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Diabetes in America

June 2026

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Diabetes in America is the NIDDK’s compilation and assessment of epidemiologic, public health, clinical research, and clinical trial data focused on diabetes, its complications and treatment, health care utilization, and diabetes prevention in the United States. These data are intended to be a valuable resource for the research community, clinicians, policy makers, and individuals with diabetes, as well as their caregivers and family members.

There have been three printed editions of Diabetes in America. It was first published in 1984; the second and third editions were published in 1995 and 2018, respectively. The third edition is also available on the National Center for Biotechnology Information, National Library of Medicine’s (NLM) Bookshelf , which expands access to the scientific community through its link to PubMed® .

Diabetes in America has been migrated to an exclusively digital format. Each updated or new article will be available in this Report and on NLM’s Bookshelf. It will also be indexed in PubMed. This was done to remain dynamic as scientific knowledge related to diabetes advances.

Diabetes in America is organized into four broad topic areas.

  • Section I: Spectrum of Diabetes . Provides descriptive epidemiology of diabetes in the United States based on national surveys and community-based studies, including prevalence estimates and incidence rates; sociodemographic, metabolic, and lifestyle characteristics; risk factors for developing diabetes; and unique aspects of diabetes in selected populations.
  • Section II: Complications of Diabetes and Related Conditions . Reviews the complications that affect people with diabetes, including mortality.
  • Section III: Medical Care for Diabetes . Describes diabetes medication use and self-care practices, health care utilization, and quality of care; and economic aspects including health insurance and health care costs for people with diabetes.
  • Section IV: Prevention of Diabetes . Presents the results of clinical trials and other intervention studies that focus on the prevention of diabetes.

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Diabetes in America

Table of Contents

Editors:
Jean M. Lawrence, ScD, MPH, MSSA, Sarah Stark Casagrande, PhD, William H. Herman, MD, Deborah J. Wexler, MD, and William T. Cefalu, MD.

Section I: Spectrum of Diabetes

Diabetes in Children and Adolescents—2025

Barbara H. Braffett, PhD, Tessa Crume, PhD, Petter Bjornstad, MD, and Dana Dabelea, MD, PhD

PMID: 41428835


Diabetes in Older Adults—2026

Lauren M. Mitchell, MD, MS, Megan Huisingh-Scheetz, MD, MPH, and Elbert S. Huang, MD, MPH

PMID: 42160656


Genetics of Type 1 Diabetes—2023

Maria J. Redondo, MD, PhD, MPH, Suna Onengut-Gumuscu, PhD, and Kyle J. Gaulton, PhD

PMID: 38117927


Genetics of Type 2 Diabetes—2023

Raymond J. Kreienkamp, MD, PhD, Benjamin F. Voight, PhD, Anna L. Gloyn, DPhil, and Miriam S. Udler, MD, PhD

PMID: 38117926


Monogenic Forms of Diabetes—2023

Maria V. Salguero, MD, MSc, Marilyn Arosemena, MD, Toni Pollin, PhD, Siri Atma W. Greeley, MD, PhD, Rochelle N. Naylor, MD, Lisa Letourneau-Freiberg, MPH, RD, Tiana L. Bowden, Diane Wei, and Louis H. Philipson, MD, PhD
PMID: 38117925


Prevalence and Incidence of Type 1 Diabetes Among Children and Adults in the United States and Comparison With Other Countries—2025

Rachel G. Miller, PhD, Dianna J. Magliano, PhD, Nicholas J. Thomas, MD, and Tina Costacou, PhD

PMID: 41460978


Risk Factors for Type 1 Diabetes—2023

Lars C. Stene, PhD, Jill M. Norris, MPH, PhD, and Marian Rewers, MD, PhD
PMID: 38117928


Sociodemographic Characteristics of Youth and Adults With Diabetes—2024

Sarah S. Casagrande, PhD and Tiffany L. Gary-Webb, PhD, MHS

PMID: 39652705

Section II: Complications of Diabetes and Related Conditions

Disability and Diabetes in Adults—2024

Scott J. Pilla, MD, MHS, Mary R. Rooney, PhD, MPH, and Rozalina G. McCoy, MD, MS

PMID: 39652706


Heart Disease and Diabetes—2023

Rita R. Kalyani, MD, MHS, Brendan M. Everett, MD, MPH, Leigh Perreault, MD, and Erin D. Michos, MD, MHS
PMID: 38117924


Infections Associated With Diabetes—2026

Leonard E. Egede, MD, MS, Rebekah J. Walker, PhD, Jennifer A. Campbell, PhD, MPH, Surksha Sirichand, MBBS, Angad Singh Gill, MBBS, Zachary B. Wikerd, MD, Mahmoud Ismail, MD, and Obinna Ekwunife, PhD
PMID: 41812007


Kidney Disease and Diabetes—2024

Meda E. Pavkov, MD, PhD, Alain K. Koyama, ScD, Petter Bjornstad, MD, and Robert G. Nelson, MD, PhD
PMID: 39571058


Liver and Gallbladder Disease in Persons With Diabetes—2026

Constance E. Ruhl, MD, PhD, Fasiha Kanwal, MD, MSHS, and Aynur Unalp-Arida, MD, PhD

PMID: 42228785


Psychosocial and Behavioral Health Among Youth and Adults With Diabetes—2025

Sarah S. Jaser, PhD, McKenzie K. Roddy, PhD, and Aislinn B. Beam, PhD

PMID: 40106652


Stroke and Diabetes in Adults—2025

Chen Chen, PhD, Wen Ye, PhD, Christopher Becker, MD, Shihchen Kuo, RPh, PhD, Lewis B. Morgenstern, MD, and Lynda D. Lisabeth, PhD

PMID: 41370623

Section III: Medical Care for Diabetes

Health Insurance and Diabetes—2023

Sarah S. Casagrande, PhD, Joohyun Park, PhD, William H. Herman, MD, MPH, and Kai McKeever Bullard, PhD
PMID: 38117923


Medication Use and Self-Care Practices in Persons With Diabetes—2024

Irl B. Hirsch, MD, Catherine Pihoker, MD, Alissa Roberts, MD, Anna Zenno, MD, and Phuc Le, PhD, MPH
PMID: 39298640


Obesity Management for the Treatment of Type 2 Diabetes—2024

Amy E. Rothberg, MD, Jamy D. Ard, MD, Kimberly A. Gudzune, MD, MPH, and William H. Herman, MD, MPH
PMID: 38696642


Quality of Care in Adults with Diabetes—2025

Jennifer H. Hwang, DO, MSc, Mohammed K. Ali, MD, MSc, MBA, and Elbert S. Huang, MD, MPH, FACP
PMID: 40063710

Section IV: Prevention of Diabetes

Prevention of Type 1 Diabetes—2024

Laura M. Jacobsen, MD, Desmond A. Schatz, MD, Kevan C. Herold, MD, and Jay S. Skyler, MD, MACP, FRCP
PMID: 38843373


Prevention of Type 2 Diabetes in Adults - 2025

Ronald T. Ackermann, MD, MPH, Kirsten S. Dorans, ScD, Taynara Formagini, PhD, MSc, and Matthew J. O’Brien, MD, MSc
PMID: 41284805

Permissions

Diabetes in America is in the public domain of the United States. You may use the work without restriction in the United States.

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