Annual diabetes review. Patient reports generally well-controlled sugars on home monitoring. Occasional fasting readings of 8-9 mmol/L noted on waking, otherwise within target range. No episodes of hypoglycaemia. Good medication adherence — taking Metformin regularly without GI side effects.

Reports increased right knee stiffness over the past 3 months, using Ibuprofen 1-2 times per week. No chest pain, shortness of breath, polyuria, or polydipsia. Denies visual disturbance. Annual eye screening completed Oct 2025 — no retinopathy detected. Foot check done by podiatry Nov 2025 — normal peripheral pulses, intact sensation.