High Value Care (HVC) content has been integrated into MKSAP 17 in several important ways. MKSAP 17 now includes HVC-identified key points in the text, HVC-focused multiple choice questions, and for subscribers to MKSAP Digital, an HVC custom quiz. From the text and questions, we have generated the following list of HVC recommendations that meet the definition below of high value care and bring us closer to our goal of improving patient outcomes while conserving finite resources. Below are the High Value Care recommendations for the Endocrinology and Metabolism section of MKSAP 17. Lifestyle modifications are a cost-effective intervention that has been proven to decrease the risk of patients with predicabetes developing type 2 diabetes by 41% to 58%. The data for the role and cost-effectiveness of self-monitoring of blood glucose levels are less clear for regimens without multiple daily insulin injections and noninsulin regimens; generally this shold be avoided.