Diabetes Education and Accountability Program
Are you having trouble managing your blood sugar? Please fill out the information below to sign up for our program so that we can help you manage your diabetes!
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What is your first and last name? *
Are you currently diagnosed with diabetes? *
What medications do you take to manage your blood sugar levels? *
How old are you? *
Are you willing to answer weekly phone calls to check in and help manage your sugar levels? *
What is your phone number? *
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