Month of Birth*
Year of Birth*
*Required Information

Confidentiality Pledge

Providing your personal information through this form will be treated the same as if you provided a physical signature. Your privacy is important to us. Please read our Privacy Policy for more details.

I understand and agree that the information I’ve provided will be used by Abbott and its contracted third parties to provide me with helpful information about Glucerna and to send me marketing materials and promotional offers via email about Abbott’s products and services. Abbott will not sell or transfer my personal information to any other party for their marketing activities. To be removed from the Glucerna mailing list, unsubscribe or contact 1‑800‑227‑5767.

*Offers may vary. Valuation based on maximum collective savings of offers throughout duration of program.


Why does Glucerna® need my address?

Providing your address allows us to mail you more information and materials.


Why does Glucerna® need my birth date?

Enter your birth month and year to get a special birthday gift from us.