Chronic Condition Management
in Pembroke Pines, FL

What is Hypertension?

Hypertension is the medical distinction for high blood pressure. Blood pressure is the measure of the pressure of the blood in the circulatory system, often measured for diagnosis since it is closely related to the rate of the heartbeat and the measure and elasticity of the arterial walls. Blood doesn’t move efficiently through narrow arteries, which causes the heart to pump harder. This requires more power to move the blood so it hits the arteries harder, which causes your blood pressure to rise.


What causes high blood pressure?

There is a wide range of factors for hypertension, however for most patients, there is no clear indicator of why they develop the condition. It is considered to be a normal part of the aging process. The walls of the arteries become more elastic over time and blood flow becomes less efficient.

Secondary hypertension implies there is a known reason or underlying condition. It is a response to a medication or be a side effect of a particular disease. Conditions of secondary hypertension usually include:

  • Kidney problems
  • Adrenal tumors
  • Thyroid disease
  • Congenital defects in the heart or arteries
  • Drug or alcohol abuse
  • Obstructive sleep apnea

The initial phase in hypertension treatment will be to determine the root cause for your increased blood pressure.

What are the treatment options for high blood pressure?

Your provider may recommend a low-salt diet to minimize your sodium consumption. Individuals over the age of 51 years old should restrict their salt consumption to 1,500 mg/day.

Healthy eating and exercise can help managing weight, which is a key component in controlling hypertension. In the event that lifestyle changes are insufficient to control the issue, there are medications like diuretics and beta-blockers that can be prescribed.

What is diabetes?

Diabetes is a disease that influences the way the body produces or responds to the hormone insulin. Insulin acts like a key that allows the perfect measure of glucose into every cell. In patients who are diabetic, this procedure doesn’t work correctly.

What are the treatment options for diabetes?

Your provider will create a tailored approach to your specific health and will include changes to your lifestyle as well as medication.

  • Diet management
  • Exercise program
  • Monitor blood sugar
  • Insulin
  • Medication

Diabetes treatment is a balance that is carefully controlled and will take time. It can also change over time so ongoing monitoring is required.

Different types of diabetes

There are three distinct types of diabetes, each with a particular process:

  • Type-1: the pancreas produces little or no insulin which is a hormone needed to allow sugar (glucose) to enter cells to produce energy. The immune system attacks the insulin-delivering cells and devastates them. This type typically develops more often during childhood.
  • Type-2: Type-2 diabetes is an issue with your body that causes blood glucose (sugar) levels to ascend higher than normal. This type of diabetes is most common and typically happens later in life as the cells age and are impervious to insulin, called insulin resistance. The pancreas tries to deliver enough insulin to counteract, so rather than sugar entering the cells for energy, it develops the blood.
  • Gestational: this type of diabetes develops during pregnancy. The placenta delivers a hormone that can make cells impervious to insulin. The condition will resolve itself after the baby is born.

Patient Feedback

The absolute best physician that I’ve been to! Amazing staff and great patient treatment. I have finally found a great physician that my daughters can eventually go to. What would take a 3-4 hour process, was done in less than an hour and a half!
I have been Dr. Manella’s patient for years. You couldn’t ask for a better doctor or office. The office staff is professional and friendly and has always been helpful when I have questions about an appointment or medication. In my experience, they have always gone above and beyond for their patients. I feel very lucky to have found Dr. Manella. Personally, I feel she and her whole office truly care about the well being of their patients and I would recommend Dr. Manella and her entire office to anybody looking for quality healthcare.
Manella Family Practice is one of the best medical offices I have been to. Dr Edele is a great doc. He actually talks with you about everything in words that make sense and listens and remembers what was discussed in previous appointments. I recommended him to a co worker who went as was very happy with the treatment he received as well. Top notch doctor and top notch practice!
This physician is outstanding and I have and will continue to refer people to the practice. Everyone in the office is compassionate, friendly, responsive and knowledgeable. It’s a pleasure being there.
Dr. Edele listened to me about my medical issues and concerns. He is very knowledgeable about everything we discussed and knew what specific treatments would be effective in alleviating my symptoms and resolving the issue.
I’m a new patient but so far he was a very attentive doctor and I felt relaxed and comfortable immediately.
T. W.
My experience here was quite exemplary. From the moment I arrive everyone was helpful and friendly. I did not have to wait a long time to be seen and everything was handled seamlessly.
I have never had to wait a long time in the waiting room. My time with Dr Manella is always thorough and never rushed. Whether you see Dr Manella, Dr Edele, or Dr Romero (I’ve seen all three), they’ll be your new favorite doctor.

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