Introduction: Obesity, overweight and glycemic disorders have increased their incidence internationally and have been associated with an increase in morbidity and mortality and disability and worse health and quality of life. Objective: to characterize overweight and obese older adults with glycemic disorders at the Pedro Borrás Astorga Polyclinic in Pinar del Río, during the first quarter of 2023. Methods: observational, descriptive and cross-sectional research, with a population of 234 overweight and obese older adults. obesity. and a sample of 167 elderly people who met the inclusion criteria: willingness to participate in the study and having been classified as overweight or obese, and exclusion criteria: elderly people diagnosed with diabetes mellitus. The study variables were age, sex, skin color, toxic habits, cardiovascular risk factors, Body Mass Index and capillary glycemia level. Results: the older adults of the female sex predominated in 57.4% and with ages between 70 and 79 years in 44.3%. The ingestion of coffee in 61.9% was the most frequent toxic habit. Dyslipidemia predominated in 76.6%, as a cardiovascular risk factor. Most of the elderly are overweight with a Body Mass Index between 25-29.9 kg/m2 in 44.3%. 8.3% of obese patients had capillary blood levels greater than 6.11 mmol. Conclusions: older adults who are overweight and obese are more likely to suffer from glycemic disorders and present cardiovascular risk factors