This bivariate analysis revealed that a higher proportion of the older rural adults with diabetes: use insulin (27.7% vs. 25.3%), have a BMI ≥ 30 (42.8% vs. 40.7%), have not had their cholesterol checked within the past 12 months (11.5% vs. 8.6%), have not had diabetes education (69.1% vs. 64.1%), and have received less than adequate diabetes care (76.9% vs. 74.8%). Here, INS is linked to diabetes mellitus.