If the elderly patients with diabetes have drowsiness, it may be caused by the following reasons. First, high blood sugar is more likely to lead to hyperosmolar coma. First, blood sugar and osmotic pressure should be tested. If hyperosmolar coma occurs, it should be actively given fluid replacement and early hospital treatment to correct metabolic disorders, Hyperosmolar coma is more common in elderly patients due to poor regulation of blood glucose and osmotic pressure. Second, the occurrence of hypoglycemia can also lead to lethargy. The elderly patients have dizziness, fatigue, panic, tremor, even coma due to the decreased perception of hypoglycemia, which is related to the hypoglycemia status of the elderly. Blood glucose monitoring can be carried out if the blood sugar is significantly low, Give treatment to correct hypoglycemia or intravenous glucose infusion to alleviate hypoglycemia symptoms. Secondly, if there are coma, lethargy and other symptoms, which may be caused by cardiovascular and cerebrovascular diseases, the corresponding diagnosis of cardiovascular and cerebrovascular diseases should be carried out.