Background. The increasing proportion of the elderly population naturally leads to an increase in the number of patients with type 2 diabetes mellitus (T2DM). Hypoglycemia is quite common among elderly patients, which is a potential risk factor for fatal cardiovascular outcomes, dementia, and impaired hypoglycemia recognition. Also, with age, cognitive function gradually worsens, functional activity decreases, and the risk of malnutrition increases. A comprehensive geriatric assessment (CGA) allows assessing these parameters. Aim. To compare functional activity, cognitive functions, nutritional status, and severity of depression between elderly patients with T2DM with and without hypoglycemia. To assess the relationship between these parameters and the risk of hypoglycemia. Materials and methods. The cross-sectional study included 133 patients aged 60 to 74 years (mean age 68 ± 4.32 years) with T2DM, of which 59 patients experienced hypoglycemic events (group 1), and 74 patients did not have a history of hypoglycemia (group 2). All study participants underwent CGA, which assessed functional activity, the likelihood of depression, cognitive functions and nutritional characteristics. The patients' medical documents, glycemic control indicators in dynamics were studied, and a biochemical blood test was performed. Results. Statistically significant differences were revealed between the study groups in the indicators of daily and instrumental activity, the likelihood of depression, the nutritional status assessment scale and cognitive status (all - p