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State of Alaska

Complete Health Indicator Report of Diabetes Prevalence

Definition

Percentage of adults 18 years of age and older who responded "Yes" on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] to the question: "Has a doctor, nurse, or other health professional ever told you have diabetes?" Responses of "Yes, but female told only during pregnancy" are not considered as a positive response for having diabetes.

Numerator

Weighted number of adults (18+) who responded "Yes" on the BRFSS to the question: "Has a doctor, nurse, or other health professional ever told you have diabetes?" Responses of "Yes, but female told only during pregnancy" are not considered as a positive response for having diabetes.

Denominator

Weighted number of adults (18+) with complete and valid responses to the question: "Has a doctor, nurse, or other health professional ever told you have diabetes?", excluding those with missing, "Don't know/Not sure", or "Refused" responses.

Data Interpretation Issues

The [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] is the primary source for estimating diabetes prevalence for Alaska. The median of states, District of Columbia, and territories provide a comparison for the United States (U.S.). The BRFSS is a telephone survey of adults 18 and over. Information on background and methodology of the BRFSS managed by the Centers for Disease Control and Prevention (CDC) can be found at: [http://www.cdc.gov/brfss/]. The website for the Alaska BRFSS is: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx]. The question on diabetes has been asked on the standard BRFSS (1991 onward) as well as the supplemental BRFSS survey since its inception in 2004. Alaska Native people in analyses of the BRFSS refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals who indicate multiple races including American Indian/Alaska Native are considered Alaska Native in the data. When race and ethnicity are consider concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. This definition of the Alaska Native group is intended to conform to the eligibility requirements for access to Alaska Native Tribal Health Consortium health care services.

Why Is This Important?

Diabetes is a group of diseases characterized by high levels of glucose (a form of sugar) in the blood over a prolonged period. High blood sugar happens when the body cannot produce enough insulin, a hormone that helps lower blood sugar, or when the body cannot use its own insulin properly. Diabetes can lead to serious health complications, such as heart disease, stroke, kidney disease, blindness, leg and feet amputations, and early death.^1^ There are three main types of diabetes, as well as a condition called prediabetes. Type 1 diabetes, in which the pancreas does not produce insulin due to an autoimmune disease, can develop at any age, but is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. About 5% of people with diabetes have this form of the disease and there is no known way to prevent it. Type 1 diabetes requires treatment in the form of insulin shots or an insulin pump. In addition to insulin therapy, exercise and careful attention to diet are necessary to prevent fluctuations in blood glucose levels.^1^ In type 2 diabetes, the pancreas does not produce enough insulin or the body does not use it properly (insulin resistance). Type 2 diabetes is often considered a lifestyle disease because it is normally triggered by living a fairly sedentary life, being overweight, and not participating in exercise. The risk of developing this type of diabetes is associated with aging, obesity, a family history of diabetes, a personal history of gestational diabetes, lack of physical activity, and race and ethnicity. About 90%-95% of all cases of diabetes are type 2 diabetes.^1^ The third type of diabetes is gestational diabetes, which develops only during pregnancy, usually in the second or third trimester. It is estimated that up to 9.2% of all pregnant women develop gestational diabetes.^2^ Unlike type 1 and type 2 diabetes, gestational diabetes disappears after the baby is born. However, women who have had gestational diabetes are more likely to have it again in the next pregnancy, and are also at higher risk of developing type 2 diabetes later in life.^2^ Prediabetes, also known as impaired glucose tolerance, is a condition where the blood glucose level is higher than normal, but not high enough to be considered diabetes. People who have prediabetes are at increased risk of developing type 2 diabetes, heart disease, and stroke. Participating in a structured lifestyle change program that promotes weight loss, increased physical activity, and a healthy diet has been shown to reduce the risk of developing type 2 diabetes by as much as 58% among people with prediabetes.^3^ Diabetes has reached epidemic proportions in the United States. According to the Centers for Disease Control and Prevention, the number of Americans with diabetes has increased 50% in the last decade to 30.3 million, or 9.4% of the population. Of the people with diabetes, 7.2 million people, or about one in four, do not know they have it (undiagnosed).^3^ Diabetes takes more lives than AIDS and breast cancer combined, claiming one American every three minutes.^4^ More than 20% of health care spending is for people with diagnosed diabetes.^3^ The estimated total economic cost of diagnosed diabetes in 2012 is $245 billion.^5^ The incidence (new cases) of diabetes is estimated to increase from 8 cases per 1,000 in 2008 to about 15 cases per 1,000 in 2050.^6^ About 84.1 million adults, or more than 1 in 3, have prediabetes.^3^ If current trends continue, as many as 1 in 3 people in the United States could have diabetes by the year 2050.^6^ Challenges for diabetes include the risk of complications due to the disease. In order to reduce the burden of disease, we need to identify those at risk, implement effective preventive strategies, and manage metabolic factors known to contribute to diabetes complications.[[br]] [[br]] ---- {{class .SmallerFont See "'Resources and References"' tab for references. }}

How Are We Doing?

