TYPE-2 DIABETES
  • Where are you looking to find a trial?*
  • What is your sex?*
  • How old are you?*
  • What is your height?*
  • What is your weight?*
  • With which race or ethnicity do you self-identify?*
  • Have you been diagnosed with Type 2 Diabetes?*
  • When were you diagnosed with Type 2 Diabetes (month/year)?
  • What is your most recent HbA1c value?*
  • Do you take insulin to manage your Type 2 Diabetes?*
  • Are you currently taking any of the following insulin products to treat your Type 2 Diabetes?*
  • When did you start taking that insulin to treat your Type 2 Diabetes?*
  • Are you currently taking any of the following pills to treat your type 2 diabetes (T2D)?*
  • Do you have any of the following conditions?*
  • Good news. It appears that you may be eligible to join this trial.

  • Please complete the following details and we'll get in touch with you.

  • Date of birth (In the format MM/DD/YYYY)*

That's all, folks!

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