For the standardized treatment of geriatric diabetes, we need to change some ideas. It is a misconception that older patients have more risk factors of their own and that older diabetic patients are poorly treated and subsequently have their management and treatment relaxed. Survey data show that the number of elderly people with diabetes will increase significantly in the future, especially the proportion of people who develop diabetes after entering old age (now in the post-50s and post-60s) will increase significantly. In view of this, if the elderly population is actively managed in the prediabetic period, the risk of treatment will be less and the patient will benefit to a greater extent than if patients with a history of diabetes for more than 10 years, even with many serious complications, are managed. The Daqing study already suggests that management should begin early in the course of diabetes and not wait until the disease is severe. This is not only unhealthy for the patient, but also makes treatment more difficult for the physician. Therefore, special clinical emphasis should be placed on early screening, early diagnosis, early treatment, and early achievement of goals for high-risk groups, which is a very important initiative in the management of diabetes in the elderly.