Figure 5 shows 2 maps of the United States from the Centers for Disease Control and Prevention (CDC).[3] The upper map shows the color-coded distributions of age adjusted percentages of adults with obesity across the United States and the lower map shows the same distributions for adults diagnosed with diabetes, for the years 1994, 2000, and 2009.  While there is a pronounced geographic distribution, the most significant difference is that the rates of both obesity and diabetes have greatly increased throughout the entire United States, with the Northwest generally having the lowest risk of both obesity and diabetes across all 3 time intervals.  By 2009 there are a large number of states, especially in the Southeast, with >9% of the population having diabetes, and in the rest of the United States the rate is somewhere between 6% and 9% of the population.  Harms D. J Nurse Pract. 2014; 00:00 – 00.