Our services
Chronic Disease Management
Ongoing, coordinated care for diabetes, hypertension, cholesterol, thyroid and more.
Living with a chronic condition takes a partner, not just a prescription. We build a long-term plan with regular follow-ups, lab monitoring and medication reviews so you feel in control.
Who it's for
Patients who need steady, coordinated follow-up for one or more long-term conditions.
What happens at your visit
Review your numbers
We look at your blood pressure, blood sugar, cholesterol and recent lab results together.
Check your medications
What's working, what isn't, side effects, and whether anything can be simplified.
Adjust the plan
Small, realistic changes to medication, diet and activity, set with you rather than for you.
Set the next check-in
Labs and a follow-up visit are scheduled so your care stays on track.
What's included
- Type 2 diabetes and pre-diabetes
- High blood pressure (hypertension)
- High cholesterol and heart-disease prevention
- Thyroid disorders
- Asthma and COPD
- Arthritis and chronic pain coordination
- Kidney disease monitoring
- Obesity and weight management
Before you come
- Home blood pressure or blood sugar readings, or the meter itself
- All of your medications, including ones from other doctors
- Notes or results from specialists you've seen since your last visit
- Ask whether your labs need fasting
After your visit
Prescriptions are sent electronically to your pharmacy. Refill requests take 3–5 business days, and you'll need to be seen at regular intervals, usually every 3–6 months, to keep receiving them. We send referrals and share records with your specialists.
Questions after your visit? Call (936) 631-5600.