We help patients manage chronic conditions 

In addition to diabetes, many of BVMI’s patients have chronic conditions like hyperlipidemia (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.




About one in every six adult Americans has high cholesterol.


High cholesterol can lead to heart disease and stroke—leading causes of death in the United States.

71 million American adults (34%) 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.​

67 million American adults–

1 in every 3--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 billion each year.


High blood pressure increases your risk for dangerous health conditions including heart attack, stroke, heart failure and kidney disease.

​More than one-third (35% or 79 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.


The medical costs for people who are obese were $1,429 higher than those of normal weight.


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Improving His Health, One Step at a Time

Originally from Kosovo, Henry and his wife, Mary, first came to the U.S. so that she could have emergency brain surgery. At first, they struggled financially, and for many years, Henry went without seeing a doctor so that they could pay for Mary to see one.

Five years ago, Henry discovered BVMI and has been coming here ever since. Henry has had a lifelong struggle with healthy eating. His job as a cook made it easy to snack throughout the day, in addition to eating a portion of whatever was being served for lunch or dinner.

Early this year, he was under a great deal of stress as he helped his son open a new restaurant. At his annual exam, it became clear that stress and poor eating habits were taking a toll: Henry weighed in at 225 pounds, his blood pressure was dangerously high and he was pre-diabetic.

Dr. Josef Machac, Henry’s volunteer physician and cardiologist, spent a lot of time with Henry discussing his lifestyle and suggesting some positive changes he could make. Henry recalls, “Dr. Machac was so patient with me – he explained everything. And he didn’t give me so much to do that I felt like I was going to fail.”

Dr. Machac also arranged for Henry to see Holly Homa, BVMI’s certified diabetes educator, that same day. Holly sat down with Henry and taught him how to manage his pre-diabetes so that it didn’t progress to diabetes. “I knew I was overweight but I didn’t know how to manage it. I left BVMI that day knowing I was in good hands.”

When Henry came back a few weeks later, he’d lost almost 10 pounds! Dr. Machac encouraged him to continue making changes, but to up the ante a bit. So instead of walking a few days a week for 20 minutes, he started walking every day for 30 minutes. He began eating more fruits and vegetables and less pasta and red meat.

At his most recent appointment, Henry weighed in an amazing 35 pounds lighter. His blood sugar and blood pressure were nearly normal. “I am feeling great now because of Dr. Machac and Holly. I enjoy walking for an hour every day and feel good when I eat healthy foods. I know I have the power to take control of my health and change in my life.”