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The population of elderly people is expected to rise significantly over the coming years. The prevalence of Diabetes is also increasing in elderly. In view of co-morbidities present in elderly diabetics the approach to manage diabetes in them vary significantly from that I younger population. To facilitate better management the International Diabetic Federation has classified diabetics in to three categories. The lifestyle modification and self-management education are the cornerstones. As far as possible poly pharmacy should be avoided. Beside pharmacological therapy, a multidisciplinary and holistic approach is needed to manage diabetes in elderly.