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Background Type 2 diabetes (DM2) is associated with cognitive impairment. However, most of the evidence has been based on self-reported DM2 and has not been considered undiagnosed diabetes as a separate category. We aimed to examine the extent to which undiagnosed diabetes modifies the association between diabetes and cognitive impairment in a representative sample of Brazilian adults aged 50 years and older. Methods We analyzed baseline data from 1,944 participants of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) conducted i