With November being National Diabetes Awareness Month and Americans collectively spending nearly $200 billion per year on obesity-related health costs, the personal-finance website WalletHub released a report on 2019's Fattest States in America.

To determine which states contribute the most to America’s overweight and obesity problem, WalletHub compared the 50 states and the District of Columbia across 29 key metrics. They range from share of overweight and obese population to sugary-beverage consumption among adolescents to obesity-related health care costs.

20 Fattest States

1. Mississippi


11. Michigan

2. West Virginia


12. Maine

3. Kentucky


13. South Carolina

4. Tennessee


14. Iowa

5. Alabama


15. Kansas

6. Oklahoma


16. Texas

7. Louisiana


17. North Carolina

8. Arkansas


18. Maryland

9. Delaware


19. Georgia

10. Ohio


20. Rhode Island

$327 Billion: Estimated cost of diabetes in the U.S. in 2017 ($237 billion in direct medical costs, $90 billion in nonmedical costs).To view the full report and your state or the District’s rank, please visit: https://wallethub.com/edu/fattest-states/16585/

Diabetes Facts & Statistics

  • $9,601: Average annual diabetes-related health care costs for patients.
  • 2.3: Number of times by which a diabetes patient’s health care costs increase.
  • 14 & 18 Years: Reduction in the average male and female type 1 diabetes patient’s life expectancy, respectively.

To view an infogographic containing diabetes statistics visit: http://wallethub.com/blog/diabetes-statistics/41253/

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