90% of Canadians with diabetes have type 2, while 10% have type 1.
Sign up for dNews: The diabetes eNewsletter for teens!
Stay on top of what’s new and what’s happening! Sign up for this totally helpful eNewsletter about diabetes and diabetes management.

Are you a Bayer meter user? Yes   No

I am: Over 18 years of age
Under 18 and have my parents permission to register

*Fields are required
Your first name*:
Your last name*:
Your email*:
Your mailing address*:
 
City*:
Province*:
Postal Code*: 
Gender*: Male   Female
Your diabetes type/therapy*:
Type 1 - Insulin Type 2 - Diet and exercise
Type 2 - Oral Medication Type 2 - Oral medication & insulin
Type 2 - Insulin Gestational
Your Bayer meter model*:
Your Bayer meter serial number*:
(Located on back of meter – 6 or 7 digits)
Which meter do you currently use*:
Other:
Your meter serial number*:
 
In an average week, how many times do you test your blood glucose level using a meter?*
0   1-4   5-9   10-14   15-19   20-30   30+
Language Preference*:
English   French
In addition to my eNewsletter, I would like to receive emails and promotional offers from Bayer Healthcare in the future.*
Yes   No
Nick Jonas and Bayer team
up to fight diabetes
Pop star Nick Jonas sees his type 1 diabetes as an opportunity instead of an obstacle. Now he's teamed up with Bayer to help young people with diabetes achieve their simple wins - and live their dreams.
Do you worry about diabetes complications?
All the time!
Sometimes
Hardly ever
Never
Are you managing your diabetes?

1. Do you check your blood glucose level as many times a day as your doctor recommends you should? (Question 1 of 5)

Yes
No