By sending us your story, you agree that we may publish it on our website and e-newsletters, in our printed magazines and, in some cases, our campaign material.
We regret we cannot respond to every story submitted.
If you are not happy for your first name to be published, please let us know by selecting 'no' from the dropdown menu below. In some cases, we may contact you to ask for any additional details, or to talk about any changes we need to make.
You are under no obligation to answer all questions.
There may be occasions when the general media may be interested in your story or interviewing you about your diabetes. Further down the form, you are given the chance to say whether you would be happy to discuss this with the wider media.
No information will be passed on to the media without your permission, and we would always contact you first before giving your details to the media.
Sometimes journalists are looking for people with diabetes from specific ethnic backgrounds. Using the following classifications, how would you describe your ethnic origin.