Diabetes and American Indians/Alaska Natives

Diabetes is a long-term condition that affects how your body uses food for energy. When you eat, your body turns much of that food into sugar (glucose), which enters your blood. This increase in blood sugar causes an internal organ called the pancreas to release insulin, a hormone that helps move sugar from your blood into your cells so your body can use it for energy.

If you have diabetes, your body does not make enough insulin or cannot use it properly. This causes too much sugar to stay in your blood. Over time, high blood sugar can lead to serious health problems, such as heart disease, vision loss, and kidney disease. The three main types of diabetes are type 1, type 2, and gestational diabetes, which happens during pregnancy. Keeping a healthy weight, eating healthy foods, and staying physically active can help prevent and manage diabetes and may improve symptoms of type 2 diabetes.

Occurrence

Adults ages 18 and over with diagnosed diabetes, percentage, 2024
AI/ANTotal PopulationRatio (AI/AN* / Total)
13.610.01.36
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults: Percentage of diagnosed diabetes for adults aged 18 and over, United States, 2024. U.S. Department of Health and Human Services.

Mortality

Diabetes mortality, age-adjusted rate per 100,000 population, 2022
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male55.130.51.81
Female40.818.82.17
Both Sexes47.724.11.98
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4, Table 11). U.S. Department of Health and Human Services.

Health Care Use

Adults ages 18 and over with diagnosed diabetes who received an annual eye examination in the calendar year, percentage, 2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
83.766.01.27
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). National Health Interview Survey, Healthy People 2030: Annual eye examinations among adults with diagnosed diabetes by race/ethnicity, 2019–2023. U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.


Date Last Reviewed: January 2026