Diabetes elderly may experience fear of falls, poor balance and weaker lower limb strengths. The tasks to complete in their daily activities will become very challenging. Therefore, this study aims to compare the physical and cognitive functions towards fear of falls among 80 community-dwelling elders with and without diabetes mellitus. The findings revealed that diabetes elderly would affect their cognitive functions, high risk of falls and reduced their physical activities. Conclusion, the strengths and balances components need to be included in their daily exercise regime to reduce the risk of falls as well as improves cognitive functions.