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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of adults with diabetes using insulin who monitor their blood sugar daily — D‑07 Data

National Status: Little or no detectable change

  
Learn more about our data release schedule

Most Recent Data:
87.6 percent (2021) *

National Target:
94.4 percent  *

Desired Direction:
Increase desired

National Baseline:
89.0 percent of adults aged 18 years and over with diagnosed diabetes using insulin performed self-monitoring of blood glucose at least once daily in 2017 *

* Age adjusted to the year 2000 standard population.

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Total
89.0
CI 88.0 / 90.0
SE 0.987
84.8
CI 82.8 / 86.6
SE 1.953
86.5
CI 84.7 / 88.2
SE 1.808
89.0
CI 87.6 / 90.4
SE 1.414
87.6
CI 86.2 / 88.9
SE 1.356

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Sex in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Male
89.2
CI 87.9 / 90.3
SE 1.124
82.7
CI 79.1 / 85.9
SE 3.332
89.5
CI 88.1 / 90.7
SE 1.212
88.2
CI 85.9 / 90.2
SE 2.150
86.8
CI 85.1 / 88.4
SE 1.588
Female
88.9
CI 87.3 / 90.3
SE 1.602
86.6
CI 84.5 / 88.5
SE 2.130
83.9
CI 81.0 / 86.6
SE 3.075
90.0
CI 88.1 / 91.7
SE 1.737
88.6
CI 86.3 / 90.6
SE 2.226

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Race/Ethnicity in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
American Indian or Alaska Native only
93.0
CI 89.7 / 95.5
SE 1.360
DSU
79.4
CI 70.3 / 86.7
SE 7.688
99.1
CI 96.6 / 99.9
SE 0.462
84.5
CI 79.0 / 89.1
SE 3.795
Asian only
83.7
CI 71.2 / 92.3
SE 5.993
DSU
DSU
DSU
76.6
CI 59.8 / 88.9
SE 8.410
Native Hawaiian or Other Pacific Islander only
DSU
DSU
DSU
DSU
DSU
Black or African American only
85.7
CI 83.1 / 88.1
SE 2.756
82.5
CI 78.7 / 85.9
SE 3.579
87.9
CI 85.5 / 90.1
SE 2.042
92.5
CI 90.1 / 94.4
SE 2.000
87.1
CI 84.1 / 89.7
SE 2.493
White only
91.4
CI 90.2 / 92.5
SE 1.095
86.5
CI 84.1 / 88.6
SE 2.424
89.0
CI 87.1 / 90.7
SE 1.957
86.9
CI 84.8 / 88.7
SE 2.137
88.3
CI 86.4 / 89.9
SE 1.834
2 or more races
84.7
CI 78.0 / 90.0
SE 5.802
95.46
CI 87.8 / 98.9
SE 1.712
94.2
CI 90.0 / 97.1
SE 2.626
88.76
CI 72.1 / 97.2
SE 6.645
78.6
CI 63.2 / 89.8
SE 10.444
Hispanic or Latino
85.1
CI 81.1 / 88.5
SE 2.454
82.8
CI 74.5 / 89.2
SE 5.222
77.7
CI 69.1 / 84.9
SE 5.958
90.8
CI 83.6 / 95.5
SE 3.875
81.9
CI 74.6 / 87.9
SE 5.175
Not Hispanic or Latino
90.0
CI 89.0 / 91.0
SE 1.070
85.2
CI 83.2 / 87.1
SE 2.041
89.4
CI 88.4 / 90.3
SE 1.011
89.1
CI 87.5 / 90.5
SE 1.529
88.9
CI 87.7 / 89.9
SE 1.094
American Indian or Alaska Native only, not Hispanic or Latino
93.7
CI 90.9 / 95.8
SE 1.384
96.06
CI 88.8 / 99.1
SE 1.458
73.8
CI 63.9 / 82.2
SE 9.538
99.1
CI 96.6 / 99.9
SE 0.463
81.1
CI 74.5 / 86.7
SE 4.966
Asian only, not Hispanic or Latino
82.2
CI 68.7 / 91.6
SE 6.727
DSU
DSU
DSU
DSU
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
DSU
DSU
DSU
DSU
DSU
Black or African American only, not Hispanic or Latino
86.9
CI 84.3 / 89.2
SE 2.744
83.5
CI 79.6 / 86.8
SE 3.649
87.8
CI 85.3 / 89.9
SE 2.073
91.9
CI 89.4 / 93.9
SE 2.188
88.1
CI 85.2 / 90.5
SE 2.299
White only, not Hispanic or Latino
91.7
CI 90.5 / 92.8
SE 1.207
84.8
CI 82.2 / 87.2
SE 2.791
90.9
CI 90.0 / 91.8
SE 1.023
87.4
CI 85.3 / 89.3
SE 2.158
90.1
CI 88.8 / 91.2
SE 1.240
2 or more races, not Hispanic or Latino
87.5
CI 82.0 / 91.8
SE 4.692
96.56
CI 90.3 / 99.2
SE 1.408
95.86
CI 88.0 / 99.1
SE 1.542
90.06
CI 80.9 / 95.7
SE 4.555
DSU

