Section 3 “Initial Evaluation and Diabetes Management Planning” and Section 4 “Foundations of Care: Education, Nutrition,
Physical Activity, Smoking Cessation, Psychosocial Care, and Immunization” from the 2015 Standards were combined into one section for 2016 to reflect the importance of integrating medical evaluation, patient engagement, and ongoing care that highlight the importance of lifestyle and behavioral modification. The nutrition and vaccination recommendations were streamlined to focus on those aspects of care most important and most relevant to people with diabetes.