Information for diabetics and their families


I would really like to hear from other diabetics out there.  You can either email me, or you can use the email form below to send me an email directly from my web page.

If you have either Yahoo Messenger, ICQ, AOL or AIM, you can contact me and chat with me live.  If you don't have any of those chat programs, you can download them for free by clicking on any of the links above the buttons below.  On AIM and Yahoo, I go by PhlexTeck and my ICQ UIN is 1336279.

Required Fields ( * )

To get to know my visitors, Please fill in as much of this form as you're comfortable with.  Please note: I do not use your email address for any reasons except to say "Hello"  Your email address is strictly confidential to me only.  You will not be spammed in any shape or form.  Thank You!

   

Information About You

 
   
I am a Type I Diabetic
I am a Type 2 Diabetic
I am a Diabetes Educator
A Family Member or Friend is a Diabetic
I have been newly diagnosed with Diabetes
I currently use, or will be using an Insulin Pump.
   
Your Name:*
Your 'REAL' Email Address:*
Number of Years being a diabetic:

Enter your Message or Comments Here

When you're ready to send this message off to me, click "Submit"  Please click the button only once.