More than 25% of the U.S. population aged $65 years has diabetes, and the aging of the overall population is a significant driver of the diabetes epidemic. Although the burden of diabetes is often described in terms of its impact on working-age adults, diabetes in older adults is linked to highermortality, reduced functional status, and increased risk of institutionalization. Older adults with diabetes are at substantial risk for both acute and chronic microvascular and cardiovascular complications of the disease.