Type 2 diabetes and prediabetes
A1C monitoring, medication management, and lifestyle guidance
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Living with a chronic condition shouldn’t mean managing it alone. At Alamo Primary Care, our providers in San Antonio and Boerne provide personalized chronic disease management that helps you control your condition, avoid complications, and stay out of the hospital. With a modern, well-equipped facility and a care team that knows you, we give you the ongoing support you need to live a healthier, more active life.
Chronic conditions such as diabetes, high blood pressure, and heart disease are the leading causes of illness and healthcare costs in the United States. Without consistent care, they can lead to serious complications like heart attack, stroke, kidney disease, and vision loss.
A1C monitoring, medication management, and lifestyle guidance
Regular checks, medication adjustment, and home monitoring support
Lipid testing and treatment to lower heart disease risk
Ongoing management in coordination with cardiologists
Breathing assessments, inhaler management, and flare-up prevention
Testing and medication management for hypothyroidism and hyperthyroidism
Medically guided weight management programs
Treatment plans to improve mobility and comfort
Monitoring kidney function and protecting long-term health
Ongoing support, medication management, and referrals when needed
Every patient receives a care plan built around their condition, goals, medications, and lifestyle, reviewed and updated as your health changes.
Scheduled visits, in-office testing, and lab work help us track your progress and adjust treatment early.
We review all your medications to make sure they’re working, safe together, and affordable.
Practical guidance on diet, physical activity, sleep, and stress management that fits your daily life.
Busy schedule or hard to travel? Many chronic care check-ins can be done through secure video visits from home.
When you need a cardiologist, endocrinologist, or other specialist, we coordinate referrals and stay involved so your care stays connected.
Review of your history, current condition, medications, and lab results.
Clear goals and steps tailored to you.
Regular visits every few months, or more often if needed.
We fine-tune your treatment based on results and how you feel.
Your care team is available between visits for questions and concerns.

Google Reviews
Alamo Primary Care
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people
Alamo Primary Care offers chronic disease management in Boerne and San Antonio, Texas, for conditions including diabetes, high blood pressure, high cholesterol, heart disease, COPD, and thyroid disorders. Patients receive personalized care plans, regular monitoring, and ongoing support from primary care providers.
Chronic disease management is ongoing medical care that helps people control long-term conditions like diabetes, hypertension, and heart disease. It includes regular check-ups, lab monitoring, medication management, and lifestyle support. Alamo Primary Care provides this care for patients in San Antonio and Boerne.
Primary care providers manage most cases of type 2 diabetes and prediabetes. Alamo Primary Care in San Antonio and Boerne provides A1C testing, medication management, and lifestyle guidance, and coordinates with endocrinologists for more complex diabetes cases.
Most people with a chronic condition should see their doctor depending on how well the condition is controlled. Patients at Alamo Primary Care in Boerne and San Antonio may need more frequent visits when starting or changing treatment.
Yes, primary care doctors manage most cases of high blood pressure. Alamo Primary Care in San Antonio and Boerne monitors blood pressure, adjusts medications, supports lifestyle changes, and refers patients to a cardiologist when advanced care is needed.
Yes, many chronic care follow-ups can be done through secure telemedicine visits, including medication reviews, lab result discussions, and progress check-ins. Patients in Boerne, San Antonio, and the Hill Country can combine virtual and in-office visits.
Regular monitoring helps detect warning signs early, such as rising blood sugar or blood pressure, so treatment can be adjusted before a crisis occurs. This proactive approach at Alamo Primary Care helps San Antonio and Boerne patients avoid complications, ER visits, and hospital stays.
Medicare Part B covers chronic care management services for patients in outpatient settings. Coverage details and costs vary, so contact Alamo Primary Care in San Antonio or Boerne to confirm your eligibility.