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SC β€” Rank #6 NationallyDiabetes Belt StateMedicaid Not Expanded

Diabetes in South Carolina: Statistics, Supplies & Coverage Guide

591,530 South Carolina adults are diagnosed with diabetes β€” 14.9% of the adult population, ranking #6 nationally. This guide covers diabetes statistics, insurance coverage, climate considerations, and where to get FSA/HSA eligible supplies.

14.9%
Diagnosed rate
Rank #6
591,530+
Diagnosed
adults
1,191,000+
Prediabetes
at risk
164,300+
Undiagnosed
don't know yet
$8.3B
Annual cost
healthcare
MDS Diabetes ships to South CarolinaFSA/HSA eligible Β· Free shipping on $60+ Β· Same day shipping
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South Carolina Diabetes Rate vs National Average

South Carolina14.9%
National Average12%
Highest (WV)18.2%
Lowest (CO)8.1%
Source: CDC BRFSS 2024 Β· Diagnosed diabetes among adults 18+
Type 1 Diabetes
29,576
~5% of diagnosed
Autoimmune β€” requires insulin therapy. CGM is essential for Type 1 management.
Type 2 Diabetes
561,954
~95% of diagnosed
Metabolic β€” managed with lifestyle, oral meds, or insulin. CGM increasingly recommended.
⚠️ Prediabetes in South Carolina: 1,191,000+ People
An estimated 1,191,000 South Carolina adults have prediabetes β€” blood sugar above normal but below diabetes threshold. Without intervention, 15-30% will develop Type 2 diabetes within 5 years. Many don't know they have it. The CDC Diabetes Prevention Program can reduce risk by 58%.

South Carolina Diabetes Risk Factors

βš–οΈ
Adult Obesity Rate
35.1%
National: 33.9%
Above national average
πŸƒ
Physical Inactivity
28.4%
National: 25.3%
Above national average
❓
Undiagnosed Diabetics
164,300
National: 27.6% undiagnosed
πŸ₯
Annual Hospitalizations
40,200
National: Diabetes-related

South Carolina has NOT expanded Medicaid and has the 6th highest diabetes rate nationally. Coastal and inland heat make insulin storage essential.

South Carolina Climate & Diabetes Supply Impact

🌑️ Heat Risk: Hot humid subtropical, 90°F+ summers, mild winters, hurricane risk
Heat is the #1 enemy of insulin and diabetes supplies in South Carolina. Insulin exposed to temperatures above 86Β°F begins degrading within hours and is completely destroyed at temperatures above 104Β°F. Cars in South Carolina summer can reach 130-150Β°F inside β€” never leave insulin in a vehicle. A quality insulin cooler is not optional for South Carolina residents.
Insulin Temperature Safety Guide
Below 32Β°F (0Β°C)
Insulin FREEZES β€” permanently destroyed. Do not use frozen insulin.
36-46Β°F (2-8Β°C)
Ideal refrigerator storage for unopened insulin. Safe for months.
59-77Β°F (15-25Β°C)
Room temperature β€” opened insulin safe for 28-30 days (most brands).
Above 86Β°F (30Β°C)
Insulin begins degrading β€” effectiveness reduced within hours.
Above 104Β°F (40Β°C)
Rapid degradation. Insulin DESTROYED. Never use.

South Carolina Diabetes Insurance Coverage

❌
Medicaid Expansion: NO β€” Not Expanded
South Carolina has NOT expanded Medicaid. Many low-income adults who would qualify in expanded states do not have coverage for CGM sensors or insulin pumps. FSA/HSA accounts and direct purchase from MDS Diabetes are important alternatives.
πŸ₯
Medicare in South Carolina: 268,000+ Diabetic Enrollees
Medicare Part B covers CGM sensors (Dexcom G7, FreeStyle Libre 3) as durable medical equipment at 80% after deductible for insulin-treated diabetics. Part D covers insulin and oral medications. Prior authorization is typically required. Learn more at our Medicare Coverage Guide β†’
πŸ’³
FSA & HSA β€” Works in All 50 States
Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) can be used to purchase insulin coolers, CGM overpatches, medical alert ID, test strips, glucose meters, and more at MDS Diabetes β€” regardless of state Medicaid expansion status. FSA funds expire December 31. See full FSA/HSA guide β†’

National Diabetes Ranking β€” Top 10 States

1
WV
18.2%
2
MS
17%
3
LA
16.1%
4
AL
15.7%
5
KY
15.5%
7
OK
14.7%
8
AR
14.5%
9
TN
14.5%
10
GA
13.2%
Source: CDC BRFSS 2024 Behavioral Risk Factor Surveillance System

MDS Diabetes Ships to All South Carolina Cities

Whether you live in Columbia, Charleston, North Charleston, or any of South Carolina's 46 counties, MDS Diabetes ships FSA/HSA eligible diabetes supplies directly to your door β€” free shipping on orders over $60.

ColumbiaCharlestonNorth CharlestonMount PleasantRock HillGreenvilleSummervilleGoose Creek

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