ABSTRACT Diabetes mellitus elderly patients as much as 3% were not detected by clinical symptoms which caused by non-specific clinical presentation such as failure to thrive, low energy, falls, dizziness, confusion, nocturia (with or without incontinence) and urinary tract infections. Although the prevalence of diabetes mellitus in the elderly aged >75 is lower than the age of 65 to 74 years, but due to an increase of various segments of elderly population and the impact of diabetes is closely related to mortality and vascular disease. This study aim knowing the symptoms of polyuria, polydipsia, polyphagia, and non-specific symptoms that occur in elderly diabetes mellitus patient. This type of research study is a descriptive cross sectional. The experiment was conducted between September-November 2011 in Endocrine Metabolic Clinic and Geriatric Clinic, Dr. Zainoel Abidin Hospital in Banda Aceh. Sample consisted of 43 people aged ≥ 60 years with conducted interview following the checklist in accordance with the format of anamnesis with some of the symptoms that are adapted from the literature. Outcome data are displayed in the form of frequency distribution using the measure of the percentage or proportion. Distribution characteristics of the clinical manifestation include, fatigue, itchy skin, paresthesia, weakness, stiff muscles, dizziness, sleep disturbances, otalgia, tinnitus, headache and limited shoulder movement etc. In this study obtained 2% of elderly patients with diabetes mellitus without clinical manifestations of diabetes mellitus and >2% had a geriatric syndrome such as urinary incontinence, fall, depression, and cognitive decline.It is hoped in the future the research can be a reference in setting the criteria for diagnosis of diabetes mellitus in elderly people. Key words : Diabetes Mellitus, Clinical Manifestations, Elderly