TL;DR
Answers to the most common questions patients ask about managing diabetes, high blood pressure, cholesterol, thyroid conditions, and other chronic diseases at Dr. Jedidiah Oldham’s office in Spanish Fork. Call (385) 265-6060 for questions not covered below.
Frequently Asked Questions About Chronic Disease Management
Dr. Oldham typically schedules follow-ups every three months for conditions like diabetes, hypertension, and thyroid disorders during the first year of treatment or after a medication change. Once lab values and symptoms are stable, he shifts to every six months. The frequency depends on the specific condition and how well it is controlled.
Dr. Oldham manages type 2 diabetes in the office for most patients, including oral medications, GLP-1 agonists, and insulin initiation and titration. He refers to endocrinology for type 1 diabetes, insulin pump management, or type 2 cases that do not respond to standard therapy. Most patients stay with Dr. Oldham for ongoing diabetes care.
Dr. Oldham follows the ACC/AHA guideline target of below 130/80 mmHg for most adults with hypertension. For older adults or patients with certain conditions, he may accept a slightly higher target after discussing risks and benefits. He reviews home blood pressure logs at each visit to confirm readings reflect everyday patterns.
Yes. Dr. Oldham prescribes semaglutide, tirzepatide, and other GLP-1 agonists for qualifying patients with type 2 diabetes or obesity. He verifies insurance coverage before prescribing because these medications can be expensive without coverage, and he titrates the dose over several weeks to minimize side effects like nausea.
Dr. Oldham uses the ACC/AHA cardiovascular risk calculator to estimate your 10-year risk of a heart attack or stroke based on age, cholesterol levels, blood pressure, smoking status, and diabetes. He recommends statin therapy when the calculated risk exceeds a threshold or when LDL is significantly elevated, and discusses lifestyle changes as the first step for lower-risk patients.
Telehealth follow-ups are available for chronic disease management when the visit involves medication adjustments, lab result reviews, or symptom check-ins that don’t require a physical exam. Many patients alternate between in-person and telehealth visits to reduce trips to the office while staying on schedule.
Lab monitoring depends on the condition. Diabetes requires A1c every three to six months and an annual kidney panel. Thyroid patients get TSH every six to twelve months once stable. Cholesterol patients get a lipid panel annually. Dr. Oldham orders labs before your follow-up so he has results to review during the appointment.
Call (385) 265-6060 or book online. The front desk schedules follow-ups at the interval Dr. Oldham recommends and sends lab orders in advance. The office is at 972 N 600 E, Spanish Fork, UT 84660.
Medical disclaimer: These answers are for general informational purposes. Individual care decisions should be made between a patient and their physician.
Content accuracy: Based on current ACC/AHA, ADA, and ATA guidelines. Last reviewed April 2026.