Injection Therapy Medical Questionairre

Where do you experience your symptoms? Required

Have you seen any medical professionals or tried any pain killers / anti-inflammatory medications so far?

Do you have any history of the following? Required

If your diabetes is monitored via blood test, when was this last tested and what was your result?

Last tested within the last 3 months and my HbA1c was below 75mmol/mol (glucose below 12mmol/l)

Last tested over 3 months ago and my HbA1c was below 75mmol/mol (glucose below 12mmol/l)

Last tested over 3 months ago and my HbA1c was over 75mmol/mol (glucose over 12mmol/l)

I'm not sure

Do you undertake strenuous exercise or sport such as...

Medical Questionnaire