Health Update It’s time for us to check in with you so we can share any progress or provide tips if you need them, so please complete the form below. Latest A1cWeightSelect weight unit Pounds (lbs) Kilograms (kg) Are you currently taking anti-glycemic medications? Yes No Select Medication Type Metformin SGLT-2 inhibitor DDP-4 inhibitor GLP-1 agonist Sulfonylureas Insulin What's your current Metformin dosage?What type/brand of SGLT-2 inhibitor do you take? canagliflozin (Invokana) dapagliflozin (Farxiga, Forxiga) empagliflozin (Jardiance) What's your current SGLT-2 medication dosage?What type/brand of DDP-4 inhibitor are you taking? sitagliptin (Januvia) saxagliptin (Onglyza) linagliptin (Tradjenta, Trajenta) alogliptin (Nesina) vildagliptin (galvus) Medication brand may vary dependent on location. Please choose the type if your brand is not listed. What's your current DPP-4 medication dosage?What type/brand of GLP-1 agonist do you take? lixisenatide (Adlyxin) exenatide (Byetta, Bydureon) semaglutide (Ozempic, Rybelsus) liralutide (Saxenda, Victoza) dulaglitide (Trulicity) Medication brand may vary dependent on location. Please choose the type if your brand is not listed. What's your current GLP-1 medication dosage?What type/brand of sulfonylurea agonist do you take? glipizide (Glucotrol, GlipZIDE XL, Melizide, Minidiab) gliclazide (Diamicron, Glyade, Nidem) glimepiride (Amaryl) glyburide/glibenclamide (Diabeta, Micronase, Glynase PresTab, Glimel, Daonil) chlorpropamide (Diabinese) Medication brand may vary dependent on location. Please choose the type if your brand is not listed. What's your current sulfonylurea medication dosage?What's your current insulin dosage?This field is hidden when viewing the formEmail How are you going with your health goals?Are you struggling with anything particular right now?Any other comments you'd like to add