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• Username*
• First Name
• Last Name
• E-mail*
• What is your relationship with diabetes? (check all that apply)*
  • I have diabetes
  • My child has diabetes
  • A close relative(s) of mine other than a child (spouse, parent, sister or brother, aunt, uncle) has diabetes
  • I am a physician
  • nurse or other type of clinician that takes care of persons with diabetes
  • I do research on health outcomes in diabetes
  • I work for a company that provides diabetes medications, technologies, or other types of purchased services
  • I am employed by a professional organization particularly focused on supporting diabetes (Clinic, American Diabetes Association, etc.)
  • I do not have any of the above relationships with diabetes, however, I am interested in learning more about diabetes
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• Complete this question to screen for robots.*