Phone: 205-838-3200
Chronic Disease Management in Trussville, Alabama
Your medical home
Se habla espanol.
We’re tucked into the Trussville Office Park just off U.S. Highway 11, an easy drive for patients coming from Trussville, Huffman, Center Point, Springville, and Leeds.

Living With Diabetes
Diabetes is a day to day condition, and your care should fit your real life. We watch your blood sugar trends and hemoglobin A1C, adjust medicines when they need adjusting, and keep an eye on your kidneys, eyes, feet, and heart, since diabetes touches all of them.
If you’re newly diagnosed and feeling overwhelmed, we’ll start simple and build from there.

High Blood Pressure (Hypertension)
High blood pressure usually doesn’t feel like anything, which is exactly why it matters. We’ll find the number that’s right for you, choose medicines that work with your other conditions, and show you how to use your home cuff so the readings you bring in actually tell us something.
Hot Alabama summers can leave some people dehydrated, which can shift blood pressure and blood sugar, so we talk that through too.

Cholesterol Problems
Whether it’s high cholesterol that runs in your family or numbers that crept up over the years, we look at your whole risk picture before deciding on treatment.
For some patients, that means changes at the table and a walk after supper. For others, it means medicine. Either way, we recheck your labs and adjust as we go.

Heart Disease
If you’ve had a heart attack or a stent, or you’ve been told you have coronary artery disease, your heart care doesn’t stop at the cardiologist’s office.
We work alongside your cardiologist, keep your medicine list straight, and manage the blood pressure, cholesterol, and blood sugar that affect your heart between specialist visits.

Thyroid Disorders and Osteoporosis
We also manage thyroid disorders and osteoporosis, two conditions that often travel quietly alongside the others. A simple blood test or a bone density screening can help catch changes early.
What a Chronic Care Visit Looks Like
You’ll leave knowing what we’re changing, why, and when we’d like to see you back.

Bring These With You
Your Care Team
Our physicians and staff provide compassionate and quality healthcare services in a comfortable, easily accessible, and safe environment. And because we’re your medical home, we can still see you for coughs, colds, and other minor illnesses, so you’re never starting over with a stranger when you get sick.
Frequently Asked Questions
We specialize in the management of chronic diseases such as diabetes, hypertension, cholesterol problems, and heart disease. We also manage thyroid disorders and osteoporosis for adults in Trussville and the surrounding communities.
It means ongoing care instead of one-time fixes. We track your numbers over time, adjust your medicines when needed, order the right lab work, and look at how your conditions affect each other, so your plan makes sense as a whole.
It depends on your conditions and how stable they are. Many patients come in every 3 to 6 months once things are steady, and more often when we’re starting or adjusting a medicine. Your provider will set a schedule that fits you.
Yes. Many adults with type 2 diabetes have their care managed by an internal medicine physician. We handle medicines, lab monitoring, and screening for complications, and we’ll refer you to an endocrinologist if your situation calls for it.
For many adults, the goal is below 130 over 80, but the right number depends on your age, your other conditions, and how you feel on treatment. Your provider will set a target that’s right for you and help you check it at home.
Not always. Many cholesterol tests no longer require fasting, but if other labs are being drawn at the same visit, we may ask you to skip breakfast. Our office will let you know when you schedule.
Your cardiologist focuses on your heart. We look after the rest of the picture that affects it, including blood pressure, cholesterol, blood sugar, and your full medicine list, and we coordinate with your cardiologist so everyone is working from the same page.
Yes. We manage thyroid disorders and osteoporosis along with diabetes, blood pressure, cholesterol, and heart disease, and we can order the blood tests and bone density screening needed to keep an eye on them.
Yes. As your medical home, we can treat coughs, colds, and other minor illnesses, so you’re seeing a provider who already knows your history.
Chronic care at Alabama Internal Medicine is provided by Steven Kulback, MD, Nicholas Echemendia, MD, and Carrie Cole, certified physician assistant.
Bring all of your medicine bottles, including vitamins and supplements, any blood pressure or blood sugar logs, recent lab results from other doctors, your insurance card, and a list of any specialists you see.
We’re at 3536 Vann Road, Suite B, in the Trussville Office Park just off U.S. Highway 11. Our mailing address reads Birmingham, AL 35235. Patients come to us from Trussville, Huffman, Center Point, Springville, Leeds, and nearby communities.
Please call instead. For your privacy and safety, we don’t answer medical questions or share health information over unencrypted email. General questions can go to info@alabamainternalmedicine.com.
Call Alabama Internal Medicine at 205-838-3200 and let our staff know you’d like a visit for diabetes, blood pressure, cholesterol, heart disease, or another ongoing condition.
Close to Home on Vann Road
Schedule a Chronic Care Visit
For anything medical, please call rather than email. We keep your health information off unencrypted email for your privacy.

