Chronic care by telehealth in Puerto Rico: diabetes, blood pressure and more

Our chronic care by telehealth in Puerto Rico is a follow-up video visit for adults with type 2 diabetes, high blood pressure, high cholesterol or hypothyroidism that is already diagnosed and stable. The doctor reviews your home readings, labs and medications and adjusts the plan when appropriate. Each visit costs US$79. It doesn't replace the in-person care your condition needs.

Video visit: US$79 · Pay by card · See the price and what is included

Is this an emergency?

This is not an emergency service. Call 911 or go to the nearest emergency room if you have:

Chest pain, pressure or squeezing, or shortness of breath.
Sudden numbness or weakness in the face, an arm or a leg, especially on one side.
Sudden trouble speaking, confusion, loss of balance or vision problems.
A sudden, severe headache with no known cause.
Very low blood sugar with fainting or a seizure.

Help lines:

911 — Emergencies
1-800-981-0023 — Línea PAS (mental-health crisis line)
988 — Suicide & Crisis Lifeline
1-800-222-1222 — Poison Help

Warning signs: when to go to the ER

Book a visit

Conditions we follow

Chronic conditions in adults, once diagnosed and stable:

Type 2 diabetes and prediabetes.
High blood pressure.
High cholesterol.
Hypothyroidism (underactive thyroid).

What a chronic care telehealth visit in Puerto Rico looks like

Request a visit online 24/7 — we confirm your time by email or text. On the call, the doctor:

Reviews your home blood pressure or blood sugar readings.
Goes over your medications, how you take them and any side effects.
Reviews recent labs, or gives you a lab order if you need new ones.
If appropriate, prescribes medication, adjusts doses or renews prescriptions. We do not prescribe controlled substances.
Talks through diet, activity and goals, and tells you when to check in again.

What to have ready

The more data you bring, the more useful the visit:

A log of your blood pressure or glucose readings from the past few weeks, with dates and times.
Your medications, or a list with names and doses.
Your most recent lab results, on paper or on your phone.
Your blood pressure monitor nearby, in case the doctor asks for a reading during the visit.

Labs for diabetes and other conditions

Labs are part of good control. The CDC notes that most people with diabetes have an A1C test at least twice a year, and some more often depending on their plan. The doctor will tell you which tests you need and how often. You get them done at the lab of your choice and pay the lab.

Diabetes in Puerto Rico

According to the CDC, 14.4% of adults in Puerto Rico had diagnosed diabetes in 2021, the highest of any U.S. state or territory (Colorado was lowest at 6.5%). Regular follow-up matters, and when your condition is stable a video visit can save you a trip, whether you live in San Juan or up in the mountains.

When you need in-person or specialist care

Telehealth doesn't cover everything a chronic condition needs. The doctor will recommend in-person care if:

Your condition isn't controlled despite treatment, or your readings swing a lot.
You have new symptoms, significant side effects or a possible complication.
You need a physical exam, such as a foot or eye check, or tests a clinical lab can't do.
Your case calls for a specialist, such as an endocrinologist or a cardiologist.

Does this replace my primary care doctor?

No. If your insurance plan assigns you a primary care physician, they stay your primary care physician. Our online doctor visits are an option when video is more convenient, and we recommend sharing any medication change with your doctor. We don't bill insurance. This service is for adults; for children see child doctor visits.

Before you book

You must be physically in Puerto Rico during the visit (visitors and tourists are welcome).
We see patients from 6 months old. Patients under 21: a parent or legal guardian must be on camera for the whole visit.
Real-time video only; we do not do phone-call visits.
We do not prescribe controlled substances.

What we don't do by telehealth

Frequently asked questions

Can I manage diabetes or high blood pressure by telehealth?: Yes, if it is already diagnosed and stable. The doctor reviews your readings, labs and medications by video and tells you when you need an in-person visit.
How often do I need labs if I have diabetes?: The CDC says most people with diabetes have an A1C test at least twice a year, and some more often. The doctor will tell you which tests you need and how often.
Do I need a blood pressure monitor or glucose meter at home?: It helps a lot. Home readings show the doctor how your condition is doing between visits. If you don't have one, the doctor will advise you.