Patient presents with prediabetes, characterized by impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), increasing their risk for developing type 2 diabetes.  Review of systems reveals no significant symptoms, though patient reports increased thirst and occasional blurred vision, which could be indicative of hyperglycemia.  Fasting plasma glucose (FPG) levels were measured at 115 mgdL, falling within the prediabetes diagnostic range of 100-125 mgdL.  Hemoglobin A1c (HbA1c) was 5.8%, also consistent with prediabetes criteria of 5.7-6.4%.  Patient denies family history of diabetes but acknowledges a sedentary lifestyle and dietary habits contributing to insulin resistance.  Physical examination unremarkable.  Assessment includes prediabetes (ICD-10 code R73.09), with emphasis on lifestyle modifications as primary intervention.  Plan includes patient education on diabetes prevention program (DPP), focusing on diet, exercise, and weight management.  Referral to a registered dietitian (RD) for nutritional counseling and a certified diabetes care and education specialist (CDCES) for ongoing support and self-management education.  Follow-up appointment scheduled in three months to reassess FPG, HbA1c, and monitor progress toward achieving glycemic control and reducing diabetes risk factors.  Patient provided educational materials on prediabetes management, including information on healthy eating, regular physical activity, and blood glucose monitoring.  Emphasis placed on the importance of adherence to the recommended lifestyle changes to prevent progression to type 2 diabetes and associated complications.