invokely
UR  - https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table
L2  - https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/diabetes-death-rate/germany-regions?period=2021.
N1  - Publisher attribution: Eurostat. Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2). https://ec.europa.eu/eurostat/databrowser/view/hlth_cd_asdr2/default/table. Retrieved 2026-10-12.
ER  - 
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Questions

Which region has the highest diabetes death rate (age-standardised)?

Sachsen-Anhalt, with 42.3 per 100,000 people in 2021, according to Eurostat, European Commission.

Which region has the lowest diabetes death rate (age-standardised)?

Hamburg, with 14.7 per 100,000 people in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Eurostat, European Commission, Causes of death, standardised death rate by NUTS 2 region of residence, [object Object], ICD-10 E10-E14 (hlth_cd_asdr2). Retrieved 2026-10-12.

Diabetes death rate (age-standardised): other rankings

Regions of Germany (NUTS 2): more rankings