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Dr. Brenda Estrada Geriatrician · Ciudad Juárez

Geriatric service

Chronic conditions in older adults · Ciudad Juárez

Comprehensive management of diabetes, hypertension and other conditions, with goals adapted to age.

  • Office and home visits
  • Bring someone with you
  • Written plan

When to consult

When should you seek geriatric management of your conditions?

Control targets that work at 50 can cause harm at 85. In geriatrics the goal is individualized: protect without overtreating.

When to consult

  • You live with diabetes, hypertension, COPD or heart failure.
  • Episodes of low blood sugar or blood pressure that drops on standing.
  • Your numbers "look fine" on paper, but you feel worse than before.
  • Several conditions at once and treatments that contradict each other.

Before your visit

  • Bring your most recent lab and imaging results.
  • Log your blood pressure or glucose readings from the past week, if you measure them.
  • Full medication list, including what other doctors prescribed.

Important points

  • Hypoglycemia in an older adult can cause falls, confusion and hospitalization.
  • Blood pressure that is too low is as risky as high pressure at this age.
  • Do not adjust insulin or blood pressure doses without supervision.

During the visit

What is evaluated during the visit?

01 Current status of each chronic condition
02 Individualized targets based on function and priorities
03 Signs of overtreatment or undertreatment
04 In-office electrocardiogram when indicated
05 Focused point-of-care ultrasound when it adds to the diagnosis
06 Interactions between treatments from different doctors
07 Kidney, heart and lung as one system
08 Practical education for patient and caregiver

Step by step

From assessment to a practical plan

01

Book your visit

By WhatsApp or phone. We confirm the time and the current fee before closing the appointment.

02

Prepare your documents

ID, recent test results, prescriptions and every medication, supplements included.

03

The assessment, unhurried

We review each condition and its treatment; if indicated, we perform the ECG or ultrasound right there.

04

Written plan and follow-up

You leave with your instructions explained, the treatment adjustments and the date of the next check.

Expected results

What you can expect from this care

Every person progresses differently; these are realistic goals, adjusted at each follow-up.

Short term
  • Clear, realistic control targets
  • Fewer episodes of low sugar or dizziness
  • A coordinated treatment scheme
Medium term
  • Stability: fewer flare-ups
  • Better energy and daily functioning
  • Clear criteria for when to seek emergency care
Long term
  • Fewer avoidable hospitalizations
  • Complications prevented or delayed
  • Quality of life above the lab number

Scientific backing

Trustworthy, verifiable sources

The recommendations on this page follow the guidance of these organizations:

Educational content: it does not replace an individual medical assessment.

Book comprehensive management of your conditions

Message me on WhatsApp: I answer personally and we book the right assessment, at the office or at home.

Contact

Leave your details and I will call you during office hours.

Office hours Monday to Friday · 3:00 to 8:00 pmSaturday · 9:00 am to 1:00 pmSunday · closed

Phone and WhatsApp 656 582 1954

Is this an emergency? Chest pain, trouble breathing or a fall with a hard blow do not wait for an appointment: go to the emergency department or call 911.

Leave your details and I will contact you

We get back to you during the next office hours.

Who is the consultation for?

Please do not share clinical data here: we go through it in consultation.

From the blog

Related notes

The questions that come up most in consultation, explained calmly and without jargon.

Frequently asked questions

About this service

Question not here? Send me a WhatsApp message and I will answer personally.

Ask on WhatsApp
Why is my glucose target different from my son's?

Because at an older age hypoglycemia is more dangerous than a slightly high glucose. We look for the range that protects without exposing you.

Does this visit replace my cardiologist?

Not necessarily: geriatrics integrates and coordinates. When a subspecialist is needed, we work together.