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. 2020 Apr 19;8(1):e001218. doi: 10.1136/bmjdrc-2020-001218

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© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Trends in age-adjusted prevalence of diagnosed diabetes among American Indian and Alaska Native adults aged 18 years and older in the Indian Health Service active clinical population by geographic region, 2006–2017. Notes: Y-axis does not start at 0. Data are from the Indian Health Service National Data Warehouse. Diabetes diagnosis determined by at least two encounters with a diabetes diagnosis code during the relevant year. See online supplementary table 2 for analysis of these data using JoinPoint Trend Analysis Software.