MARKET RESEARCH – Project Diabetes Study

We are looking for people who have been diagnosed with Diabetes to take part in an interview for 1 hour in London about blood sugar levels.

Please answer the questions below.

Name:

Telephone number:

Postcode:

Age:

Highest level of education achieved?

Occupation:

Job Title:

Working Status:

Occupation of chief income earner in the household?

Have you been diagnosed with?

• Diabetes Type 1
• Diabetes Type 2

How long ago were you diagnosed with Diabetes?

Which of the following types if medication are you taking for your Diabetes?

• Insulin
• Oral medication
• Non-Insulin injections such as Byetta, Victoza, Trulicity, etc
• Diet controlled

If you are taking insulin, which of the following methods do you use to administer your insulin?

• A needle and syringe
• An insulin pen/durable pen
• An insulin pump

Please list the names of the medication that you are taking for your Diabetes.

Do you take pre mixed insulin (long acting insulin combined with short acting/rapid acting insulin in one bottle or insulin pen) to treat your Diabetes? Yes/No?

Are you currently taking a long acting (basal) insulin? Yes/No?

Are you currently taking a short acting/rapid acting (mealtime/bolus) insulin? Yes/No?

How often do you test your blood sugar levels AFTER eating a meal?

In the past week, what was your HIGHEST blood sugar reading AFTER eating a meal?

In the past week, what was your SECOND highest blood sugar reading AFTER eating a meal?

Do you use a continuous glucose monitoring system to monitor your blood sugar levels? This is a system with a sensor that you wear on your body to continuously gather information about your blood sugar instead of testing your blood sugar with a meter? Yes/No?

Please forward this on to anyone you know who may be interested.
 

Unfortunately, it is impossible to reply to all emails or phone messages.   We receive lots of responses to researches that are emailed out. You will be contacted by phone if your application is successful. However, we apologise if you do not hear from us, but please keep trying for future projects that are sent out.

We look forward to hearing from you.
 
Kind regards,
 
 
Daliah Salem
trend MARKET RESEARCH LTD