The prevalence of diabetes has risen steadily, both nationally and in Alaska. Several factors contribute to the continual climb in diabetes prevalence. Increasing rates of obesity and sedentary lifestyles add to the number of people at risk for developing diabetes, while improvements in medical care mean people with diabetes are living longer. The 1997 change in the key diagnostic criterion (fasting blood glucose >126 mg/dL) contributed to the increased number of people who were clinically diagnosed.^7^ Diabetes prevalence rates from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and poverty status) are limited to 2010 and later to allow for ease of assessing recent trends. People under the age of 45 were at decreased risk for diabetes when compared to those 45 years of age and older. Non-Hispanic Blacks experienced higher rates of diabetes when compared to all other races. Those with less than a high school education were more likely to report diabetes when compared to college graduates. People who were unable to work reported higher rates of diabetes compared to those who were employed, unemployed, or not in the work force. Crosstabulations were also conducted for three-year averages by body mass index, current smoking, sexual orientation, and disability. Only the significant differences evident in contrasts by body mass index and disability are presented but the other results are available upon request. Diabetes prevalence by regions of Alaska are presented for the most recent time period allowing reporting for all Alaskans and Alaska Native people: 1) single-year for the 6 Alaska Public Health Regions, 2) three-year averages by the 7 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) three-year averages for 29 boroughs and census areas, and 5) five-year averages for the 12 tribal health organization regions. These time intervals match those for the InstantAtlas health profiles for each of the geographic regions of Alaska, for those desiring longer time series.

How Do We Compare With the U.S.?

The percentage of adults with diabetes in Alaska is lower than that for the United States. In Alaska, the crude rate of adults diagnosed with diabetes was 7.5% (or 40,468 people) for 2016. For the United States, the crude prevalence was 10.0% in 2015 (the most recent national BRFSS data available). The percentage of adults with diabetes increases with age, reaching a high of 25.2% in Americans aged 65 or older. There is little gender difference in the prevalence of diagnosed and undiagnosed diabetes in U.S. adults aged 18 or older, with men at 12.7% and women at 11.7%.^3^

What Is Being Done?

The [http://dhss.alaska.gov/dph/chronic/pages/diabetes/default.aspx Alaska Diabetes Prevention and Control Program (DPCP)] works to increase public awareness of the warning signs, symptoms, and risk factors for developing diabetes. The program seeks innovative ways to encourage people to recognize that they may be at risk and should get tested. The program promotes glycated hemoglobin (a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods) awareness through A1C testing among people already diagnosed with diabetes, and has produced television and radio public service announcements stressing the urgency of getting A1C levels under control. The DPCP, in conjunction with the Alaska Health Plan Partnership, has also developed and distributed materials that remind Alaskans with diabetes of the importance of managing their ABCs (A1C, blood pressure, cholesterol levels, and stop smoking or don't start). The program assists community-based organizations as they work to increase awareness of diabetes and its risk factors among members of their population. The DPCP has established partnerships with Southcentral Foundation, the Alaska Native Tribal Health Consortium, YMCA, the UAF Cooperative Extension Service, and Bartlett Regional Hospital, to name a few. The DPCP strongly encourages diabetes self-management education (DSME) for persons with diabetes from an [http://www.diabetes.org/ American Diabetes Association (ADA)] recognized or [https://www.diabeteseducator.org/ American Association of Diabetes Educators (AADE)] accredited program. Diabetes prevention programs are also encouraged for those with prediabetes. DSME is recommended by the 2015 U.S. Preventive Services Task Force (USPSTF) Clinical Guidelines.^8^ For more information about DSME or diabetes prevention program classes near you, contact DPCP at [http://www.diabetes.alaska.gov].

Evidence-based Practices

The National Diabetes Prevention Program (National DPP) showed that weight loss and participation in regular physical activity can significantly decrease the risk of developing type 2 diabetes. The DPP clinical trial included over 3,000 people who had impaired fasting glucose and were at an increased risk for developing diabetes. Participants who engaged in moderately intense physical activity for 30 minutes per day and lost 5% to 7% of their body weight decreased their risk of diabetes dramatically. This behavioral activity was effective for all groups of participants in the study, regardless of age or ethnic group.^9^

Available Services

'''Services Available to the Public:''' Alaska Diabetes Prevention and Control Program [http://dhss.alaska.gov/dph/Chronic/Pages/Diabetes/default.aspx] American Diabetes Association - Alaska office [http://www.diabetes.org/in-my-community/local-offices/anchorage-alaska/] Living Well Alaska - Chronic Disease Self-Management Program [http://dhss.alaska.gov/dph/chronic/pages/selfmanagement/default.aspx] Southcentral Foundation Health Education and Wellness Programs [https://www.southcentralfoundation.com/services/health-and-wellness-programs/] Alaska Regional Hospital - Diabetes Center [http://alaskaregional.com/hl/?/33718/Diabetes-Center] Bristol Bay Area Health Corporation - Diabetes Prevention and Lifestyle Change Program [http://www.bbahc.org/index.asp?SEC=7A25D331-8C36-465C-A6F8-604B22B69160&Type=B_BASIC] Bartlett Regional Hospital - Diabetes Education [http://www.bartletthospital.org/services/diabetes-education.aspx] Yukon-Kuskokwim Health Corporation (YKHC) Diabetes Prevention and Control Program [http://www.ykhc.org/diabetes/] Southeast Alaska Regional Health Corporation (SEARHC) Diabetes Prevention Program [http://www.searhc.org/services/health-promotion/diabetes-services] Tanana Chiefs Conference - Diabetes Services [https://www.tananachiefs.org/health/medical/diabetes/] Norton Sound Health Corporation - Chronic Care Active Management and Prevention (CAMP) [https://www.nortonsoundhealth.org/Divisions/Hospital-Services/Diabetes---CAMP ] Cross Road Medical Center - Diabetes Local [http://www.diabeteslocal.org/resource/cross-road-medical-center-glennallen] Mt. Sanford Tribal Consortium - Diabetes Program [http://www.mstc.org/diabetes.html] Peace Health Ketchikan Medical Center - Diabetes Education [https://www.peacehealth.org/ketchikan/services/diabetes-education/Pages/Default.aspx] Providence Alaska Medical Center - Outpatient Diabetes and Nutrition Center [http://alaska.providence.org/services/d/diabetes-and-nutrition-center] Tanana Valley Clinic - Diabetes and Nutrition Education Center [https://www.foundationhealth.org/tvc/services/dnec] South Peninsula Hospital - Diabetes Education Program [http://www.sphosp.org/wellness-education/diabetes/] Central Peninsula Hospital - Diabetes Education Services [http://www.cpgh.org/diabeteseducationservices]


