Introduction. Amount of patients in older age groups suffering from T2DM is steadily increasing. The leading cause of death in patients with T2DM is cardiovascular diseases. The therapeutic strategy for T2DM involves compensation of both carbohydrate and lipid metabolism. Aim. To compare the indices of carbohydrate and lipid metabolism and to evaluate their compensation in elderly and senile female patients with T2DM. Material and methods. The cross-sectional study included 172 patients: 127 elderly (60-74 years) and 45 senile (75-89 years) with T2DM. All study participants had their carbohydrate (minimum and maximum glucose values, the last glycemia value at the time of the study, glycated hemoglobin) and lipid (total cholesterol, high-density lipoproteins, low-density lipoproteins, triglycerides) metabolism determined, and the lipid accumulation product (LAP) was calculated. The compliance of glycated hemoglobin with the target value, the presence of hypoglycemia in the anamnesis, compliance of lipid metabolism parameters with the target level depending on the category of cardiovascular risk were assessed. Results. In the group of elderly patients, significantly lower minimum (p