A Letter to Diabetes

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Tell us who this story is from.
Name
Country
Email
Optional. Only so we can reach you. Never shown.
Audio/video consent
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I'm under 18
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Guardian name

First NameLast Name
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Guardian email
example@example.com
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Consent

Your responses will be shared with Dexcom for consideration. Dexcom is under no obligation to share your submission. If the person is younger than 18 years old, a parent or legal guardian must complete the submission on their behalf. By submitting this form, you consent to Dexcom collecting and using the information you provide, some of which may be considered sensitive or health data, in Dexcom's "World Diabetes Day” campaign or for other marketing and commercial purposes. You acknowledge and agree that Dexcom has no obligation to (1) review the submissions; (2) acknowledge receipt of the submissions; or (3) provide any attribution or compensation for any use of the submissions. Dexcom will not share your personal information with any third parties, except as otherwise noted in our Privacy Notice.
Link to privacy notice
Please verify that you are human
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