Background: Diabetes is a common chronic health problem with a global concern. As the aging of populations is rising, the greatest risk of diabetes is estimated to occur in the older population. Geriatric conditions (GCs) occur in higher proportions in elderly individuals with diabetes, leading to poor quality of life, higher morbidity and mortality . Aim: To describe the association between diabetes and geriatric conditions and its effect on quality of life in older adults. Methods: a cross -sectional, observational study was conducted in the geriatric department at Ain Shams University hospital. Patients with ≥ 60 years of age were included. Reported GCs included urinary incontinence (UI), falls, visual impairment (VI), hearing impairment (HI), constipation and polypharmacy. Assessment of functional status was done using activities of daily living (ADL) and instrumental activities of daily living (IADL). The quality of life (QOL) Short form 12 Questionnaire (SF12) was used to assess QOL. Results: A total of 244 patients were included; more than half were females with a mean age of 68 years. Risk of overall GCs (UI, falls, VI, HI, polypharmacy and constipation) was significantly higher among elderly diabetics than non-diabetics. Participants with DM had significa ntly poorer quality of life than those without. Conclusion: DM was associated with increased risk for GCs and lower quality of life.