The MODIS instruments on the Terra and Aqua spacecraft use a sunlit solar diffuser (SD), with an optional SD attenuation screen (SDS), to calibrate the reflective solar bands. A solar diffuser stability monitor (SDSM) is used to track the SD reflectance degradation on orbit, by taking a ratio of the detector response when viewing the SD compared to the response when viewing the sun. The MODIS SDSMs have been operated both with and without the SDS in place. The SDSMs have also been operated in both a fixed and an alternating mode. In the alternating mode, the SDSM detectors view the SD, sun, and a dark background in an alternating pattern with the view changing on every MODIS scan within a single orbit. In the fixed mode, the SDSM detectors are fixed on the sun view for one orbit, and then are fixed on the SD view for the following orbit. This paper reviews the history of the SDSM operational configurations used throughout the MODIS missions and discusses the differences in the SD degradation results, which may be due to differences in sun-satellite geometry, SD signal level, and stray light effects. We highlight Aqua SDSM results from two recent dates in October 2017 and July 2019, where both the fixed and alternating mode calibrations were run on the same day, providing clear examples of the calibration differences. Additionally, we show how mixing the results from calibrations done with and without the SDS for Aqua MODIS can provide more stable results.