Tell us your story

Thank you for submitting your story.

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 drop down 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 onto the media without your permission and we would always contact you first before giving your details to the media.

Fields marked with an * are required.

You

Title

First name

Surname

Email address

Telephone

Age

Supporter number (if applicable)

What region of the UK do you live in?

Sometimes journalists are looking for people with diabetes from specific ethnic backgrounds. Using the following classifications, how would you describe your ethnic origin (please tick appropriate box).

If you feel you do not come within these categories, please state under “other” what you consider to be your ethnic origin.

Black other (please specify)

Other (please specify)

Tell us your story - we would like to hear about any aspect of living with diabetes, volunteering, fundraising or caring with someone with diabetes. We would particularly like to hear from people form different cultural backgrounds, parents of children with diabetes, pregnant women and people who are newly diagnosed, or have been living with the condition for years.

Upload your photo (only one per form)

Are you happy for your first name to be printed?

Would you be happy for us to contact you about potentially becoming a media case study?

I am happy for Diabetes UK and its associated groups to contact me via email.

I am happy for Diabetes UK and its associated groups to contact me via mobile communications.

Diabetes UK and its associated groups take data protection very seriously. We promise we will not pass your details on to any other organisations. If you do not wish to receive any further information about the work of Diabetes UK and its associated groups and that of our trading company please tick the box.

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Tell us your story

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