DIABETES
FREE INDIA
BY 2047
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Phone
City
Region/State/Province
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Gender
Male
Female
Height
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Weight
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Are you a Diabetic?
Yes - Type 1 Diabetes
Yes - Type 2 Diabetes
Pre-Diabetic
No
Fasting Blood Sugar (mg/dl)
Less than 100
100 to 119
120 to 149
Over 150
I'm not sure
Post Prandial Sugar Levels (2hrs post meal)
Less than 150
150 to 199
200 to 249
250 to 299
Over 300
I'm not sure
HbA1c - 90 Day Average Blood Sugar
Between 6 and 7
7.1 to 9
Above 9
I'm not sure
Pre-Existing Medical Conditions
High Blood Pressure (Hypertension)
High Cholesterol
Cardiac Issues
Obesity
Kidney Issues
Other
None of the Above
Reason for Consultation
How Should We Contact You?
Phone (within ~72 hrs)
Whatsapp (within ~48hrs)
Email (within ~48hrs)
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