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DETAILS OF "YES" ANSWERS No Name and Address of Doctor who made the Diagnosis: 1. Have you ever been told that you had diabetes? 2. Is your urine usually sugar free? 3. Have you ever had any blood sugar tests? 4. Are you receiving treatment or are you under medical supervision now? 5. Are you on a diet at present? 6. Are you taking now? 7. Are you taking oral drugs for the control of your diabetes? Type and dose: 8. Has your medication or your diet ever been disconti.

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