Upgrading the standard of care for diabetes, the American Diabetes Association now recommends a stronger focus on mental health problems associated with diabetes, a lower body mass index level to qualify for bariatric surgery, and the reporting of low blood sugar levels to physicians. On Dec. 15, the association released two important reports – 2017 Standards of Medical Care in Diabetes” and a consensus report on “Differentiation of Diabetes by Pathophysiology, Natural History and Prognosis.”