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

Reduce the proportion of adults with diabetes who have an A1c value above 9 percent — D‑03 Data

National Status: Getting worse

  
Learn more about our data release schedule

Most Recent Data:
29.4 percent (2021-23) *

National Target:
11.6 percent  *

Desired Direction:
Decrease desired

National Baseline:
18.7 percent of adults aged 18 years and over with diagnosed diabetes had an A1c value greater than 9.0 percent in 2013-16 *

* 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:

Persons with diagnosed diabetes whose A1c value is greater than 9%, 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Total
18.7
CI 16.1 / 21.6
SE 2.091
18.0
CI 14.9 / 21.4
SE 2.719
29.4
CI 25.3 / 33.7
SE 3.633

Persons with diagnosed diabetes whose A1c value is greater than 9% by Sex, 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Male
20.0
CI 15.8 / 24.8
SE 3.567
22.7
CI 18.1 / 27.8
SE 4.382
32.7
CI 27.2 / 38.5
SE 5.223
Female
17.4
CI 14.0 / 21.2
SE 2.553
12.9
CI 10.2 / 15.9
SE 1.998
25.7
CI 19.8 / 32.3
SE 5.123

Persons with diagnosed diabetes whose A1c value is greater than 9% by Race/Ethnicity, 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
American Indian or Alaska Native only
DSU
DSU
DSU
Asian only
DSU
DSU
DSU
Native Hawaiian or Other Pacific Islander only
DSU
DSU
DSU
Black or African American only
DNA
DNA
DNA
White only
DNA
DNA
DNA
2 or more races
DSU
DSU
DSU
Hispanic or Latino
28.3
CI 22.9 / 34.2
SE 4.098
26.6
CI 20.7 / 33.0
SE 4.918
32.7
CI 25.5 / 40.7
SE 5.435
Mexican American
29.1
CI 21.8 / 37.3
SE 5.176
29.7
CI 22.8 / 37.4
SE 5.228
DSU
Not Hispanic or Latino
DNA
DNA
DNA
American Indian or Alaska Native only, not Hispanic or Latino
DSU
DSU
DSU
Asian only, not Hispanic or Latino
11.0
CI 5.8 / 18.6
SE 4.216
13.7
CI 8.3 / 20.8
SE 5.196
DSU
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
DSU
DSU
DSU
Black or African American only, not Hispanic or Latino
24.3
CI 19.2 / 30.0
SE 3.805
28.9
CI 23.0 / 35.3
SE 4.909
32.4
CI 24.6 / 41.0
SE 4.844
White only, not Hispanic or Latino
11.0
CI 8.3 / 14.2
SE 2.263
13.2
CI 9.8 / 17.3
SE 3.148
25.7
CI 17.8 / 35.1
SE 8.511
2 or more races, not Hispanic or Latino
DSU
DSU
DSU

Persons with diagnosed diabetes whose A1c value is greater than 9% by Age group, 2013-16 to 2021-23 † ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
18-44 years
20.8
CI 14.0 / 29.1
SE 3.523
19.5
CI 9.5 / 33.3
SE 5.368
DSU
18-24 years
DSU
DSU
DSU
25-44 years
20.5
CI 13.8 / 28.6
SE 3.452
19.8
CI 9.6 / 34.0
SE 5.498
DSU
45-64 years
18.7
CI 14.6 / 23.3
SE 2.062
16.6
CI 12.1 / 22.0
SE 2.328
22.0
CI 17.0 / 27.8
SE 2.449
45-54 years
23.1
CI 16.2 / 31.3
SE 3.542
18.3
CI 10.3 / 29.0
SE 4.270
28.0
CI 18.7 / 38.8
SE 4.496
55-64 years
16.0
CI 10.9 / 22.2
SE 2.667
15.3
CI 8.7 / 24.3
SE 3.584
19.1
CI 13.1 / 26.5
SE 3.008
65 years and over
7.5
CI 5.1 / 10.4
SE 1.236
7.6
CI 4.7 / 11.5
SE 1.565
9.3
CI 6.6 / 12.5
SE 1.147
65-74 years
8.3
CI 5.5 / 12.0
SE 1.527
8.4
CI 4.3 / 14.6
SE 2.332
13.5
CI 9.5 / 18.4
SE 1.995
75-79 years
DSU
DSU
DSU
80 years and over
DSU
DSU
DSU

Persons with diagnosed diabetes whose A1c value is greater than 9% by Educational attainment (25 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Less than High school
21.3
CI 17.2 / 25.9
SE 3.606
19.6
CI 13.9 / 26.5
SE 4.757
26.4
CI 17.9 / 36.3
SE 7.833
High school (including GED or equivalent)
22.3
CI 18.0 / 27.2
SE 3.118
24.9
CI 18.4 / 32.3
SE 6.370
31.1
CI 22.3 / 41.0
SE 7.047
Some college or Associate degree
14.5
CI 10.5 / 19.3
SE 2.688
16.3
CI 11.3 / 22.4
SE 3.904
29.6
CI 24.1 / 35.6
SE 4.186
4-year college degree or more
18.1
CI 12.6 / 24.8
SE 4.419
DSU
15.4
CI 9.1 / 23.6
SE 7.125

