Inclusion Criteria:  Age ≥ 18 years and < 65 years With the diagnosis of type 2 diabetes A1c >= 8.0 on the most recent test in the 3 months before enrollment Have been on stable antidiabetics in the 3 months before enrollment OhioHealth Patient  Exclusion Criteria:  Pregnant or breastfeeding patients Severe hypoglycemic episodes (defined as having low blood glucose levels that requires assistance from another person to treat) in the past 12 months Unable to give informed consent Currently enrolled in another therapeutic study Thyroid dysfunction, as defined by abnormal thyroid function test results within the past 6 months Advanced stage of renal (stage 4 or above) or hepatic (cirrhosis) or respiratory (needs oxygen) or heart failure (NYHA class 3 or above) Active infection or malignancy Dementia, or other significant mental impairment that would, in the opinion of the investigator, impede patient self-reporting Clinician-reported history of patient non-adherence