Related Indicators

Relevant Population Characteristics

Anyone can develop diabetes, but the risk is greater for those who are older, overweight or obese, physically inactive, or members of a minority racial or ethnic group. As the Alaska population ages, and as the proportion of high-risk minority ethnic and racial groups in the population increases, a greater percentage of Alaskans will be at risk for developing diabetes.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Screening for diabetes is generally recommended for people aged 45 and over, although those with a high risk of developing diabetes (e.g., overweight, member of certain minority racial or ethnic groups) may wish to consider screening by age 30. Testing for diabetes is generally covered by insurance. For those without insurance, the Alaska Chapter of the American Diabetes Association may be contacted about the availability of low-cost or free screening (907-272-1424).

Related Health Care System Factors Indicators:


Risk Factors

Being overweight or obese is a major risk factor for developing diabetes. The risk of developing diabetes can be substantially reduced through weight loss and regular physical activity. Some risk factors cannot be modified, such as older age or membership in a minority racial or ethnic group. Nevertheless, risk can be substantially reduced by eating a healthy diet and participating in regular physical activity.

Related Risk Factors Indicators:


Health Status Outcomes

Diabetes can have serious consequences. It is the leading cause of non-traumatic lower extremity amputations and blindness among working-age adults. It is a major risk factor for cardiovascular disease and end-stage renal disease. Diabetes can affect both physical and mental health. Complications from diabetes can have a significant impact on quality of life. Blindness and amputations affect one's independence and ability to conduct everyday activities. People with diabetes have an increased risk of depression. Rates of depression among people with diabetes have been found to be as high as 20%, compared to 5 to 10% in the general population.^10^

Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (18+) with diabetes, crude rate, all Alaskans, Alaska Natives, and U.S., 1991-2016

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confidence limits

Alaska ComparisonsYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 75
All Alaskans19914.3%3.2%5.9%731,529
All Alaskans19922.8%1.9%4.0%571,531
All Alaskans19933.9%2.6%5.8%561,532
All Alaskans19943.1%2.1%4.4%531,533
All Alaskans19952.7%1.7%4.2%431,534
All Alaskans19963.5%2.3%5.3%461,535
All Alaskans19973.3%2.3%4.8%541,544
All Alaskans19983.0%2.1%4.1%751,988
All Alaskans19993.5%2.6%4.8%782,048
All Alaskans20003.8%2.7%5.3%732,078
All Alaskans20014.0%3.2%5.1%1162,871
All Alaskans20023.5%2.8%4.4%1292,692
All Alaskans20035.0%3.9%6.4%1242,661
All Alaskans20044.6%3.9%5.4%2615,121
All Alaskans20054.9%4.2%5.7%3155,749
All Alaskans20066.3%5.3%7.5%2834,236
All Alaskans20076.3%5.3%7.4%3035,101
All Alaskans20086.4%5.5%7.5%3334,933
All Alaskans20096.5%5.5%7.6%3504,756
All Alaskans20107.4%6.0%9.0%2463,230
All Alaskans20117.8%6.8%8.9%4946,111
All Alaskans20126.9%5.9%7.9%6368,336
All Alaskans20137.0%6.1%7.9%7339,159
All Alaskans20147.8%7.0%8.7%8228,995
All Alaskans20157.5%6.6%8.5%7658,038
All Alaskans20167.5%6.6%8.5%7477,376
Alaska Native people19913.4%1.9%6.0%14322
Alaska Native people19923.6%1.7%7.7%12276
Alaska Native people19937.4%3.9%13.5%17326
Alaska Native people19941.6%0.5%4.7%6292
Alaska Native people19951.8%0.8%3.8%9312
Alaska Native people19963.8%1.2%11.5%9318
Alaska Native people19973.2%1.5%6.5%11318
Alaska Native people19983.1%1.7%5.8%14363
Alaska Native people19993.9%2.2%6.9%17420
Alaska Native people20006.6%2.8%15.0%16392
Alaska Native people20013.6%2.3%5.6%27625
Alaska Native people20023.6%2.3%5.8%26591
Alaska Native people20036.3%3.2%11.9%25577
Alaska Native people20044.2%3.0%5.9%531,108
Alaska Native people20054.4%2.9%6.5%511,220
Alaska Native people20065.6%3.9%8.0%58900
Alaska Native people20075.1%3.6%7.3%611,123
Alaska Native people20087.1%4.9%10.1%681,051
Alaska Native people20095.4%4.0%7.3%68940
Alaska Native people20105.0%3.0%8.3%39610
Alaska Native people20118.0%5.8%11.0%991,187
Alaska Native people20127.4%5.3%10.1%1211,805
Alaska Native people20137.7%5.8%10.1%1331,566
Alaska Native people20146.1%4.7%7.8%1281,435
Alaska Native people20158.5%6.7%10.8%1561,498
Alaska Native people20168.2%6.2%10.7%1441,333
U.S.19944.2%
U.S.19954.4%
U.S.19964.5%
U.S.19974.8%
U.S.19985.4%
U.S.19995.6%
U.S.20006.1%
U.S.20016.6%
U.S.20026.8%
U.S.20037.2%
U.S.20047.1%
U.S.20057.3%
U.S.20067.5%
U.S.20078.1%
U.S.20088.3%
U.S.20098.4%
U.S.20108.7%
U.S.20119.5%
U.S.20129.7%
U.S.20139.8%
U.S.201410.1%
U.S.201510.0%
U.S.2016**

Data Notes

** = Data not available. The value for the U.S. for 2016 was not immediately available. U.S. value is the ranked median of states, District of Columbia, and territories.

