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SD β€” Rank #39 NationallyMedicaid Not Expanded

Diabetes in South Dakota: Statistics, Supplies & Coverage Guide

68,850 South Dakota adults are diagnosed with diabetes β€” 10.2% of the adult population, ranking #39 nationally. This guide covers diabetes statistics, insurance coverage, climate considerations, and where to get FSA/HSA eligible supplies.

10.2%
Diagnosed rate
Rank #39
68,850+
Diagnosed
adults
202,000+
Prediabetes
at risk
19,100+
Undiagnosed
don't know yet
$1.0B
Annual cost
healthcare
MDS Diabetes ships to South DakotaFSA/HSA eligible Β· Free shipping on $60+ Β· Same day shipping
Shop Now β†’

South Dakota Diabetes Rate vs National Average

South Dakota10.2%
National Average12%
Highest (WV)18.2%
Lowest (CO)8.1%
Source: CDC BRFSS 2024 Β· Diagnosed diabetes among adults 18+
Type 1 Diabetes
3,442
~5% of diagnosed
Autoimmune β€” requires insulin therapy. CGM is essential for Type 1 management.
Type 2 Diabetes
65,408
~95% of diagnosed
Metabolic β€” managed with lifestyle, oral meds, or insulin. CGM increasingly recommended.
⚠️ Prediabetes in South Dakota: 202,000+ People
An estimated 202,000 South Dakota 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 Dakota Diabetes Risk Factors

βš–οΈ
Adult Obesity Rate
33.6%
National: 33.9%
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Physical Inactivity
25.7%
National: 25.3%
Above national average
❓
Undiagnosed Diabetics
19,100
National: 27.6% undiagnosed
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Annual Hospitalizations
4,680
National: Diabetes-related

South Dakota has not expanded Medicaid. Native American communities on reservations have significantly higher diabetes rates.

South Dakota Climate & Diabetes Supply Impact

🌀️ Seasonal Risk: Extreme cold winters, hot summers, severe weather
South Dakota presents both heat and cold challenges depending on season and region. Summer heat threatens insulin with temperatures potentially exceeding safe storage limits, while winter cold risks freezing insulin and reducing CGM sensor performance. Year-round supply management awareness is essential.
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 Dakota Diabetes Insurance Coverage

❌
Medicaid Expansion: NO β€” Not Expanded
South Dakota 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 Dakota: 31,000+ 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†’
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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%
6
SC
14.9%
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 Dakota Cities

Whether you live in Sioux Falls, Rapid City, Aberdeen, or any of South Dakota's 66 counties, MDS Diabetes ships FSA/HSA eligible diabetes supplies directly to your door β€” free shipping on orders over $60.

Sioux FallsRapid CityAberdeenBrookingsWatertownMitchellYanktonPierre

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