 If participants enroll with a CarePartner, they will be randomized to have their CarePartner receive weekly automated updates focused on symptom monitoring and patient self-care HITCMCP versus usual care no updates to CarePartner, HITCM-only. All participants will receive a weekly 10-15 minute automated phone call to their cell phone for disease assessment and self-care support for up to 16 weeks. Some patients with hypertension may be provided with in-home cuffs for measurement of blood pressure throughout the study. During enrollment, the research team will explain how the cuffs are used, as well as how to work the automated phone system. During patients automated calls, they will be asked questions about their self-care relevant to their diagnosis, blood pressure regimen and readings hypertension only, diet, glucose monitoring and symptoms of highlow blood sugar diabetes only and medication adherence. Based on the patients self-report, they will receive targeted suggestions for how to improve their self-management. No identifying information is included in the automated call sent to the patients phone other than the patients first name. At the end of each automated call, patients will hear the phone number of their clinic, which they can call for a health problem or to disenroll from the program. At the time of recruitment, an initial automated call will be sent to the patients phone so that they can learn what to expect and have the chance to ask questions of the research associate. 