Data Sources

  • Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


Percentage of adults (18+) with diabetes, crude rate, by sex, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Males vs. FemalesYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
Males20107.1%5.3%9.4%1151,454
Males20117.4%6.0%9.1%2182,796
Males20126.3%5.1%7.7%2803,868
Males20137.4%6.2%8.8%3524,207
Males20147.4%6.4%8.6%3974,107
Males20157.5%6.2%9.0%3443,700
Males20167.2%6.0%8.6%3463,380
Females20107.7%5.7%10.3%1311,776
Females20118.2%6.8%9.8%2763,315
Females20127.4%6.1%9.0%3564,468
Females20136.5%5.4%7.7%3814,952
Females20148.2%6.9%9.6%4254,888
Females20157.5%6.4%8.9%4214,338
Females20167.9%6.6%9.4%4013,996

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by age, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Age Group: 18-24,25-34,35-44,45-64,65+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 35
18-2420100.3%0.0%2.2%1141
18-2420111.3%0.4%4.7%3357
18-2420121.0%0.3%3.6%5574
18-2420130.3%0.1%1.3%3648
18-2420141.1%0.4%2.9%4493
18-2420150.5%0.1%1.6%3451
18-2420160.5%0.2%1.6%3400
25-3420101.2%0.5%2.7%8419
25-3420112.8%1.4%5.5%14801
25-3420121.5%0.8%3.0%171,308
25-3420132.2%1.1%4.3%201,262
25-3420141.5%0.9%2.5%221,051
25-3420150.7%0.3%1.4%14909
25-3420162.0%1.0%3.7%17754
35-4420101.5%0.8%3.0%11555
35-4420115.0%3.1%8.1%341,052
35-4420125.0%3.1%8.0%531,311
35-4420133.5%2.2%5.6%421,405
35-4420143.1%1.9%5.1%321,324
35-4420152.7%1.7%4.3%351,063
35-4420163.8%2.2%6.5%30912
45-64201011.6%8.8%15.1%1241,513
45-64201110.6%8.8%12.7%2492,704
45-64201210.0%8.3%12.1%3113,509
45-64201310.3%8.6%12.3%3513,954
45-64201411.0%9.4%12.9%3763,924
45-64201511.2%9.4%13.3%3393,473
45-6420169.7%8.0%11.6%3033,127
65+201024.3%18.0%32.0%100556
65+201119.7%16.0%24.1%1921,115
65+201216.1%12.6%20.4%2441,528
65+201317.0%14.6%19.8%3121,798
65+201421.9%18.8%25.3%3792,058
65+201519.2%16.0%22.8%3622,029
65+201621.4%18.0%25.1%3842,028

Data Notes

Respondents are asked, "What is your age?, which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by race/ethnicity, all Alaskans, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 7
Alaska Native (any mention)7.6%6.5%8.8%4284,265
Asian (non-Hispanic)7.8%5.1%11.7%40428
Black (non-Hispanic)16.9%11.9%23.5%61325
Native Hawaiian/Other Pacific Islander (non-Hispanic)5.6%2.4%12.4%8108
White (non-Hispanic)7.1%6.6%7.6%1,66217,960
Multiracial/Other (non-Hisp.)4.8%2.1%10.6%15168
Hispanic (alone or multi)7.0%4.7%10.4%56591

Data Notes

Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enumerated above. Responses of Don't Know/Not Sure or Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by ethnicity, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Ethnicity - Hispanic/LatinoYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
Hispanic/Latino20106.3%2.3%16.1%874
Hispanic/Latino20118.6%3.4%19.9%13173
Hispanic/Latino20128.7%5.1%14.6%30248
Hispanic/Latino20136.8%3.2%14.2%16265
Hispanic/Latino20144.8%2.5%8.9%20250
Hispanic/Latino201510.7%6.2%17.9%30221
Hispanic/Latino20166.5%3.2%13.1%22227
Not Hispanic/Latino20107.5%6.0%9.2%2353,115
Not Hispanic/Latino20117.8%6.8%8.9%2485,884
Not Hispanic/Latino20126.8%5.8%7.8%6028,033
Not Hispanic/Latino20136.9%6.1%7.9%7048,779
Not Hispanic/Latino20148.0%7.1%8.9%7838,602
Not Hispanic/Latino20157.1%6.2%8.0%7227,709
Not Hispanic/Latino20167.4%6.5%8.4%7107,027

