Diabetes SurveyPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Do you have any of the following diagnoses? *ME/CFSLong CovidUnder investigation for ME/CFSUnder investigation for Long CovidNot applicable (Thank you, we are looking to survey those with ME/CFS or Long Covid)Thank you for your interest, we are only interested in information from people with ME/CFS or Long Covid at this time.Do you also have any of the following diagnoses? *DiabetesPrediabeticUnder investigation for DiabetesNot applicable (Thank you, we are looking to survey those with diabetes)Thank you for your interest, we are only interested in information from people with Diabetes at this time.Which type of Diabetes do you have? *Type 1Type 2Latent Autoimmune Diabetes in Adults (LADA)Mature Onset Diabetes in Young People (MODY)Steroid induced diabetesAwaiting DiagnosisOther (Please specify)Other (please specify) *Did you have any of the following risk factors for developing diabetes?middle agedoverweightethnicity prone to the diseasefamily historyphysical inactivityN/A have risk Other When did you receive a diagnosis of Diabetes? *Before a diagnosis of ME/CFSBefore a diagnosis of Long CovidAfter a diagnosis of ME/CFSAfter a diagnosis of Long CovidAwaiting a diagnosis (Diabetes)Before onset of ME/CFS symptoms (still waiting to receive ME/CFS diagnosis)After onset of ME/CFS symptoms (still waiting to receive ME/CFS diagnosis)Before onset of Long Covid symptoms (still waiting to receive Long Covid diagnosis)After onset of Long Covid symptoms (still waiting to receive Long Covid diagnosis)How long have you had Diabetes? *Under 1 year1 to 5 years6-10 years10-20 years20 years+N/AHow old were you when you were diagnosed? (or if you are awaiting diagnosis, how old were you when symptoms started) *Teens20s30s40s50s60s70+N/AHow is your diabetes currently controlled?DietTabletInsulinOther (please specify)Other (Please specify)Have you experienced any of the following? *hypoglycaemia (low blood sugar)hyperglycaemia (high blood sugar)diabetic ketoacidosis (DKA)hyperosmolar hyperglycaemia state (HHS)N/AHave you developed any of the following symptoms or complications since developing diabetes? *kidney issueseye problems (retinopathy)unexplained weight lossincreased fatigueslow-healing soresincreased susceptibility to infectionsnerve damage (neuropathy)muscle pain and joint problemsleg pain or foot problemstooth decayN/ADo you a diagnosis of any of the following? *thyroid issues including Hyperthyroidism or Hypothyroidismhypertension (high blood pressure)hyperlipidaemia (an elevated level of lipid)chronic kidney diseasecardiovascular diseasesosteoarthritisasthmadiabetic gastroparesissleep disorders (including sleep apneoa)restless legs syndromefatty liver diseasecharcot foot (where fractures don’t heal)peripheral neuropathychronic obstructive pulmonary disease (COPD)pulmonary hypotensionautoimmune conditionN/ASubmit
