Diabetes Survey
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What’s your goal for your diabetes?
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To be off of medication
To have my A1c at target
To live a “normal” life
To lose weight
What’s the closest description of what a “normal” life with diabetes would mean to you?
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Not having to take medicine anymore
An A1c at target and I don’t have to think about what’s happening with my blood sugar
I don’t have to think about diabetes at all other than take my medication
Other
What’s the closest description of what a “normal” life with diabetes would mean to you? (Other)
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How long ago were you diagnosed with diabetes?
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Less than one year
1 – 5 years
6 – 10 years
More than 10 years
If your A1c was 5.5 or lower, but you were still on medication, how would you describe it?
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Diabetes in remission
Normal
Other
If your A1c was 5.5 or lower, but you were still on medication, how would you describe it?
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How much time do you spend thinking about diabetes?
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All the time—it’s front and center in my life.
Not that much, I just do the basics to get through the day.
Occasionally, like when I have a doctor’s appointment coming up
What was your most recent A1c test result?
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Email (We need this to send the fall meal plan to you)
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