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by marital status, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Marital StatusYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 35
Married20107.3%5.8%9.2%1341,845
Married20117.5%6.2%8.9%2483,367
Married20126.5%5.3%7.9%2954,485
Married20137.4%6.3%8.7%3554,954
Married20147.8%6.7%9.0%3935,011
Married20157.9%6.7%9.3%3644,426
Married20167.2%6.1%8.5%3494,109
Widowed201022.5%12.0%38.2%28244
Widowed201117.7%12.6%24.4%68436
Widowed201212.7%9.1%17.4%88628
Widowed201315.3%11.6%19.9%112678
Widowed201421.1%16.7%26.4%135702
Widowed201522.5%17.2%29.0%134679
Widowed201622.0%16.4%28.8%126650
Divorced/Separated20107.3%3.8%13.4%47514
Divorced/Separated201111.7%8.9%15.2%1201,073
Divorced/Separated201211.1%8.4%14.5%1501,373
Divorced/Separated201311.0%8.1%14.7%1661,537
Divorced/Separated201413.5%10.9%16.7%1691,483
Divorced/Separated201512.0%9.0%16.0%1641,256
Divorced/Separated201611.3%8.4%15.1%1611,126
Never Married20105.0%2.5%9.7%26479
Never Married20114.9%2.9%8.1%45925
Never Married20124.7%3.1%7.0%791,437
Never Married20132.7%1.7%4.3%711,518
Never Married20143.4%2.4%4.9%701,357
Never Married20153.0%1.9%4.7%781,271
Never Married20164.5%3.0%6.8%891,133
Living with a Partner20104.4%1.4%13.3%6117
Living with a Partner20117.3%3.2%15.7%10256
Living with a Partner20126.1%2.4%14.6%15348
Living with a Partner20135.1%2.5%10.3%23406
Living with a Partner20145.2%1.8%14.2%18348
Living with a Partner20154.0%2.1%7.4%19333
Living with a Partner20161.8%0.7%4.6%10267

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (25+) with diabetes, crude rate, by education, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Edu Level: LT High School, High School, Some College, College GradYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
LT High School201020.8%12.8%31.9%29207
LT High School201115.6%9.8%23.9%47389
LT High School201214.8%9.6%22.3%60531
LT High School201310.7%7.3%15.4%58456
LT High School201410.9%7.6%15.4%61452
LT High School201513.5%8.8%20.3%55382
LT High School201611.0%7.3%16.2%50328
High School20108.1%5.4%11.8%70844
High School20119.6%7.6%12.1%1501,590
High School20127.7%5.9%10.1%1752,046
High School20139.4%7.4%11.9%2152,169
High School20149.6%8.0%11.6%2362,017
High School20158.7%6.8%11.1%1981,903
High School20169.3%7.1%12.0%2081,751
Some College20106.9%4.9%9.5%70905
Some College20118.6%6.9%10.7%1601,609
Some College20127.5%6.0%9.3%2212,280
Some College20138.4%6.8%10.2%2532,533
Some College20149.7%8.1%11.7%2862,405
Some College20159.0%7.3%11.0%2412,284
Some College20169.1%7.4%11.2%2492,046
College Graduate20106.0%4.2%8.5%721,082
College Graduate20115.6%4.3%7.1%1312,069
College Graduate20126.1%4.5%8.2%1672,782
College Graduate20135.2%4.2%6.4%1963,233
College Graduate20145.7%4.6%7.0%2243,435
College Graduate20157.1%5.9%8.6%2662,973
College Graduate20166.5%5.3%7.9%2312,755

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by employment status, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: EmploymentYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
Employed20104.3%3.0%6.3%912,048
Employed20115.5%4.4%6.8%1863,721
Employed20125.2%4.2%6.5%2575,072
Employed20135.3%4.3%6.6%2765,481
Employed20145.1%4.2%6.2%2905,307
Employed20155.2%4.3%6.2%3084,676
Employed20164.3%3.5%5.3%2614,086
Unemployed20106.4%2.6%14.8%10222
Unemployed20116.6%4.0%10.8%32461
Unemployed20125.7%2.8%11.2%32606
Unemployed20134.7%2.8%7.9%42626
Unemployed20144.7%3.0%7.4%35481
Unemployed20152.4%1.4%4.0%25488
Unemployed20166.0%3.5%10.1%28422
Not In Work Force201014.2%10.5%19.1%104783
Not In Work Force20119.6%7.9%11.6%2041,587
Not In Work Force20129.5%7.6%11.9%2622,193
Not In Work Force20139.8%8.3%11.6%3122,526
Not In Work Force201412.3%10.4%14.4%3682,663
Not In Work Force201511.5%9.3%14.1%3242,398
Not In Work Force201613.1%10.9%15.7%3652,348
Unable to Work201021.7%14.4%31.3%40156
Unable to Work201129.4%20.9%39.6%70314
Unable to Work201219.3%14.1%25.9%83427
Unable to Work201317.1%12.4%23.1%98442
Unable to Work201427.8%21.9%34.7%118443
Unable to Work201526.7%19.9%34.8%101393
Unable to Work201624.0%17.2%32.5%87374

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by income, all Alaskans, 2010-2016

::chart - missing::
confidence limits

HA: Income: LT $15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 35
<$15,000201013.8%8.2%22.3%34219
<$15,000201114.5%9.2%22.0%56455
<$15,000201210.6%7.0%15.9%77669
<$15,00020139.6%6.8%13.4%99716
<$15,000201411.7%8.6%15.7%100636
<$15,00020159.7%6.5%14.2%76567
<$15,000201612.5%8.3%18.4%76506
$15,000 - $24,999201010.9%6.6%17.6%37302
$15,000 - $24,999201110.9%7.2%16.1%69659
$15,000 - $24,99920129.5%6.8%13.1%109980
$15,000 - $24,99920138.7%6.5%11.7%1171,025
$15,000 - $24,99920149.5%7.2%12.5%130943
$15,000 - $24,999201512.0%8.6%16.5%117879
$15,000 - $24,99920167.8%5.3%11.6%103751
$25,000 - $49,99920107.6%4.7%12.1%49617
$25,000 - $49,99920115.5%4.0%7.4%851,159
$25,000 - $49,99920126.6%4.8%9.1%1441,620
$25,000 - $49,99920138.1%6.2%10.5%1591,745
$25,000 - $49,99920148.5%6.6%10.7%1691,660
$25,000 - $49,99920157.2%5.6%9.3%1551,440
$25,000 - $49,99920169.9%7.6%12.7%1731,333
$50,000 - $74,99920106.1%3.6%10.1%33543
$50,000 - $74,99920116.5%4.6%9.0%77982
$50,000 - $74,99920126.0%3.9%9.0%851,309
$50,000 - $74,99920138.6%6.5%11.3%1381,523
$50,000 - $74,99920147.7%5.8%10.0%1131,386
$50,000 - $74,99920156.9%4.8%9.8%951,239
$50,000 - $74,99920166.7%4.9%8.9%1111,112
$75,000+20104.3%2.9%6.1%551,090
$75,000+20116.9%5.4%8.8%1232,022
$75,000+20125.4%4.0%7.2%1352,636
$75,000+20134.7%3.6%6.0%1553,278
$75,000+20145.4%4.2%6.9%2203,409
$75,000+20155.6%4.5%6.9%2283,078
$75,000+20165.8%4.6%7.3%2052,849

