Talk to a diabetes therapy consultant today. Request a call today, to discuss the benefits of Guardian™ Connect with a Medtronic Diabetes Therapy Consultant. This form takes less than ~60 seconds to complete. * indicates fields that are required Are you an existing customer?* Yes No Thank you for being a Medtronic customer. Please sign in to your Diabetes.shop account to see options for: Guardian™ Connect CGM system InPen™ smart insulin pen i-Port Advance™ injection port This form is intended for customers who are new to Medtronic Diabetes. Please use the sign in page on Diabetes.shop to access your account. You can use the forgot username and password links if you have trouble recalling your sign in info. Who is living with diabetes?* Myself My Child A Family Member My Friend My Patient Other Is the child or family member over the age of 18 years?* Yes No Type of diabetes?* Type 1 diabetes Type 2 diabetes Other: Gestational, Slow Onset, LADA, Prediabetes Does not apply Note: The MiniMed™ 780G system has not been approved for use in type 2 diabetes by FDA or other regulatory bodies. Please consult your healthcare provider about which therapy is best for you. How is your diabetes currently managed?* 3 or more injections of insulin per day 2 injections of insulin per day 1 insulin injection a day or oral medication Diet and Exercise Medtronic Insulin Pump Other Insulin Pump Thank you for being a Medtronic customer. Please sign in to your Diabetes.shop account to see options for: Guardian™ Connect CGM system InPen™ smart insulin pen i-Port Advance™ injection port You indicated that you’re not using insulin to manage your diabetes. Our CGM is most often available for those who use multiple daily insulin injections to manage their diabetes. If you’d be interested in paying out of pocket for this device, please call 1-800-646-4633 and select option 3. Here are some additional resources that may be helpful for you: Sign up to receive our newsletter for monthly updates and tips Visit our blog to read helpful diabetes stories and perspective from the community Connect with a product ambassador to have a discussion with a real person living with diabetes If your circumstances change, please check back with us and we’d be happy to discuss therapy options that may fit your needs. Which CGM do you use?* Dexcom Abbott Freestyle Libre Other Which pump do you use?* Omnipod Tandem Other Please specify which pump? Which product(s) and/or service(s) are you interested in? MiniMed™ 780G Insulin Pump System Continuous Glucose Monitoring (CGM) i-Port Advance™ Injection Port InPen™ Smart Insulin Pen First name* Last name* Phone* Postcode* Email* By ticking this box and providing information, I understand and agree that my personal information is being collected by Medtronic and entered into a database for the purpose of communicating offers and specials related to Medtronic products, services and technological advancements. We may also share your details with our Medtronic Certified Product Trainers (healthcare professionals who are consultants to Medtronic) for the purpose of a consultation to determine if you are suitable for insulin pump therapy. Request a call