Chronic Disease Management
at Lani City Medical
Living with a chronic condition does not mean living without hope for better health. At Lani City Medical, our chronic disease management services help patients in Chino, Rialto, Rancho Cucamonga, and Riverside take control of conditions like diabetes, high blood pressure, high cholesterol, asthma, thyroid disorders, and obesity. Our Board Certified physicians work alongside you as partners in your health journey, providing the ongoing support, monitoring, and treatment adjustments needed to manage chronic conditions effectively and improve your quality of life.
Understanding the Importance of Chronic Disease Management
Chronic diseases are long term health conditions that require ongoing medical attention and daily self-management. Unlike acute illnesses that resolve with treatment, chronic conditions persist over time and can worsen without proper care. Effective chronic disease management focuses on controlling symptoms, preventing complications, and maintaining the highest possible quality of life despite ongoing health challenges.
Many chronic conditions are interrelated, with one disease increasing the risk of developing others. For example, diabetes increases the risk of heart disease, and obesity contributes to both conditions. This interconnection makes comprehensive chronic disease management essential, as addressing one condition often requires attention to related health factors.
At Lani City Medical, we understand that chronic disease management is not just about medications and test results. It encompasses lifestyle modifications, emotional support, patient education, and ongoing partnership between you and your healthcare team. Founded in 2019 by Dr. Lalwani and Dr. Khemlani, our practice was established to provide consistent, efficient, and honest healthcare. Our approach to chronic disease management reflects this commitment, treating every patient as an individual deserving of attentive, personalized care.
Diabetes Care and Blood Sugar Monitoring
Comprehensive Diabetes Support
Diabetes affects millions of Americans and requires careful daily management to prevent serious complications including heart disease, kidney damage, vision loss, and nerve damage. Our chronic disease management services include comprehensive diabetes care designed to help you achieve and maintain optimal blood sugar control.
- Our on site laboratory allows us to monitor your blood sugar levels and hemoglobin A1C during regular visits, providing immediate feedback on how well your diabetes is controlled. We review your home monitoring results, discuss patterns and trends, and make treatment adjustments as needed. This ongoing attention is essential for effective chronic disease management of diabetes.
- Whether you have Type 1 diabetes, Type 2 diabetes, or prediabetes, our providers work with you to develop an individualized management plan. We consider your lifestyle, preferences, other health conditions, and personal goals when recommending treatment approaches. This personalized strategy for chronic disease management increases the likelihood of success and helps you integrate diabetes care into your daily life.
Education and Lifestyle Support
Managing diabetes successfully requires more than medication. Our chronic disease management approach includes education about nutrition, physical activity, blood sugar monitoring techniques, and recognizing signs of blood sugar problems. We help you understand how different foods, activities, and stressors affect your blood sugar, empowering you to make informed daily decisions.
- We also discuss strategies for preventing diabetes complications through regular screenings, foot care, and attention to cardiovascular health. Our comprehensive approach to chronic disease management addresses not just blood sugar control but your overall health and wellbeing as a person living with diabetes.
High Blood Pressure Management
Controlling Hypertension Effectively
High blood pressure, or hypertension, is often called the silent killer because it typically causes no symptoms while damaging blood vessels and organs throughout the body. Left uncontrolled, hypertension significantly increases the risk of heart attack, stroke, kidney disease, and other serious complications. Our chronic disease management services include careful monitoring and treatment of high blood pressure to protect your long term health.
- During your visits, we accurately measure your blood pressure and track changes over time. We discuss factors that may be contributing to elevated readings, including diet, physical activity, stress, sleep, and other health conditions. Our chronic disease management approach considers the full picture of your health when developing treatment recommendations.
- Treatment for hypertension may include lifestyle modifications, medications, or both, depending on your blood pressure levels and overall cardiovascular risk. We start with approaches most likely to succeed for your situation and adjust as needed based on your response. Regular monitoring ensures that your chronic disease management plan keeps your blood pressure in a healthy range.
Lifestyle Modifications for Blood Pressure Control
Many patients can significantly improve their blood pressure through lifestyle changes, sometimes reducing or eliminating the need for medications. Our chronic disease management guidance includes practical recommendations for dietary changes such as reducing sodium intake and following heart healthy eating patterns. We discuss exercise recommendations appropriate for your fitness level and health status.
- Weight management, stress reduction, limiting alcohol, and quitting smoking all contribute to better blood pressure control. Our providers help you identify which modifications are most important for your situation and develop realistic plans for implementing changes. This comprehensive approach to chronic disease management addresses the root causes of hypertension rather than just treating numbers.
High Cholesterol Treatment
Managing Lipid Levels for Heart Health
High cholesterol contributes to plaque buildup in arteries, increasing the risk of heart attack and stroke. Our chronic disease management services include lipid monitoring and treatment to help you achieve healthy cholesterol levels and protect your cardiovascular system.
