We know that diabetes is an important risk factor for severe COVID-19. However, we know less about other risk factors in people with diabetes in Mexico. Researchers recently conducted a study using public data from the Mexican Ministry of Health, including people with confirmed COVID-19 between March 1 and July 31, 2020. Researchers wanted to know which factors contributed to patients needing hospitalization and intensive care. Among 373,963 adults with COVID-19, 16% self-reported that they have diabetes. Risk was much greater if the patient also had obesity, high blood pressure, cardiovascular disease, or long-term kidney disease. Other risk factors increased the likelihood of hospitalization for patients with diabetes, such as living in a crowded house with extended family members, lack of public health resources, and isolation. These results confirm that social factors are extremely important, especially for Mexicans at the highest risk for severe COVID-19. Practicing social distancing may be difficult in these settings, especially because relatives who rely on work outside the home may increase the infection risk for elderly family members.