The easiest test to see if the sharpener has lost it's grit, is to just scrub a blade on it for a short bit, as if setting a new bevel; then wipe the hone with a clean, moistened towel or paper towel (works well with Windex) and look for the black 'swarf' coming off the hone. It's unlikely the sharpener has literally lost all it's diamond; that's rare and would take an awful lot of use under very heavy pressure.
The more likely scenario:
As Martin (HeavyHanded) mentioned, some diamond hones can clog more easily than others, with the steel from the blade essentially blanketing the surface of the diamond grit. Seems much worse with low-alloy stainless steels in particular (420/440A/kitchen stainless/etc). A good scrubbing with a stiff brush and some Comet/Ajax or Bar Keepers Friend & water will usually clean that up. Bar Keepers Friend is THE BEST at this sort of task, because the oxalic acid in BKF will literally dissolve the steel swarf. Use the BKF powder mixed to a paste consistency with water, and be sure to thoroughly rinse the hone under running water after using it.
David