Table 5. Diabetes mellitus– and pneumonia–related age-adjusted mortality rates per 1,000,000, stratified by urban-rural classification in the United States, 1999-2022.

Year	Metropolitan, age-adjusted rate (95% CI)	Nonmetropolitan, age-adjusted rate (95% CI)
1999	96.03 (94.42‐97.64)	110.06 (106.51‐113.60)
2000	92.97 (91.39‐94.54)	107.76 (104.27‐111.25)
2001	91.32 (89.77‐92.86)	103.06 (99.66‐106.47)
2002	92.31 (90.76‐93.85)	114.75 (111.17‐118.33)
2003	89.87 (88.36‐91.37)	112.40 (108.87‐115.93)
2004	84.59 (83.14‐86.04)	103.99 (100.61‐107.38)
2005	87.91 (86.45‐89.38)	109.42 (105.97‐112.88)
2006	82.32 (80.92‐83.73)	100.17 (96.89‐103.45)
2007	76.80 (75.45‐78.14)	97.81 (94.58‐101.03)
2008	65.55 (64.32‐66.78)	87.08 (84.05‐90.11)
2009	61.24 (60.06‐62.41)	73.47 (70.68‐76.25)
2010	57.18 (56.05‐58.30)	73.81 (71.04‐76.58)
2011	59.06 (57.93‐60.19)	72.27 (69.55‐74.99)
2012	53.62 (52.56‐54.69)	68.73 (66.10‐71.37)
2013	53.85 (52.79‐54.90)	69.63 (66.99‐72.27)
2014	49.71 (48.71‐50.71)	64.27 (61.74‐66.80)
2015	49.30 (48.31‐50.29)	66.08 (63.53‐68.62)
2016	47.14 (46.19‐48.09)	59.28 (56.88‐61.69)
2017	47.69 (46.75‐48.64)	65.58 (63.06‐68.10)
2018	49.67 (48.71‐50.62)	67.61 (65.06‐70.15)
2019	45.04 (44.14‐45.94)	60.55 (58.17‐62.94)
2020	157.81 (156.14‐159.48)	168.76 (164.77‐172.76)
Total	72.91 (72.64‐73.18)	89.34 (88.67‐90.01)