Diabetes Survey 2011

Help shape diabetes treatment in the UK

The Diabetes Survey 2011 is all about diabetes treatment. The aim is to find out what is required for better treatment
and prevention of diabetes issues in the UK. To say thanks, 10 people will get an iPad 2 or £100 Tesco vouchers. This survey takes 2 mins.

To begin, please tell us:
Section 1: Your Lifestyle (6 questions)
What are the first 2 digits of your postcode?
e.g. CV, B4, SW, TS
What is your ethnic origin?

Do you smoke cigarettes?
How often do you drink alcohol?
Section 2: Your Diabetes (6 questions)
How are you affected by diabetes
If answering on behalf of someone else, please answer the questions that follow on their behalf of one person, per survey.
Which type of diabetes do you have?
If answering on behalf of someone else, please answer the question on their behalf
In which year were you diagnosed?
Do you take insulin?
Which of the following medications do you take?
What was your last HbA1c value?
If you know your HbA1c, enter it as a percentage or mmol/mol value
Section 3: Blood Testing (7 questions)
How often do you test on average?
Are test strips prescribed for you?
How often do you need to buy your own test strips?
Where do you buy test strips from?
Please select all that apply
If money or getting a prescription were no issue, how often would you like to test per day?
Have you ever had prescriptions for blood testing supplies reduced, denied or withdrawn by your healthcare team?
If you have had testing supplies reduced, denied or withdrawn, how long ago was the most recent occurrence?
How much of a worry is access to blood testing supplies for you?
Section 4: Blood Glucose Meters (4 questions)
How many blood glucose meters do you regularly use?
Which blood glucose meter do you use most often?
Did you buy the meter or did you receive it free?
Where did you buy the meter from?
How did you receive the free meter?
How long have you had this meter for?
Section 5: Hypos (5 questions)
How often do you tend to get hypos (under 4 mmol/L)?
How often do you have serious hypos?
A serious hypo is one that causes injury, convulsions, unconsciousness or requires assistance from others
How much of a worry are hypos for you?
Are hypos a particular worry for you when doing any of the following activities?
Please select all that apply
Finally, which, if any, of the following activities do you intentionally run your blood sugar levels higher for?