For every individual who signs up, Boehringer Ingelheim and Lilly will donate $1 – up to $25,000 – to split equally among the participating patient advocacy organizations to support efforts for people living with diabetes and heart disease every day. Individuals will receive tips, resources and product information.

The fields in red are required.

You must be 18 years of age or older to participate.

Please tell us a little more about yourself for a more customized experience

Note: These questions are optional. You can unsubscribe from this information at any time.

Question 1:
Have you had type 2 diabetes for 10 years or more?

Question 2:
Have you experienced a cardiovascular event, like a heart attack or stroke?

Boehringer Ingelheim Pharmaceuticals, Inc. and Eli Lilly and Company respect your privacy.

Participating patient organizations include:

Participating patient organizations include: