Figure 1. Annual Diabetes Mortality Rate (ADMR) per 100 000 People for Diabetes as Multiple Cause of Death and Underlying Cause of Death .
Unadjusted estimates included county urbanization, year, 2-way interaction term (county urbanization and year), and age standardized to the 2009-2010 population. Change points occurred at 2003-2004 and 2009-2010. Counties were classified as metro (large central metropolitan and large fringe metropolitan), medium-small (medium metropolitan and small metropolitan), and rural (micropolitan and noncore).