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by poverty threshold, all Alaskans, 2010-2016

::chart - missing::
confidence limits

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]
HA: Poverty ThresholdYearPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 21
Poor201010.9%4.9%22.8%15187
Poor201112.8%7.2%21.7%37409
Poor20128.9%5.7%13.6%58676
Poor20137.3%4.8%10.9%60650
Poor20147.6%5.2%11.0%60578
Poor20157.7%4.5%12.8%40448
Poor201613.5%7.6%22.7%37354
Near Poor20109.8%6.3%14.8%52426
Near Poor20118.0%5.7%11.1%70737
Near Poor20128.7%6.3%11.9%1211,183
Near Poor20139.2%7.2%11.8%1541,294
Near Poor201410.6%8.2%13.6%1501,098
Near Poor20157.8%5.8%10.4%98849
Near Poor201610.4%7.8%13.7%118691
Middle/High20105.8%4.5%7.3%1412,158
Middle/High20117.5%6.4%8.9%2843,846
Middle/High20126.1%5.0%7.4%3715,354
Middle/High20136.4%5.5%7.5%4546,343
Middle/High20146.9%6.0%8.0%5226,357
Middle/High20158.0%6.8%9.3%4644,890
Middle/High20168.4%7.2%9.7%4534,511

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by body mass index, all Alaskans, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Weight CategoryPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Neither Overweight nor Obese2.6%2.1%3.1%2627,366
Overweight6.2%5.4%7.1%6348,491
Obese14.6%13.3%15.9%1,2797,047

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.


Percentage of adults (18+) with diabetes, crude rate, by disability, all Alaskans, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 2
Disability Present22.7%16.8%30.0%124523
Disability Absent4.6%3.7%5.7%1632,270

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.


Percentage of adults (18+) with diabetes, crude rate, by ACEs score, all Alaskans, 2013-2015 (3-year average)

::chart - missing::
confidence limits

Percentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
07.6%6.4%8.9%3353,974
17.1%5.8%8.6%2082,372
2-37.5%6.0%9.3%2022,597
4+8.1%6.5%10.0%2001,891

Data Notes

The presence of one or more Adverse Childhood Experiences (ACEs) is assessed using either the 10 domains that are grouped into: [[br]] '''Abuse:'''[[br]] 1) Verbal Abuse[[br]] 2) Physical Abuse[[br]] 3) Sexual Abuse][[br]] '''Dysfunctional Households:'''[[br]] 4) Substance Abuse[[br]] 5) Mental Illness[[br]] 6) Domestic Violence[[br]] 7) Separation/Divorce[[br]] 8) Incarceration among household members[[br]] '''Neglect:'''[[br]] 9) Emotional Neglect[[br]] 10) Physical Neglect[[br]] The presence of an Adverse Childhood Experience have grouped into scores of 0 (no exposure), 1 (single exposure to an ACE), 2-3 (exposure to 2 or 3 ACEs), and 4+ (exposure to 4 or more different ACEs) The questions associated with each type of ACEs is described in the [http://ibis.dhss.alaska.gov/indicator/index/Alphabetical.html respective reports]. A summary ACEs score is computed for those with valid responses to all domains. Respondents with refusals to one or more of the ACEs questions are excluded.


Percentage of adults (18+) with diabetes, crude rate, by Alaska Public Health Regions, all Alaskans and Alaska Natives, 2016

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
All AlaskansAnchorage7.4%5.8%9.5%1441,339
All AlaskansGulf Coast8.0%6.0%10.5%1131,092
All AlaskansInterior6.0%4.7%7.6%1281,609
All AlaskansMat-Su7.3%5.8%9.1%1321,195
All AlaskansNorthern6.6%3.9%11.1%43322
All AlaskansSoutheast7.8%6.0%10.2%1171,120
All AlaskansSouthwest13.3%8.1%21.0%70699
Alaska Native peopleAnchorage7.1%3.2%15.2%12126
Alaska Native peopleGulf Coast10.2%5.4%18.4%17128
Alaska Native peopleInterior10.6%6.5%16.9%27248
Alaska Native peopleMat-Su6.6%2.7%15.5%11108
Alaska Native peopleNorthern5.3%2.4%11.2%21193
Alaska Native peopleSoutheast11.7%6.4%20.5%17158
Alaska Native peopleSouthwest9.1%4.9%16.3%39372