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Age group in All reporting States, 2017-2021 # † ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
18-44 years
90.2
CI 86.4 / 93.2
SE 1.670
85.5
CI 77.2 / 91.6
SE 3.470
86.4
CI 78.6 / 92.2
SE 3.273
89.7
CI 83.7 / 94.0
SE 2.479
87.0
CI 81.3 / 91.5
SE 2.469
18-24 years
95.96
CI 89.2 / 99.0
SE 2.144
DSU
97.56
CI 91.1 / 99.7
SE 1.449
DSU
93.06
CI 81.9 / 98.3
SE 3.141
25-44 years
89.1
CI 84.7 / 92.6
SE 1.936
86.6
CI 78.8 / 92.3
SE 3.238
84.8
CI 76.0 / 91.4
SE 3.696
88.2
CI 81.5 / 93.2
SE 2.797
86.4
CI 80.1 / 91.3
SE 2.707
45-64 years
87.1
CI 84.2 / 89.6
SE 1.346
83.4
CI 78.9 / 87.3
SE 2.063
86.4
CI 83.6 / 88.9
SE 1.318
87.1
CI 83.6 / 90.2
SE 1.617
87.3
CI 85.0 / 89.4
SE 1.091
45-54 years
85.4
CI 79.0 / 90.5
SE 2.773
87.6
CI 80.6 / 92.7
SE 2.885
85.9
CI 81.3 / 89.8
SE 2.085
89.2
CI 82.8 / 93.9
SE 2.638
87.5
CI 83.7 / 90.6
SE 1.706
55-64 years
88.2
CI 85.6 / 90.4
SE 1.206
81.0
CI 75.1 / 86.0
SE 2.687
86.7
CI 82.9 / 89.9
SE 1.703
86.2
CI 81.7 / 89.9
SE 2.018
87.2
CI 84.1 / 89.9
SE 1.414
65 years and over
88.9
CI 86.8 / 90.7
SE 0.959
85.2
CI 82.6 / 87.5
SE 1.239
87.1
CI 82.9 / 90.5
SE 1.865
90.4
CI 87.9 / 92.5
SE 1.135
90.1
CI 88.6 / 91.5
SE 0.733
65-74 years
88.5
CI 85.8 / 90.8
SE 1.243
83.7
CI 80.0 / 86.9
SE 1.707
86.8
CI 81.2 / 91.2
SE 2.428
90.1
CI 86.6 / 92.9
SE 1.536
89.9
CI 87.8 / 91.8
SE 0.984
75 years and over
89.5
CI 86.1 / 92.2
SE 1.494
87.7
CI 84.1 / 90.7
SE 1.638
87.5
CI 80.8 / 92.6
SE 2.829
90.8
CI 87.2 / 93.7
SE 1.584
90.5
CI 88.2 / 92.5
SE 1.077

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Educational attainment (25 years and over) in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Less than High school
87.8
CI 85.4 / 89.9
SE 1.984
87.2
CI 83.3 / 90.5
SE 2.987
78.2
CI 72.5 / 83.2
SE 5.160
90.7
CI 87.1 / 93.6
SE 3.783
86.1
CI 82.2 / 89.4
SE 3.071
High school
89.0
CI 87.3 / 90.6
SE 1.579
84.5
CI 81.0 / 87.7
SE 3.655
85.5
CI 81.3 / 89.0
SE 4.281
85.2
CI 82.3 / 87.9
SE 2.682
87.7
CI 84.3 / 90.6
SE 2.988
Some college or Associate degree
87.9
CI 85.7 / 90.0
SE 2.191
81.9
CI 78.4 / 85.0
SE 3.020
90.5
CI 88.9 / 92.0
SE 1.332
88.2
CI 85.3 / 90.8
SE 2.311
87.3
CI 85.2 / 89.3
SE 1.949
4-year college degree or more
89.1
CI 87.1 / 90.9
SE 1.643
88.9
CI 86.1 / 91.3
SE 1.899
85.9
CI 82.9 / 88.5
SE 2.449
90.5
CI 86.6 / 93.6
SE 3.081
89.0
CI 86.3 / 91.2
SE 2.180

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Household income (percent poverty threshold) in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
<100
87.2
CI 82.9 / 90.8
SE 4.454
80.4
CI 69.2 / 88.9
SE 9.927
85.6
CI 77.5 / 91.6
SE 9.370
93.46
CI 81.9 / 98.6
SE 2.818
96.2
CI 93.5 / 98.1
SE 2.052
100-199
91.0
CI 89.6 / 92.2
SE 2.205
86.5
CI 83.5 / 89.1
SE 5.288
83.0
CI 79.8 / 85.9
SE 7.124
56.2
CI 50.6 / 61.8
SE 10.564
94.9
CI 90.9 / 97.4
SE 1.591
200-399
88.1
CI 85.8 / 90.1
SE 4.431
94.5
CI 91.4 / 96.7
SE 1.021
86.8
CI 84.2 / 89.2
SE 8.051
95.7
CI 92.8 / 97.6
SE 1.077
95.0
CI 93.4 / 96.3
SE 0.996
400+
91.1
CI 89.4 / 92.6
SE 1.491
81.6
CI 77.5 / 85.2
SE 3.853
83.9
CI 78.7 / 88.4
SE 5.210
82.5
CI 77.4 / 86.8
SE 4.665
88.9
CI 86.0 / 91.3
SE 2.409

