Diabetes is an important health condition for the aging population; at least 20% of patients over the age of 65 years have diabetes, and this number can be expected to grow rapidly in the coming decades. As the number of elderly people is increasing in Korea, the prevalence of diabetes is also increasing. Diabetes Self-Management education (DSME) is another important element of care for older adults with Diabetes and family members and their caregivers. In chronic illnesses such as diabetes, day-to-day care responsibilities fall mostly on patients. However, when patients are unable to assume full responsibility for their self-care, family members, friends, or other caregivers may need to be involved. As educators, it is important to be aware of current Diabetes Self-Management education(DSME) guidelines for older adults and how these guidelines can be incorporated in a clinical setting. Older individuals with diabetes have higher rates of premature death, functional disability, and coexisting illnesses such as hypertension, CHD, and stroke than those without diabetes. Older adults with diabetes are also at greater risk than other older adults for several common geriatric syndromes, such as polypharmacy, depression, cognitive impairment, urinary incontinence, injurious falls, and persistent pain. Optimal care for older adults includes individualized DSME that accommodates the clinical and functional variables found within this population. It is important when prioritizing treatment goals to take patients' quality of life into consideration. AADE was recommended as follows. The full spectrum of treatment strategies should be used with older persons just as they are for younger persons while considering the person's preferences and quality-of-life issues. Adequate time for education, considering the unique needs of the older person with diabetes, should be made available and reimbursed by third-party payers. Long-term care facilities with a more home-like environment are desirable, allowing flexibility with mealtimes, liberalized diets, and improved quality of life. Education for the resident, staff, and family members is needed as more facilities move toward this type of setting. Screening for common geriatric conditions that have a significant impact on health status of older adults with diabetes should be conducted regularly by the health care provider and diabetes educator.