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Participants divided into four groups according to hemoglobin A1c (HbA1c) levels: healthy, prediabetes, controlled T2DM, and uncontrolled T2DM. Cognitive function, spatial ability, functional mobility with and without dual-task conditions, reaction time, fatigue, and biochemical parameters were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 94 participants (53 female, 41 male, mean age:67.12\u00b15.84 years) were included. Significant group differences were observed in attention and delayed recall subdomains and total Montreal Cognitive Assesment scores (p&lt;0.05). Additionally, significant differences were found in functional mobility, dual-task performance, foot reaction time, and fatigue levels (all p&lt;0.05). Older adults with uncontrolled T2DM showed poorer cognitive and motor performance than healthy older adults. Adjusted analyses demonstrated that cognitive performance, reaction time, and fatigue-related differences remained significant after controlling for potential confounders, whereas functional mobility-related outcomes were attenuated. Among the biochemical markers, fasting blood glucose levels showed a significant difference among the groups (\n                      <jats:italic>p<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Uncontrolled T2DM in older adults is associated with impairments in attention, memory, mobility, and motor performance, while fatigue was increased across prediabetic and diabetic individuals. 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