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by metropolitan/micropolitan statistical areas, all Alaskans and Alaska Natives, 2014-2016 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
All AlaskansAnchorage MSA7.8%7.0%8.7%8548,602
All AlaskansFairbanks North Star MSA5.6%4.8%6.6%3133,861
All AlaskansJuneau MicroSA6.1%4.8%7.8%1361,560
All AlaskansKetchikan Gateway MicroSA10.6%8.2%13.7%99773
All AlaskansRural (non-Metro/MicroSA)8.1%7.4%9.0%9329,613
Alaska Native peopleAnchorage MSA7.5%5.3%10.6%78788
Alaska Native peopleFairbanks North Star MSA7.9%5.2%11.8%39363
Alaska Native peopleJuneau MicroSA5.1%2.7%9.7%14182
Alaska Native peopleKetchikan Gateway MicroSA17.3%9.6%29.1%18124
Alaska Native peopleRural (non-Metro/MicroSA)7.3%6.2%8.7%2792,809

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by behavioral health system assessment areas, all Alaskans and Alaska Natives, 2016

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 22
All AlaskansAnchorage Muncipality7.4%5.8%9.5%1441,339
All AlaskansFairbanks North Star Borough5.7%4.4%7.4%951,211
All AlaskansCity and Borough of Juneau5.8%3.5%9.5%46451
All AlaskansKenai Peninsula Borough7.6%5.7%10.1%85786
All AlaskansMatanuska-Susitna Borough7.3%5.8%9.1%1321,195
All AlaskansNorthwest Region6.6%3.9%11.1%43322
All AlaskansOther Interior Region7.5%4.9%11.4%47560
All AlaskansOther SE - Northern6.6%4.0%10.8%30355
All AlaskansOther SE - Southern12.4%8.2%18.1%41314
All AlaskansY-K Delta Region11.4%5.4%22.6%21303
All AlaskansSouthwest Region12.7%7.7%20.4%63540
Alaska Native peopleAnchorage Muncipality7.1%3.2%15.2%12126
Alaska Native peopleFairbanks North Star Borough11.0%5.4%21.1%15124
Alaska Native peopleCity and Borough of Juneau3.0%1.0%9.1%452
Alaska Native peopleKenai Peninsula Borough8.6%3.5%19.7%977
Alaska Native peopleMatanuska-Susitna Borough6.6%2.7%15.5%11108
Alaska Native peopleNorthwest Region5.3%2.4%11.2%21193
Alaska Native peopleOther Interior Region9.9%5.3%17.6%15146
Alaska Native peopleOther SE - Northern10.7%3.6%27.7%651
Alaska Native peopleOther SE - Southern23.7%10.9%43.9%755
Alaska Native peopleY-K Delta Region7.6%2.4%21.8%9197
Alaska Native peopleSouthwest Region12.3%7.5%19.5%35204

Data Notes

Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by boroughs and census areas, all Alaskans and Alaska Natives, 2014-2016 (3-year averages)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 58
All AlaskansAleutians East Borough15.3%8.0%27.1%25189
All AlaskansAleutians West CA7.5%3.9%13.9%35289
All AlaskansAnchorage Municipality7.9%6.9%9.0%4614,784
All AlaskansBethel CA6.5%3.6%11.2%46728
All AlaskansBristol Bay Borough11.4%7.2%17.5%29186
All AlaskansDenali Borough8.5%4.3%16.1%15194
All AlaskansDillingham CA16.0%8.6%27.8%43383
All AlaskansFairbanks North Star Borough5.6%4.8%6.6%3133,861
All AlaskansHaines Borough7.7%4.0%14.4%18219
All AlaskansHoonah-Angoon CA7.2%3.4%14.8%11123
All AlaskansJuneau City and Borough6.1%4.8%7.8%1361,560
All AlaskansKenai Peninsula Borough7.8%6.6%9.1%2722,672
All AlaskansKetchikan Gateway Borough10.6%8.2%13.7%99773
All AlaskansKodiak Island Borough9.0%5.9%13.5%55512
All AlaskansKusilvak CA2.7%1.0%7.4%7273
All AlaskansLake and Peninsula Borough5.8%2.6%12.4%12191
All AlaskansMatanuska-Susitna Borough7.7%6.8%8.8%3933,818
All AlaskansNome CA5.8%3.3%10.2%42456
All AlaskansNorth Slope Borough6.5%3.6%11.6%23261
All AlaskansNorthwest Arctic Borough10.4%6.0%17.2%30260
All AlaskansPetersburg Borough6.6%3.7%11.4%19190
All AlaskansPrince of Wales-Hyder CA10.7%6.5%17.2%27248
All AlaskansSitka City and Borough5.7%3.5%9.2%28389
All AlaskansSkagway Municipality10.7%3.2%30.1%551
All AlaskansSoutheast Fairbanks CA10.6%7.6%14.7%71629
All AlaskansValdez-Cordova CA6.6%4.7%9.3%54518
All AlaskansWrangell City and Borough12.1%6.5%21.4%15132
All AlaskansYakutat City and Borough**42
All AlaskansYukon-Koyukuk CA10.6%7.1%15.7%48478
Alaska Native peopleAleutians East Borough12.5%7.0%21.2%16102
Alaska Native peopleAleutians West CA12.2%5.6%24.6%1688
Alaska Native peopleAnchorage Municipality7.3%4.7%11.3%37465
Alaska Native peopleBethel CA4.7%2.0%10.5%18426
Alaska Native peopleBristol Bay Borough13.8%7.7%23.3%1671
Alaska Native peopleDenali Borough**13
Alaska Native peopleDillingham CA11.3%7.0%17.6%32197
Alaska Native peopleFairbanks North Star Borough7.9%5.2%11.8%39363
Alaska Native peopleHaines Borough**31
Alaska Native peopleHoonah-Angoon CA**36
Alaska Native peopleJuneau City and Borough5.1%2.7%9.7%14182
Alaska Native peopleKenai Peninsula Borough9.1%5.4%15.0%29226
Alaska Native peopleKetchikan Gateway Borough17.3%9.6%29.1%18124
Alaska Native peopleKodiak Island Borough12.2%6.1%23.0%1388
Alaska Native peopleKusilvak CA1.4%0.4%4.2%4237
Alaska Native peopleLake and Peninsula Borough12.0%5.6%23.9%11109
Alaska Native peopleMatanuska-Susitna Borough8.1%5.4%12.2%41323
Alaska Native peopleNome CA5.1%2.4%10.4%23268
Alaska Native peopleNorth Slope Borough3.2%1.5%6.7%10137
Alaska Native peopleNorthwest Arctic Borough6.6%3.7%11.7%15169
Alaska Native peoplePetersburg Borough**18
Alaska Native peoplePrince of Wales-Hyder CA12.5%5.1%27.5%666
Alaska Native peopleSitka City and Borough10.1%4.0%23.1%861
Alaska Native peopleSkagway Municipality**1
Alaska Native peopleSoutheast Fairbanks CA7.9%3.6%16.3%1082
Alaska Native peopleValdez-Cordova CA9.5%4.2%20.0%862
Alaska Native peopleWrangell City and Borough**25
Alaska Native peopleYakutat City and Borough**13
Alaska Native peopleYukon-Koyukuk CA10.0%6.3%15.5%28283

