Rodriguez F, et al. - Using a multiple-cause of death approach (underlying and contributing cause of death [COD]), researchers described the burden of diabetes deaths and found temporal changes in co-reported causes of death in those with diabetes listed anywhere on their death records. From 2003 to 2016, COD were identified using data from the National Center for Health Statistics. Among 34,313,964 decedents (aged ≥25) from 2003 to 2016, cardiovascular disease continued to be the leading COD in diabetes-related deaths, although its proportion of deaths fell over time from 31 to 27%. Co-reported COD diversified and included hypertension and hypertensive renal disease in their death records among people with diabetes. The results highlighted the importance of using a multiple-cause-of-death approach to characterize the contribution of diabetes to mortality more fully.