Patient presents with signs and symptoms consistent with type 2 diabetes mellitus with hyperglycemia.  Presenting complaints include polyuria, polydipsia, polyphagia, and recent unexplained weight loss.  The patient reports fatigue and blurred vision.  Fasting blood glucose of 145 mgdL and HbA1c of 7.8 percent confirm the diagnosis of type 2 diabetes.  Patient denies any history of diabetic ketoacidosis.  Family history is significant for type 2 diabetes in both parents.  Review of systems is positive for the aforementioned symptoms and otherwise unremarkable.  Physical exam reveals no abnormalities other than mild obesity.  Assessment: Type 2 diabetes mellitus with hyperglycemia uncontrolled.  Plan: Initiate metformin 500 mg twice daily with meals, lifestyle modifications including diet and exercise education, and blood glucose self-monitoring.  Patient education provided on diabetes management, including medication adherence, healthy eating habits, regular physical activity, and the importance of regular follow-up appointments.  Referral to a registered dietitian and certified diabetes educator recommended.  Follow-up scheduled in two weeks to assess treatment response and adjust medication as needed.  ICD-10 code E11.9, Type 2 diabetes mellitus without complications.  Emphasis placed on improving glycemic control to reduce the risk of long-term complications such as diabetic neuropathy, nephropathy, and retinopathy.