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (18+) with diabetes, crude rate, by tribal health organization regions, all Alaskans and Alaska Natives, 2012-2016 (5-year averages)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adultsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
All AlaskansAleutians and Pribilofs10.3%7.1%14.7%88810
All AlaskansAnchorage/Mat-Su7.5%6.9%8.2%1,33814,374
All AlaskansArctic Slope6.1%3.7%9.8%37433
All AlaskansBristol Bay10.2%7.1%14.3%1311,346
All AlaskansCopper R/Prince William Snd.7.7%5.9%9.9%101956
All AlaskansInterior6.4%5.7%7.1%7168,850
All AlaskansKenai Peninsula8.1%7.1%9.2%4394,500
All AlaskansKodiak Area7.0%4.9%9.8%79883
All AlaskansNorthwest Arctic7.0%4.3%11.1%43545
All AlaskansNorton Sound5.0%3.1%7.8%62838
All AlaskansSoutheast7.6%6.7%8.6%5686,424
All AlaskansYukon-Kuskokwim5.2%3.6%7.5%1011,945
Alaska Native peopleAleutians and Pribilofs14.7%9.5%22.1%48301
Alaska Native peopleAnchorage/Mat-Su8.1%6.2%10.5%1281,330
Alaska Native peopleArctic Slope2.9%1.4%6.0%14232
Alaska Native peopleBristol Bay10.4%7.5%14.1%82674
Alaska Native peopleCopper R/Prince William Snd.12.4%7.2%20.4%20126
Alaska Native peopleInterior8.2%6.3%10.5%1181,237
Alaska Native peopleKenai Peninsula7.3%4.8%11.1%43385
Alaska Native peopleKodiak Area6.8%3.6%12.5%16160
Alaska Native peopleNorthwest Arctic5.2%3.2%8.4%28373
Alaska Native peopleNorton Sound4.4%2.5%7.9%37507
Alaska Native peopleSoutheast11.0%8.1%14.8%100978
Alaska Native peopleYukon-Kuskokwim3.3%2.1%5.4%481,334

Data Notes

Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. Centers for Disease Control and Prevention. Diabetes Report Card 2014. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2015. [https://www.cdc.gov/diabetes/pdfs/library/diabetesreportcard2014.pdf] 2. DeSisto CL, Kim SY, Sharma AJ. Prevalence estimates of gestational diabetes mellitus in the United States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2007-2010. Prev Chronic Dis. 2014;11:130415. doi: 10.5888/pcd11.130415 3. Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2017. Atlanta, GA: U.S. Department of Health and Human Services; 2017.[https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf] 4. Diabetes Research Institute Foundation. What is diabetes? [https://www.diabetesresearch.org/what-is-diabetes]. Accessed September 12, 2017. 5. The American Diabetes Association. The cost of diabetes. [http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html]. Accessed September 12,2017. 6. Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the U.S. adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Population Health Metrics 2010;8(29). doi: 10.1186/1478-7954-8-29 7. Wareham NJ, O'Rahilly S. The changing classification and diagnosis of diabetes: new classification is based on pathogenesis, not insulin dependence. BMJ. 1998; 317(7155):359-360. 8. Sui AL, on behalf of the U.S. Preventive Services Task Force. Screening for abnormal blood glucose and type 2 diabetes mellitus: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015; 163: 861-868. doi: 10.7326/M15-2345 9. Knowler WC, Fowler SE, Hamman RF, et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet 2009;374(9702):1677-86. doi:10.1016/S0140-6736(09)61457-4 10. Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24(6):1069-1078. doi:10.2337/diacare.24.6.1069 '''Resources:''' American Diabetes Association (ADA). [http://www.diabetes.org/] American Association of Diabetes Educators (AADE). [https://www.diabeteseducator.org/] For more information, contact the Alaska Diabetes Prevention and Control Program at http://www.diabetes.alaska.gov, 907-269-8035, diabetes@alaska.gov

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 08/17/2017, Published on 09/21/2017
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 July 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Thu, 21 Sep 2017 10:20:02 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 15 July 2018 13:11:41 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Thu, 21 Sep 2017 10:20:02 AKDT