Background: Multimorbidity increases the complexity of T2DM management of older adults and requires a more personalized approach to ensure adequate glycemic control alongside coexisting and competing treatment targets. The self-management of diabetes by older adults becomes more difficult with comorbidities. In addition, the development of comorbid conditions, such as heart failure and/or dementia, can render desirable treatment targets impossible or risky to achieve . Diabetes mellitus is not merely a disorder of carbohydrate metabolism, but a cause of vascular disease affecting nearly all blood vessel types and sizes. Indeed, vascular complications are responsible for most of the morbidity, hospitalizations, and death that occur in patients with diabetes mellitus