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. 2025 Aug 7;10:e78001. doi: 10.2196/78001

Table 6. Diabetes mellitus– and pneumonia-related age-adjusted mortality rates per 1,000,000, stratified by census region in the United States, 1999 to 2022.

Year Northeast, age-adjusted rate (95% CI) Midwest, age-adjusted rate (95% CI) South, age-adjusted rate (95% CI) West, age-adjusted rate (95% CI)
1999 90.91 (87.86‐93.96) 102.43 (99.38‐105.47) 92.78 (90.37‐95.19) 112.87 (109.33‐116.41)
2000 91.78 (88.73‐94.83) 94.04 (91.13‐96.94) 92.16 (89.78‐94.54) 108.30 (104.86‐111.73)
2001 85.79 (82.86‐88.71) 90.63 (87.79‐93.46) 90.67 (88.33‐93.02) 109.68 (106.27‐113.09)
2002 88.35 (85.40‐91.31) 96.13 (93.22‐99.04) 94.49 (92.11‐96.87) 108.47 (105.11‐111.82)
2003 84.25 (81.38‐87.13) 94.12 (91.26‐96.98) 90.91 (88.59‐93.22) 109.31 (105.98‐112.63)
2004 78.26 (75.50‐81.02) 90.11 (87.32‐92.90) 84.41 (82.21‐86.62) 102.05 (98.86‐105.24)
2005 79.82 (77.05‐82.59) 95.19 (92.34‐98.04) 87.53 (85.31‐89.76) 106.69 (103.48‐109.90)
2006 74.15 (71.50‐76.81) 87.82 (85.10‐90.55) 81.50 (79.38‐83.62) 100.67 (97.58‐103.76)
2007 68.48 (65.93‐71.03) 83.68 (81.05‐86.31) 78.02 (75.97‐80.08) 93.13 (90.20‐96.06)
2008 58.36 (56.03‐60.70) 71.57 (69.15‐73.99) 66.23 (64.36‐68.11) 82.67 (79.94‐85.40)
2009 52.10 (49.90‐54.30) 64.44 (62.16‐66.73) 61.98 (60.19‐63.77) 74.69 (72.13‐77.25)
2010 50.14 (48.00‐52.29) 58.43 (56.26‐60.59) 60.65 (58.89‐62.40) 69.96 (67.51‐72.41)
2011 53.66 (51.46‐55.86) 62.75 (60.52‐64.98) 57.56 (55.87‐59.24) 72.96 (70.49‐75.42)
2012 47.99 (45.92‐50.05) 55.36 (53.29‐57.43) 56.00 (54.36‐57.64) 64.31 (62.02‐66.59)
2013 48.51 (46.44‐50.57) 54.35 (52.31‐56.40) 56.96 (55.33‐58.59) 64.72 (62.47‐66.98)
2014 46.46 (44.44‐48.48) 50.81 (48.84‐52.77) 53.37 (51.81‐54.92) 55.97 (53.90‐58.04)
2015 46.78 (44.76‐48.79) 50.74 (48.79‐52.68) 52.42 (50.90‐53.94) 57.05 (54.99‐59.11)
2016 41.72 (39.83‐43.61) 46.14 (44.30‐47.99) 50.89 (49.41‐52.38) 55.31 (53.30‐57.31)
2017 41.19 (39.34‐43.04) 46.46 (44.63‐48.30) 52.08 (50.60‐53.56) 59.73 (57.68‐61.78)
2018 43.97 (42.06‐45.87) 49.82 (47.93‐51.71) 54.83 (53.32‐56.33) 58.20 (56.20‐60.19)
2019 41.30 (39.47‐43.13) 42.20 (40.48‐43.92) 50.40 (48.97‐51.82) 52.57 (50.69‐54.45)
2020 134.73 (131.42‐138.04) 146.56 (143.36‐149.76) 172.03 (169.44‐174.62) 169.59 (166.25‐172.92)
2021 96.86 (94.04‐99.69) 149.58 (146.27‐152.88) 215.70 (212.74‐218.66) 228.36 (224.42‐232.31)
2022 65.95 (63.66‐68.23) 88.47 (85.98‐90.96) 109.85 (107.80‐111.91) 111.59 (108.89‐114.29)
Total 69.60 (69.07‐70.13) 80.06 (79.51‐80.61) 81.78 (81.35‐82.21) 93.04 (92.43‐93.65)