Chronic Disease Management

In addition to diabetes, many of BVMI’s patients have chronic conditions like hyperlipidaemia (high cholesterol) and hypertension (high blood pressure). Often, these conditions co-exist.

BVMI’s team of primary care physicians, specialists, nurse practitioners, nurses, social workers and dietitians work together to help provide care, oversight, education and support that our patients need to make lifestyle changes necessary to control and improve these chronic conditions, which often interfere with employment and quality of life.

We help patients manage chronic conditions 

66-year-old Luis called BVMI to make an appointment for knee pain. During the visit, it was noted that his blood pressure was elevated to an unhealthy level. Our nurse practitioner treated his knee pain, and, knowing that pain can cause blood pressure to rise, instructed him to return to BVMI in a week for a recheck. When he came back, his blood pressure was still very high – he had been on medications for his blood pressure in the past, but had stopped “months ago as he checked it twice at the store and it was OK.” Luis restarted on blood pressure medication, was given one of the donated blood pressure machines so he could track his pressure at home, and made frequent visits to the clinic over the next few weeks (with his home blood pressure records) to adjust his medication to the correct dose. During this time, Luis was also educated about the importance of taking his medications as well as the consequences of hypertension. Luis’s blood pressure is now in control, he continues to take his medications and monitor his blood pressure periodically at home.

Why It Matters

High cholesterol 
  • About one in every six adult Americans has high cholesterol, which can lead to heart disease and stroke—leading causes of death in the United States.
  • 71 million American adults (33.5%) have high LDL, or “bad,” cholesterol.
  • Only 1 out of every 3 adults with high LDL cholesterol has the condition under control; less than half of adults with high LDL get treatment.
  • Less than half of adults with high LDL cholesterol get treatment.
High blood pressure
  • 67 million American adults – one in every three – have high blood pressure.
  • Only about half (47%) of people with high blood pressure have their condition under control.
  • High blood pressure costs the nation $47.5 billion each year. This total includes the cost of health care services, medications to treat high blood pressure, and missed days of work.
  • High blood pressure increases your risk for dangerous health conditions including heart attack, stroke, heart failure and kidney disease.
Obesity and overweight
  • More than one-third (34.9% or 78.6 million) of U.S. adults are obese.
  • Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of preventable death.
  • The estimated annual medical cost of obesity in the U.S. was $147 billion in 2008 U.S. dollars; the medical costs for people who are obese were $1,429 higher than those of normal weight.

From Centers for Disease Control and Prevention