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Weight management – Foundation Surgery
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Weight management

Weight management service

Form summary

What is your ethnic group?
Have you had a diagnosis of any of these conditions?
Select all options that are relevant to you
Have you had a diagnosis of type 2 diabetes within the last 6 years?
Have you had a blood sugar (HbA1c) measurement taken within the last 12 months?
Do you take diabetes medication?
Was the blood sugar measurement between 43 to 87 mmol/mol?
Was the blood sugar measurement between 48 to 87 mmol/mol?
Did you have a diabetes review when it was last offered (including eye screening)?
Will you continue to have annual reviews even if you are in remission?
For example, 1.75
For example, 60.6
Do you consent to a referral to an NHS weight management service?
Terms and conditions