ADA Influencers

Drive powerful and impactful change for people with diabetes on both the state and federal level through participation in meetings, outreach, and other high-level engagement activities with lawmakers.

Your Info

Name:

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Professional Suffix

State / Province:

Zip / Postal Code:

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E-mail:

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Phone Number:

Yes, I would like to receive e-mail from American Diabetes Association

What is your connection to diabetes? Check all that apply.

Person with type 1 diabetes
Person with type 2 diabetes
Parent/family of a person with diabetes
Person with prediabetes
Health care provider
Attorney
Young professional
Other professional connection
Other

If you live with diabetes: describe your management (insulin, oral or other medications, CGM, pump, etc.)

Field Is Required What issues matter most to you?

Diabetes research
Prevention
Health equity
Discrimination
Insulin affordability
Health care access
Nutrition & food access
Primary Care
Youth
Issues specific to HCPs
Type 1
Type 2
Gestational diabetes
LADA
Other

Have you been involved with ADA or other organizations? If so, tell us more.

Are you active on social media advocating for diabetes? Share your handles with ADA .

If you have recently interacted with lawmakers, tell us about it here.

ADA is a nonpartisan organization. As a 501(c)(3), we meet with all political parties, and Influencers may engage with all legislators to support the diabetes community. Are you comfortable with this?

Anything else you would like us to know about your interests or background?

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American Diabetes Association
2451 Crystal Drive, Suite 900
Arlington, VA 22202 1-800-DIABETES (800-342-2383)