Background: Egypt is listed as one of the top ten countries with people with diabetes. Moreover, percentage of elderly population is growing due to improvement of health care services. Unfortunately, there is a paucity of national data about the situation among elderly patients with type 2 diabetes (T2D). Objective: The aim of this study was to estimate the gap between recommendations of guidelines and real-world data regarding control of glycaemic state and its associated risk factors. Patents and methods: The current study was conducted on 207 patients with T2D aged 60 years and more, both males and females. Comprehensive geriatric assessment was done, and laboratory data were collected from the participants after exclusion of other types of diabetes Results: The mean age of the patients was 66.59 ± 4.36 years and 132 of participants were females. 69 % of the patients were known to have hypertension and on regular medical treatment. Furthermore, the mean glycated haemoglobin (HbA1c) was 8.34±1.09 % and only 14% have HbA1c less than 7.5 %. On the other hand, just 28 patients were taking statins regularly. Conclusion: It could be concluded that there is a large gap between the guideline's recommendation and the situation in real life. Morbidity and mortality rates will increase among those population and surely will increase the health burden on the health care providers in a developing country like Egypt. More education is recommended for the doctors and patients.