The American Diabetes Association (ADA) publishes the Standards of Medical Care in Diabetes annually, providing evidence-based recommendations for diagnosing and treating diabetes. The 2016 Standards include a grading system (A, B, C, E) to indicate the level of evidence supporting each recommendation. This abridged version focuses on primary care, emphasizing patient-centered care, the Chronic Care Model (CCM), and strategies to improve diabetes management. Key recommendations include using a patient-centered communication style, aligning care with the CCM, and supporting team-based care. Diabetes care should address cardiovascular risk factors, including blood pressure, lipid control, smoking cessation, and weight management. Care delivery systems should be organized and systematic, with a focus on patient self-management education and support. For type 2 diabetes, testing should be considered in overweight or obese adults with additional risk factors. Prediabetes management involves lifestyle changes and, if appropriate, metformin. Glycemic targets should be individualized, with A1C goals typically set at <7% for nonpregnant adults, though more stringent targets may be considered for certain patients. Blood pressure control should aim for <140/90 mmHg, with lower targets for specific patients. Lipid management includes statin therapy, lifestyle modifications, and monitoring for complications. Antiplatelet agents like aspirin may be recommended for cardiovascular risk reduction, but with caution in patients at high bleeding risk. Microvascular complications, such as diabetic kidney disease and retinopathy, require regular screening and optimal glycemic and blood pressure control. Neuropathy management includes glucose control, symptom assessment, and appropriate pharmacological treatments. Foot care is essential, with annual evaluations to identify risk factors for ulcers and amputations. For older adults, glycemic goals may be relaxed, but hyperglycemia should be avoided. Care should be individualized, considering the patient's functional status, comorbidities, and preferences. Overall, the Standards emphasize a patient-centered, comprehensive approach to diabetes care, with a focus on preventing complications and improving quality of life.The American Diabetes Association (ADA) publishes the Standards of Medical Care in Diabetes annually, providing evidence-based recommendations for diagnosing and treating diabetes. The 2016 Standards include a grading system (A, B, C, E) to indicate the level of evidence supporting each recommendation. This abridged version focuses on primary care, emphasizing patient-centered care, the Chronic Care Model (CCM), and strategies to improve diabetes management. Key recommendations include using a patient-centered communication style, aligning care with the CCM, and supporting team-based care. Diabetes care should address cardiovascular risk factors, including blood pressure, lipid control, smoking cessation, and weight management. Care delivery systems should be organized and systematic, with a focus on patient self-management education and support. For type 2 diabetes, testing should be considered in overweight or obese adults with additional risk factors. Prediabetes management involves lifestyle changes and, if appropriate, metformin. Glycemic targets should be individualized, with A1C goals typically set at <7% for nonpregnant adults, though more stringent targets may be considered for certain patients. Blood pressure control should aim for <140/90 mmHg, with lower targets for specific patients. Lipid management includes statin therapy, lifestyle modifications, and monitoring for complications. Antiplatelet agents like aspirin may be recommended for cardiovascular risk reduction, but with caution in patients at high bleeding risk. Microvascular complications, such as diabetic kidney disease and retinopathy, require regular screening and optimal glycemic and blood pressure control. Neuropathy management includes glucose control, symptom assessment, and appropriate pharmacological treatments. Foot care is essential, with annual evaluations to identify risk factors for ulcers and amputations. For older adults, glycemic goals may be relaxed, but hyperglycemia should be avoided. Care should be individualized, considering the patient's functional status, comorbidities, and preferences. Overall, the Standards emphasize a patient-centered, comprehensive approach to diabetes care, with a focus on preventing complications and improving quality of life.