Diabetes in Canada: An interactive report on key statistics: Risk and protective factors
Interactive data visualizations of select diabetes risk and protective factors.
- Last updated: 2025-11-20
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- Key highlights
- Risk and protective factors for diabetes
- Explore the data on risk and protective factors for diabetes
Key highlights
- Diabetesfootnote †footnote * is more common in males than females (2023–2024).
- Diabetesfootnote †footnote * is more common among individuals aged 65 years and older (2023–2024).
- Almost 2 in 3 adults aged 18 years and older living with diabetesfootnote ‡footnote * did not meet the Canadian physical activity recommendationfootnote ¤ (2020).
- Over 2 in 3 adults aged 20 years and older living with diabetesfootnote †footnote * also had hypertension or high blood pressure (2023–2024).
- Half of adults aged 18 years and older living with diabetesfootnote ‡footnote * had a body mass index (BMI)footnote ¤ classified as obese (between 2019 and 2020).
- About 1 in 5 adults aged 18 years and older living with diabetesfootnote ‡footnote * also had sleep apneafootnote ¤ (between 2019 and 2020).
Risk and protective factors for diabetes
Risk factors for type 1 diabetes are not well understood. They include age, genetics, and certain environmental factors.
Type 2 diabetes risk factors include sociodemographic, behavioural factors, and risk conditions. A risk condition is a pre-existing condition that increases the likelihood of developing a condition or disease. Other factors that may increase the risk of type 2 diabetes are a family history of type 2 diabetes, and high waist circumference.
People who face systemic social and economic challenges are more likely to develop type 2 diabetes. Addressing complex factors beyond individual control can help reduce health inequities. Factors may include income, education, and social supports among others.
Sociodemographic factors
Diabetes prevalence varies by:
- age and sex
- educational level and household income
- immigration status
- geographical area
Behavioural factors
Access and opportunity vary for each person. They affect behaviours like healthy eating, physical activity, and smoking. Adopting health-promoting behaviours can prevent or delay type 2 diabetes and its complications.
Risk factors and conditions
Several conditions can increase the likelihood of developing type 2 diabetes. For example:
- prediabetes
- gestational diabetes
- hypertension (high blood pressure)
- a BMI classified as obesity
- sleep apnea
Explore the data on risk and protective factors for diabetes
Age and sex
The prevalence of diabetes is increasing with age. In 2023–2024, a greater proportion of individuals living with diabetesfootnote †footnote * were 65 years and older:
- 25.7% were aged 65 to 79 years
- 31.7% were aged over 80 years
Among individuals aged 1 to 19, the prevalence of diabetes was highest among those aged 15 to 19 years (0.7%).
In 2023–2024, diabetes was more common in males than females. This was true across age groups over age 35 years. Among those aged 20 to 34 years, diabetes was more common in females than males. There were no differences between sexes for individuals aged 1 to 19 years.
Education level
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- 19.6% did not complete high schoolfootnote ¤, compared to 9.1% without diabetes.
Among adults with diabetes who did not complete high school:
- there was a similar proportion of males (51.0%) and females (49.0%)
- close to half (49.2%) were aged 65 to 79 years
Income group
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- a higher proportion had a household income in the lowest quintilefootnote ¤ (26.4%) compared to those without diabetes (19.6%)
Among adults with diabetes and a household income in the two lowest quintiles:
- there was a similar proportion of males (51.8-52.2%) and females (47.8-48.2%)
- close to 60% were older than 65 years
Immigrant status
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- a greater proportion were a landed immigrant or non-permanent residentfootnote ¤ (31.5%) compared to those without diabetes (27.5%)
Among adults with diabetes who were a landed immigrant or non-permanent resident:
- there was a greater proportion of males (60.6%) than females (39.4%)
- 41.9% were aged 65 to 79 years
Geographical area
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- a higher proportion reported living in a rural areafootnote ¤ (19.3%) compared to those living without diabetes (16.4%)
Among adults with diabetesfootnote ‡footnote * living in a rural areafootnote ¤:
- there was a greater proportion of males (57.0%) than females (43.0%)
- 44.7% were aged 65 to 79 years
Physical activity
The Canadian 24-Hour Movement Guidelines recommends 150 minutes or more of moderate-to-vigorous intensity physical activity per week.
In 2020, among adults aged 18 years and older living with diabetesfootnote ‡footnote *:
- 64.4% did not meet the physical activity recommendationfootnote ¤ compared to 44.6% of those without diabetes
Among adults living with diabetes who did not meet the physical activity recommendation:
- there was a greater proportion of males (55.1%) than females (44.9%)
- 41.2% were aged 65 to 79 years
Note: For adults, the Canadian Physical Activity Guidelines (CPAG) were replaced with the 24-Hour Movement Guidelines in 2020. The physical activity recommendation within the 24-Hour Guidelines is similar to that of the CPAG (equal to 150 min or more of moderate-to-vigorous physical activity per week), with the exception that the requirement that physical activity be achieved in bouts of 10 minutes was removed. Available self-reported data within the CCHS does not permit measuring unbouted moderate-to-vigorous physical activity.
