|
We'll need some information to get you started
|
|
Diabetes Type: |
|
Knowing your diabetes type will help us direct you to the appropriate diabetes data
management site. |
|
First Name:
|
|
Your first and last name will be used to help us personalize your reports. |
|
Last Name: |
|
|
|
Gender:
|
|
Gender plays an important part in your health care provider's determination of the
proper diabetes care for you.
|
|
Birth Date: |
Month:
|
Age is also important for your health care provider to know, and will be included on
your reports. |
|
Email Address: |
|
This is needed so we know where to send your reports. We do not give, sell,
or otherwise trade your email address to non-affiliated parties. |
|
Desired User Name: |
|
This will be the username you login to the diabetes data management system with. |
|
Password: |
|
Your password is vital to assuring the confidentiality and security of your data.
Please be sure to choose a password at least 6 characters long. |
|
Confirm Password: |
|
Confirm your password above, to make sure you didn't make a typing mistake in the
field above. |
|
Security Question: |
|
If you ever forget your password, you can answer your pre-selected question to assist
in getting your password back automatically. |
|
Answer: |
|
This should be the answer to whatever question you chose above. Make sure it's
something you'll remember! |
|
Last Glucose Reading: |
|
Optional: You can enter your latest blood glucose value here and we'll put it into
the diabetes data management system for you automatically. If you do provide
a value, please note you must fill in the reading date and time below as well. |
|
Reading Date: |
|
* Required if "Last Glucose Value" was entered. Just choose the date you took
the reading on. |
|
Reading Time: |
|
* Required if "Last Glucose Value" was entered. Please select the time closest
to when you actually took the reading. |