Inclusion Criteria:  Men and women aged 65 years and older Diagnosis of pre-diabetes (A1c between 5.7-6.4%, fasting glucose between 100-125 mg/dL, or oral glucose tolerance test between 140-199 mg/dL within past 12 months) BMI of greater than or equal to 30 English or Spanish-speaking Under the care of a Primary care provider (PCP) in the NYU Langone Health system Able to travel to NYU Langone for in-person evaluations Access to a telephone Informed consent  Exclusion Criteria:  Prevalent diabetes or end-stage renal disease Prior participation in the Diabetes Prevention Program A documented current history of active psychosis or other cognitive issues via International Classification of Diseases (ICD) -10 codes Taking FDA-approved weight loss medications PCP stating that patient should not participate Inability to communicate due to severe, uncorrectable hearing loss or speech disorder Severe visual impairment that precludes completion of assessments and/or intervention