Trends in Prevalence of Diabetes, Pre‐Diabetes, and Cardiometabolic Risk Factor Control Among U.S. Adults, 2013–2023
Main finding · Age-adjusted prevalence of total diabetesResult — go to the resultPrevalence ratio (PR) 1.07 95% CI 0.90–1.26Authors' conclusion
While the prevalence of diabetes has stabilized over the last decade, the rise in pre-diabetes signals a growing population at risk for future cardiometabolic and kidney disease.
Study context
- Population
- U.S. adults age ≥20 years participating in National Health and Nutrition Examination Survey (NHANES) 2013–20234 survey cycles
- Participants
- 24,230 participants
- Exposure
- 2021–2023 vs 2013–2014 survey cycles
- Outcome
- Age-adjusted prevalence and trends in prevalence of dysglycemia (pre-diabetes, undiagnosed, diagnosed and total diabetes)
Methodological detailsNHANES 2013–2023, age-standardized, 4 survey cycles
- NHANES 2013–2023
- Age-standardized
- 4 survey cycles
Main finding
Age-adjusted prevalence of total diabetes
Prevalence ratio (PR)
1.07
95% CI 0.90–1.26
P = 0.47 for trend
By group
2021-2023vs 2013-2014
prevalence ratio (PR) 1.07 (95% CI 0.90–1.26); P for trend = 0.47
As reported in the abstract
- Participants with diabetes (3826 diagnosed/958 undiagnosed)
- 4784
Observational data: associations, not effects.
Further findings
| Outcome | 2013-2014 | 2021-2023 | PR (CI) | P value | |
|---|---|---|---|---|---|
| Age-adjusted prevalence of pre-diabetes | 26.4% (CI 23.7%–29.1%) | 30.7% (CI 28.4%–33.0%) | 1.12 (1.02–1.23) | P for trend = 0.04 | |
| 0.512Prevalence ratio (log scale) |
- Age-adjusted prevalence of pre-diabetes — Participants with pre-diabetes
- 6773
Original publication
Trends in Prevalence of Diabetes, Pre‐Diabetes, and Cardiometabolic Risk Factor Control Among U.S. Adults, 2013–2023. Diabetes Obes Metab. Published 3 July 2026. doi:10.
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