Supported Pens

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First name*

Last name*

Email*

Phone Number*

Phone Operating System:*

iOS

Android

Age*

Country of Residence*

Are you currently using a CGM?*

Yes

No

If yes, please name the brand and CGM model you are using.

Which basal insulin brand (if known)

Which basal insulin pen type (if known)

Which bolus insulin brand (if known)

Which bolus insulin pen type (if known)

If unsure, please upload an image of your insulin pens.

SOCIAL MEDIA.

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