Geriatric diabetes refers to the population aged 60 or older suffering from diabetes mellitus, including those diagnosed before and after being 60 years old. The elderly with diabetes often have many other coexisting metabolism disorders, and are associated with increased levels of blood glucose, higher morbidity and mortality, and lower awareness rate, diagnosis rate and treatment rate when compared to younger diabetic patients. Therefore, clinicians should made comprehensive and overall assessment on the elderly, and develop an individualized control goal under the policy of “prudent flexibility and appropriate supervisory”. We also should focus on comprehensive management and implement a treatment strategy of safety, efficiency and modesty so as to improve the overall management for the elderly with diabetes.