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Chronic Disease Management

Chronic Disease Management at NorthShore

Chronic disease management is a patient and primary care physician (PCP) relationship involving education and medical services to help patients with chronic diseases understand and live successfully with their condition. Chronic disease management is basically disease management for chronic or continuing conditions. Doctors and nurse practitioners will work with their patients to educate and motivate them to receive necessary therapies, medications and interventions to ultimately achieve a reasonable, ongoing quality of life.


Chronic Disease Management Goals

Goals of chronic disease management include promoting self-management, which gives patients day-to-day tools to help manager their disease beyond their doctor’s visit. Another goal of NorthShore providers would be to work towards addressing patient diseases or conditions in order to achieve the most effective health outcomes, regardless of financial or social barriers. 

Common Chronic Diseases include:

  • Alzheimer disease and dementia
  • Arthritis
  • Asthma
  • Cancer
  • COPD
  • Crohn’s disease
  • Cystic fibrosis
  • Diabetes
  • Epilepsy
  • Heart disease
  • Mood disorders (bipolar, cyclothymic, and depression)
  • Multiple sclerosis
  • Parkinson disease

Is your doctor concerned you are at risk for Diabetes?

If you are trying to prevent diabetes or have an A1C of 5.7 or above, NorthShore offers a CDC National Diabetes Prevention Program to help you get your health back on track. This program assists those with prediabetes in stopping or delaying a diabetes diagnosis through lifestyle changes like healthy eating and increases in physical activity. The program is offered in a group setting allowing program members to provide each other support and encouragement. The program is completely virtual and offered utilizing email, phone, and Teams meetings contact.

For further questions please contact the Program Coordinator Desiree DeLaney at ex. 2764 or for other resources on prediabetes and the impact it can have on your health click here.