| Survey for Diabetics
1. What type of diabetes do you have? type one
2. At what age were you diagnosed? 12
3. What type of treatment are you using? insulin pump
4. Do you control it yourself (testing, insulin)? If not, who does? yes
5. How many times a day do you test yourself? 8-10
6. Does it affect your confidence level at all? no
7. Are you more careful with your diabetes when you are out with your peers? no
8. How many times a week do you exercise? fairly active lifestyle, no organized exercise regimen
9. How many times a week does your blood glucose go low? varies, sometimes 5 or more, sometimes not at all
10. How many times a week does it go high? varies, sometimes 5 or more, sometimes not at all
11. Have you ever been to some time of camp or a support group for diabetes? yes to camp, yes to support groups |