Inclusion Criteria:  Patients aged 13-84, and Patients diagnosed with type 2 diabetes, and Patients have a BMI equal to or >25 (23, if Asians), and Hemoglobin A1c value equal to or >7%  Exclusion Criteria:  Ages <13 or >84 Pregnancy. If a subject becomes pregnant, they will advised to discontinue the study. Previous diagnosis of type 1 diabetes Inability to participate for 12-month duration (e.g., Disorders that might compromise survival, planning to relocate outside the geographical coverage of University of Texas Medical Branch (UTMB) clinics Other medical condition or medication administration deemed exclusionary by the study investigators Prisoners