Persons with diagnosed diabetes whose A1c value is greater than 9% by Family income (percent poverty guidelines), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
<100
27.2
CI 21.6 / 33.4
SE 4.152
30.4
CI 22.5 / 39.1
SE 5.901
DSU3
100-199
19.0
CI 15.1 / 23.5
SE 3.452
28.9
CI 23.2 / 35.2
SE 5.317
DSU3
200-399
17.4
CI 13.2 / 22.2
SE 3.123
16.9
CI 10.6 / 24.8
SE 5.947
DSU3
400+
14.3
CI 9.5 / 20.4
SE 3.909
10.1
CI 5.1 / 17.4
SE 4.365
DSU3

Persons with diagnosed diabetes whose A1c value is greater than 9% by Health insurance status (18-64 years), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Insured
17.3
CI 14.3 / 20.7
SE 2.145
17.8
CI 13.0 / 23.6
SE 3.644
32.9
CI 27.4 / 38.7
SE 4.102
Private
18.7
CI 14.2 / 23.9
SE 3.087
14.9
CI 10.0 / 21.0
SE 3.417
33.2
CI 24.3 / 43.0
SE 6.911
Public
14.5
CI 10.5 / 19.4
SE 3.146
26.5
CI 18.9 / 35.3
SE 6.332
33.0
CI 26.0 / 40.5
SE 4.983
Uninsured
35.3
CI 24.8 / 47.0
SE 5.942
40.0
CI 29.4 / 51.3
SE 7.347
DSU

Persons with diagnosed diabetes whose A1c value is greater than 9% by Geographic location, 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Geographic location
DNC
DNC
DNC

Persons with diagnosed diabetes whose A1c value is greater than 9% by Marital status (20 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Married/​Cohabiting partner
18.0
CI 14.7 / 21.7
SE 2.539
12.6
CI 10.0 / 15.6
SE 2.170
31.3
CI 26.4 / 36.5
SE 4.488
Divorced, separated, widowed
22.6
CI 18.7 / 27.0
SE 4.225
33.9
CI 27.5 / 40.9
SE 7.315
19.8
CI 15.5 / 24.8
SE 4.563
Never married
16.5
CI 9.3 / 26.1
SE 4.315
28.8
CI 16.7 / 43.6
SE 8.074
29.6
CI 18.7 / 42.5
SE 6.408

Persons with diagnosed diabetes whose A1c value is greater than 9% by Country of birth, 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
US
18.7
CI 15.9 / 21.6
SE 2.172
19.0
CI 14.9 / 23.6
SE 3.552
30.9
CI 26.0 / 36.1
SE 4.282
Outside US
19.1
CI 14.8 / 24.0
SE 3.382
14.7
CI 11.0 / 19.2
SE 3.348
20.0
CI 13.8 / 27.5
SE 5.967

Persons with diagnosed diabetes whose A1c value is greater than 9% by Veteran status (20 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Veteran
19.0
CI 12.3 / 27.3
SE 7.901
DNA
24.9
CI 17.5 / 33.7
SE 9.729
Non-veteran
18.6
CI 15.8 / 21.6
SE 2.095
DNA
29.7
CI 25.9 / 33.8
SE 3.198

Persons with diagnosed diabetes whose A1c value is greater than 9% by Activity limitation (20 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
With activity limitations
14.0
CI 11.3 / 17.1
SE 2.706
DNC
DNC
Without activity limitations
20.5
CI 16.8 / 24.6
SE 2.553
DNC
DNC

Persons with diagnosed diabetes whose A1c value is greater than 9% by Sexual orientation (18 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Sexual orientation (18 years and over)
DSU
DSU
DSU

Persons with diagnosed diabetes whose A1c value is greater than 9% by Gender identity (18 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
Gender identity (18 years and over)
DNC
DNC
DNC

Persons with diagnosed diabetes whose A1c value is greater than 9% by Obesity status (20 years and over), 2013-16 to 2021-23 * ◊
(percent)
Decrease desired

Population 2013-16 2017-201 2021-232
With obesity
19.3
CI 16.3 / 22.6
SE 2.152
18.9
CI 14.4 / 24.1
SE 3.675
28.6
CI 23.6 / 34.1
SE 4.144
Without obesity
17.5
CI 12.8 / 23.1
SE 4.324
12.9
CI 10.1 / 16.2
SE 2.556
32.6
CI 27.3 / 38.2
SE 5.577

Disparity