1. Hawaii
This is the fifth consecutive year and eighth time overall the Hawaii has held the top spot on the list. It has been among the top six states since the report began in 1990. The prevalence of diabetes in Hawaii fell 9.8 percent to 8.5 percent in the adult population last year.
Strengths: Low prevalence of obesity; low percentage of population without insurance; low rate of preventable hospitalizations.
Challenges: High prevalence of excessive drinking; high incidence of salmonella, low Tdap immunization coverage among adolescents.