- We use on site laboratory testing to check your complete lipid panel, including total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. Understanding these different components helps us develop targeted chronic disease management strategies. For example, raising HDL cholesterol requires different approaches than lowering LDL cholesterol.
- Treatment recommendations depend on your cholesterol levels, other risk factors, and overall cardiovascular risk profile. Some patients achieve adequate control through lifestyle modifications alone, while others benefit from medications like statins. Our chronic disease management approach tailors treatment to your individual needs and adjusts over time based on your results.
Heart Healthy Living
Diet plays a significant role in cholesterol levels, and our chronic disease management guidance includes practical nutrition recommendations. We discuss which foods to emphasize and which to limit, helping you make choices that support healthy lipid levels. Exercise also positively affects cholesterol, and we recommend activity plans appropriate for your situation.
- For patients taking cholesterol medications, we monitor for side effects and ensure medications are working effectively. Our comprehensive chronic disease management includes regular follow up to assess your progress and make any necessary adjustments to your treatment plan.
Asthma and COPD Management
Breathing Easier with Respiratory Care
Asthma and chronic obstructive pulmonary disease (COPD) are respiratory conditions that affect breathing and quality of life. Both require ongoing attention to maintain lung function, prevent flare ups, and manage symptoms effectively. Our chronic disease management services help patients with these conditions breathe easier and live more fully.
- For asthma patients, we work to identify triggers, optimize medication regimens, and develop action plans for managing worsening symptoms. Effective chronic disease management of asthma involves both daily controller medications and rescue medications for acute symptoms. We help you understand when and how to use each type of medication for best results.
- COPD management focuses on slowing disease progression, reducing symptoms, and preventing exacerbations that can lead to hospitalization. Our chronic disease management approach may include inhaled medications, pulmonary rehabilitation referrals, smoking cessation support, and vaccination to prevent respiratory infections.
Monitoring and Preventing Flare Ups
Regular monitoring helps us assess how well your respiratory condition is controlled and identify opportunities for improvement. We ask about symptoms, activity limitations, and medication use to gauge your current status. This ongoing assessment is essential for chronic disease management of respiratory conditions.
- We also help you recognize early warning signs of worsening symptoms so you can take action before minor problems become serious. Having an action plan for managing flare ups empowers you to respond appropriately when symptoms worsen. Our chronic disease management includes developing these plans and ensuring you feel confident using them.
Thyroid Disorder Management
Balancing Thyroid Function
The thyroid gland produces hormones that regulate metabolism, energy, and numerous body functions. When the thyroid produces too much or too little hormone, symptoms can affect virtually every aspect of health. Our chronic disease management services include monitoring and treatment of thyroid disorders to restore hormonal balance.
- Hypothyroidism, or underactive thyroid, causes fatigue, weight gain, cold intolerance, and other symptoms. Treatment typically involves thyroid hormone replacement medication, with doses adjusted based on laboratory monitoring. Our chronic disease management approach includes regular testing to ensure your medication dose maintains optimal thyroid levels.
- Hyperthyroidism, or overactive thyroid, causes symptoms like rapid heartbeat, weight loss, anxiety, and heat intolerance. Treatment options vary depending on the cause and severity. We provide ongoing chronic disease management to monitor your condition and adjust treatment as needed.
Obesity and Metabolic Health Care
Addressing Weight and Metabolic Health
Obesity is a chronic condition that significantly increases the risk of numerous other health problems including diabetes, heart disease, sleep apnea, and joint problems. Our chronic disease management services include medically supervised weight management and attention to metabolic health factors.
- We take a comprehensive approach that goes beyond simple calorie counting. Our chronic disease management evaluation considers factors like hormones, medications, sleep, stress, and underlying health conditions that may affect weight. Understanding these factors helps us develop effective strategies tailored to your situation.
- Treatment options may include nutritional counseling, physical activity recommendations, behavioral strategies, and when appropriate, medications that support weight loss. Our chronic disease management approach focuses on sustainable changes rather than quick fixes, supporting long term success.
Supporting Metabolic Health
Metabolic health encompasses how your body processes and uses energy, including factors like blood sugar, cholesterol, blood pressure, and waist circumference. Our chronic disease management addresses these interconnected factors comprehensively, recognizing that improving one often benefits others.
- We monitor relevant health markers and track your progress over time. Celebrating improvements motivates continued effort, while identifying plateaus or setbacks allows us to adjust strategies. This ongoing partnership is the essence of effective chronic disease management.
Take Control of Your Chronic Conditions Today
— Today and Tomorrow
Living well with chronic conditions is possible with the right support and guidance. At Lani City Medical, our chronic disease management services provide the ongoing partnership you need to control diabetes, hypertension, high cholesterol, respiratory conditions, thyroid disorders, and obesity. Our Board Certified physicians at our Chino, Rialto, Rancho Cucamonga, and Riverside locations are ready to help you achieve your best possible health.
Schedule your appointment online or visit us today to begin your journey toward better chronic disease management.

