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About

Islet Cell Transplantation

The University of Illinois at Chicago is offering islet cell transplants for patients with type 1 diabetes.

Eligibility

If you are interested, please complete this short form to see if you are eligible. We will contact you if you are a candidate.

First Name*
Last Name*
Email*
1) Are you age 18 to 65 years old?*
- Yes
- No
2) Have you had type 1 diabetes (insulin-dependent) for more than five years?*
- Yes
- No
3) Are you on any medications besides insulin for your diabetes?*
- Yes
- No
Please specify:*
4) Each month, approximately how many episodes of blood sugar below 55 mg/dL do you experience?*
5) In the last 3 years, have you needed help from someone else to treat low blood sugar?*
- Yes
- No
How many times in the last 3 years?*
6) Of those episodes of low blood sugar, how often do you have symptoms?*
- 100%
- 75%
- 50%
- 25%
- 0%
7) Do you currently smoke cigarettes?*
- Yes
- No
How many years?*
How many cigarettes a day?*
8) Have you had any previous transplants?*
- Yes
- No
Please specify:*
- pancreas
- heart
- lung
- liver
- kidney
- bone marrow