Patient presents with type 2 diabetes mellitus with complications, confirmed by elevated HbA1c of 9.2% and fasting plasma glucose of 160 mgdL.  The patient reports polyuria, polydipsia, and polyphagia.  Review of systems reveals peripheral neuropathy evidenced by numbness and tingling in the lower extremities, consistent with diabetic neuropathy.  Additionally, the patient exhibits signs of diabetic retinopathy, confirmed by ophthalmological examination revealing microaneurysms.  Assessment also indicates the presence of nephropathy, with microalbuminuria detected on urinalysis.  Current medications include metformin 1000 mg twice daily and lisinopril 10 mg daily.  Plan includes optimizing glycemic control through medication adjustment, potentially including insulin therapy initiation.  Patient education provided on diabetes management, including diet, exercise, and blood glucose monitoring.  Referral to ophthalmology for diabetic retinopathy management and nephrology for diabetic nephropathy management.  Follow-up scheduled in three months to reassess glycemic control, neuropathy symptoms, and renal function.  ICD-10 codes E11.42, E11.31, E11.21 and N08.3 are considered.  Medical billing codes will reflect evaluation and management services, as well as diabetic education provided.  Emphasis on patient compliance and self-management strategies discussed.