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Health insurance status (18-64 years) in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Insured
89.8
CI 88.2 / 91.2
SE 1.237
87.6
CI 85.3 / 89.7
SE 1.836
91.0
CI 89.8 / 92.2
SE 0.918
90.2
CI 87.8 / 92.2
SE 1.697
88.7
CI 86.4 / 90.7
SE 1.682
Uninsured
81.5
CI 74.7 / 87.2
SE 4.028
68.4
CI 53.9 / 80.7
SE 8.748
59.4
CI 46.8 / 71.3
SE 8.437
78.0
CI 66.9 / 86.8
SE 6.370
70.3
CI 59.2 / 79.8
SE 7.102

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Geographic location in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Metropolitan
87.8
CI 86.4 / 89.2
SE 2.380
81.9
CI 78.3 / 85.2
SE 6.027
83.3
CI 81.3 / 85.1
SE 4.244
73.5
CI 69.6 / 77.3
SE 9.930
88.7
CI 85.8 / 91.2
SE 6.702
Non-metropolitan
92.6
CI 91.2 / 93.9
SE 1.746
94.5
CI 91.8 / 96.6
SE 0.932
94.5
CI 93.3 / 95.5
SE 1.497
94.8
CI 92.1 / 96.8
SE 1.025
91.0
CI 89.3 / 92.5
SE 3.136

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Marital status in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Married/​Cohabiting partner
89.2
CI 87.7 / 90.5
SE 1.331
80.3
CI 77.1 / 83.3
SE 3.451
86.5
CI 83.4 / 89.1
SE 3.062
86.0
CI 83.4 / 88.2
SE 2.580
88.2
CI 86.5 / 89.7
SE 1.637
Divorced, separated, widowed
90.2
CI 89.0 / 91.4
SE 1.931
84.7
CI 81.6 / 87.4
SE 4.470
85.5
CI 81.8 / 88.8
SE 5.646
89.5
CI 87.2 / 91.6
SE 3.141
90.6
CI 89.1 / 91.9
SE 1.856
Never married
88.3
CI 84.9 / 91.1
SE 1.898
88.8
CI 83.2 / 93.0
SE 2.209
88.3
CI 85.5 / 90.7
SE 1.657
92.3
CI 88.6 / 95.1
SE 1.760
84.2
CI 78.4 / 89.0
SE 3.108

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Country of birth in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Country of birth
DNC
DNC
DNC
DNC
DNC

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Veteran status (20 years and over) in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Veteran
84.9
CI 83.0 / 86.6
SE 4.147
88.6
CI 86.2 / 90.8
SE 3.597
87.9
CI 85.7 / 89.9
SE 4.325
90.2
CI 87.9 / 92.1
SE 3.909
84.3
CI 81.9 / 86.5
SE 4.769
Non-veteran
88.7
CI 87.6 / 89.8
SE 1.052
83.9
CI 81.6 / 86.1
SE 2.112
86.1
CI 84.0 / 88.0
SE 1.939
88.8
CI 87.1 / 90.4
SE 1.458
87.6
CI 86.0 / 89.1
SE 1.404

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Disability status in All reporting States, 2017-2021 # * ◊  7
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
People with disabilities
90.7
CI 89.6 / 91.7
SE 1.317
86.9
CI 84.3 / 89.1
SE 2.876
85.7
CI 83.1 / 87.9
SE 3.370
89.8
CI 87.9 / 91.5
SE 2.292
87.9
CI 86.4 / 89.3
SE 1.782
People without disabilities
86.5
CI 84.4 / 88.4
SE 1.611
82.1
CI 78.5 / 85.3
SE 2.842
86.7
CI 83.7 / 89.3
SE 2.214
87.5
CI 84.9 / 89.9
SE 1.962
87.5
CI 84.8 / 89.9
SE 2.069

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Sexual orientation in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Sexual orientation
DNA
DNA
DNA
DNA
DNA

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Gender identity in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
Gender identity
DNA
DNA
DNA
DNA
DNA

Self-monitoring of blood glucose at least once daily among adults with diagnosed diabetes using insulin by Obesity status in All reporting States, 2017-2021 # * ◊
(percent)
Increase desired

Population 20171 20182 20193 20204 20215
With obesity
88.5
CI 87.0 / 90.0
SE 1.723
86.1
CI 83.9 / 88.0
SE 2.082
87.3
CI 85.0 / 89.3
SE 2.400
89.2
CI 87.0 / 91.1
SE 1.993
88.0
CI 86.5 / 89.4
SE 1.468
Without obesity
88.9
CI 87.2 / 90.5
SE 1.327
82.2
CI 78.4 / 85.6
SE 3.697
87.0
CI 83.7 / 89.9
SE 2.968
89.3
CI 86.9 / 91.5
SE 2.294
90.5
CI 88.8 / 92.1
SE 1.459

Disparity