Are you type 1, 2A, 2B, 2C or 2D?
Find out in less than 1 minute. You will receive your profile PRIVATELY on Whatsapp.
Sign in to Google to save your progress. Learn more
Male or female? | पुरुष या महिला? *
Age? | आयु? *
Please select one.
Height? | लंबाई ? *
Please select one.
Weight? | वजन ?⚖️ *
Please select one.
Type 1 or Type 2? *
What is your Hba1c? 🩸 *
Do you have high cholesterol? | क्या आपका कोलेस्ट्रॉल हाई है? *
Do you have high BP? | क्या आपका BP हाई है? *
What are your triglycerides? क्या आपके ट्राइग्लिसराइड्स उच्च हैं? *
Please check your LIPID PROFILE. Triglycerides are usually under "CHOLESTEROL"
Do you have a fatty liver? | क्या आपका लीवर फैटी है? *
Do you take insulin? | क्या आप इंसुलिन लेते हैं? *
How did you know that you were a diabetic? | आपको कैसे पता चला कि आपको diabetes है?
After COVID/after a surgery/during a random check up/after using steroids etc.
Please enter your Whatsapp number to get your free profile.| अपना व्हाट्सएप नंबर दर्ज करें *
If your number is +91 9769977006, please enter 9769977006 (WITHOUT THE +91)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hata Bevtech Pvt Ltd. Report Abuse