Rodriguez F, et al. - In this investigation, researchers assessed the burden of diabetes deaths using a multiple-cause-of-death approach and identified temporal changes in co-reported causes of death among those with diabetes listed anywhere on their death records. Using data from the National Center for Health Statistics 2003-2016, the investigators identified cause of death (COD). The study population included 34,313,964 decedents aged ≥ 25 years from 2003-2016. According to the findings, diabetes was listed as an underlying COD underlying in approximately 3.0% and 6.7% of death records, respectively. Cardiovascular disease remained the leading underlying COD in diabetes-attributable deaths, although its proportion of deaths decreased over time from 31% to 27%. Among those with diabetes on their death records, co-reported COD diversified and were more likely to include hypertension and hypertensive renal disease. The results of this study, thus, highlighted the importance of using a multiple-cause-of-death approach to characterize the contribution of diabetes to mortality more fully.