Eating fruits and vegetables
In 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- 79.2% ate fruits and vegetables less than 5 times per dayfootnote ¤ compared to 74.8% of adults without diabetes
Among adults living with diabetes who ate fruits and vegetables less than 5 times per day:
- there was a greater proportion of males (60.3%) than females (39.7%)
- 34.6% and 40.8% were aged 50 to 64 and 65 to 79 years, respectively
Smoking
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- 13.1% were smokers (daily and occasional)footnote ¤ compared to 14.9% of adults without diabetes
Among adults living with diabetes who smoked:
- there was a greater proportion of males (62.1%) than females (37.9%)
- close to half (49.3%) were aged 50 to 64 years
Prediabetes
Between 2007 and 2019, 6.3% of adults aged 20 to 79 years living in Canada had prediabetes footnote Ф. There was no significant difference in the rate of prediabetes between sexes. A greater proportion of adults with prediabetes footnote Ф were in the older age groups (50 years and older).
Gestational diabetes
In 2022, among pregnant individuals aged 10 to 65 years old:
- gestational diabetes was present in 10.7% of total hospital deliveries in Canada (excluding Quebec)
- the highest rate was observed among those aged 45 years and olderFootnote1
Hypertension
In 2023–2024, 67.4% of adults 20 years and older with diabetesfootnote †footnote * also had diagnosed hypertension (high blood pressure). Since hypertension may develop after diabetes, further estimates by sex and age group are in the Outcomes tab.
Overweight and obesity
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- 31.8% had a BMI classified as overweight (BMI between 25 and 30 kg/m2)footnote ¤ compared to 35.9% of adults without diabetes
Among adults living with diabetes who had a BMI classified as overweight:
- there was a greater proportion of males (64.2%) than females (35.8%)
- 32.2% and 43.1% were aged 50 to 64 and 65 to 79 years, respectively
Between 2019 and 2020, among adults aged 18 years and older with diabetesfootnote ‡footnote *:
- 51.2% had a BMI classified as obesefootnote ¤ (equal to 30 kg/m2 and higher), compared to 26.3% of adults without diabetes
Among adults living with diabetes who had a BMI classified as obese:
- there was a greater prorportion of males (55.1%) than females (44.9%)
- 38.5% and 37.7% were aged 50 to 64 and 65 to 79 years, respectively
Sleep apnea
Between 2019 and 2020, among adults aged 18 years and older living with diabetesfootnote ‡footnote *:
- 18.7% had sleep apneafootnote ¤, compared to 6.3% of those without diabetes
Among adults living with diabetes and sleep apnea:
- there was a greater proportion of males (64.4%) than females (35.6%)
- 40.8% and 40.2% were aged 50 to 64 and 65 to 79 years, respectively
Figure 1: Proportion (%) of aged 1 year and older , ,
Data source: ...
Figure 1: Text description
Figure 1: Notes
Definitions
- Reference *
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Types of diabetes are combined. Gestational diabetes is excluded from the estimates presented. Undiagnosed diabetes and prediabetes estimates are not considered in the calculation of the prevalence of diabetes.
- Reference †
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Diabetes (diagnosed): Individuals with at least one inpatient hospital separation or at least two physician claims within two years with an ICD-9(-CM) or ICD-10-CA code for diabetes.
- Reference ‡
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Diabetes (self-reported): Individuals who self-reported being diagnosed with diabetes by a healthcare professional.
- Reference §
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Diabetes (self-reported, measured, medication use): Individuals who self-reported being diagnosed with diabetes, took blood glucose lowering medications in the past month or had an A1C level greater or equal to 6.5%.
- Reference ¥
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Diabetes (undiagnosed): Individual who did not self-report being diagnosed with diabetes, did not take blood glucose lowering medications in the past month and had hemoglobin A1C level greater or equal to 6.5%.
- Reference Ф
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Prediabetes: Individual who did not self-report being diagnosed with diabetes, did not take blood glucose lowering medications and had hemoglobin A1C level of ≤ 6.0% and < 6.5%.
- Reference ¤
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Self-reported measures.
References
- Reference 1
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Public Health Agency of Canada. Perinatal Health Indicators Data Tool, 2024 Edition [Internet] Ottawa (ON): Public Health Agency of Canada; 2020 [cited 2024 June 10]. Available from: https://health-infobase.canada.ca/phi/data-tool/index?Dom=1
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