Mercado CI, Bullard KM, Gregg EW, et al. - Researchers conducted the study for analyzing changes in and the associations between diabetes management and rural and urban residence. They examined poor ABCS using data from the National Health and Nutrition Examination Survey (1999–2018) from 6,372 adults aged ≥ 18 years with self-reported diagnosed diabetes: A1C > 9% (> 75 mmol/mol), blood pressure ≥ 140/90 mmHg, cholesterol (non-HDL) ≥ 160 mg/dL (≥ 4.1 mmol/L), and current smoking. Between 1999 and 2018, the proportion of US adults with diabetes who lived in rural areas ranged between 15% and 19.5%. Over the last two decades, rural adults with diabetes in the United States have seen less improvement in blood pressure and cholesterol control. Furthermore, rural-urban differences exist across sociodemographic groups, implying that efforts to close this gap may require addressing both socioeconomic and clinical aspects of care.