Recent changes in blood pressure standards also highlights the risks of other chronic conditions, including diabetes. In South Dakota, in 2015, just over nine percent of people were diagnosed with type two diabetes, with another thirty five percent in the pre-diabetes category. Avera Health Chief Medical Officer Dr Tad Jacobs says those rates have been rising.

Jacobs says they see many cases of diabetes related issues.

Jacobs says diabetes can cause many significant health issues.

The states obesity rate is now just under thirty percent, up from eighteen percent in 2000. Obesity is directly related to the rate of diabetes.