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How do you currently treat your type 2 diabetes? ( check all that apply )

1 oral medication(pills) 2 oral medications(pills) 3+ oral medications(pills) Insulin Victoza® Byetta® Symlin® None of the above

Tell us about your Victoza® Treatment

I started talking Victoza® on    (YYYY-MM-DD) I have a Prescription but have not filledit yet. I do not have a prescription for Victoza®

Indicate how well each of the following statements describes you. (1=strongly disagree, 0=strongly agree)

I feel I am able to manage my diabetes.

1 2 3 4 5 6

I'm never quite sure why my doctor recommends changes in my treatment.

1 2 3 4 5 6

My doctor makes me teei guilty for not having my blood sugar under better control.

1 2 3 4 5 6

I have a support system of family and friends who help mo stay healthy.

1 2 3 4 5 6

I agree trio: the inrormaxm I am providing may bo usod by Novo Nonhsk and es afflkatcs or vendors to keep mo informed over timo about products. services, special offers, or other opportunftes that may be of interest to me. These communications may contain material marketing or advcrtisng products, goods, or services Under no circumstances wil Novo NorCisk sed. rent, or lease my personal mlormaxxi to third parties Novo Nordok wfl take appropriate measures to protect my in«orma:on. and I can stop Novo Nordisk from sending me future com unication by calling 1-877-744-2579. contacting Novo Nordfek by mal. or by etcking on Vte 'unsubscribe* ink. whch will be avarfabkt in future o-maJ communications By providing my information to Novo Nordisk and acknowloging below,I certify that I am at least eighteen (18) years of age.

Indications and Usage Victory® is an injectabto prescription medicine that may improve blood sugar (gxxxise) in adults with type 2 diabetes when used along with diet and exercise VetozaS1 is not recommended as :he first medication to treat diabetes. Vctoza® is not nsuin and has not boon studod m comoma:on with nwhn Vctoza® * no: for people with typo 1 dabocos or people with dubcoc kctoacxJons it is not known if Victaza® is safe and effective in chidren Vctoza® is not recommended for use in children Important Safety Information In animal studies. Victoza® caused thyroid tumors—Including tttyroM cancer—In some rats and mice. It is not known whether Victoxa® causes tnyrotd tumors or a typo of thyroid cancer called medullary thyroid cancer (MTC) in people which may be fatal if not detected and treated early. Do not use Victoza2 rf you or any of your family members have a history of MTC or If you have Multiple Endocrine Neoplasla syndrome type 2 (MEN 2). While taking family members have a history of MTC or if you have Multiple Endocrine Neoplasia syndrome typo 2 (MEN 2). While taking Victoza®. tell your doctor if you get a lump or swelling in your neck, hoarse ness, trouble swallowing, or shortness of breath. Those may be symptoms of thyroid cancer. Inflammation of the pancreas (pancreatitis) may be severe and lead to death. Before tak ng Victoza®. tell your doctor if you have had pancreatitis, gallstones, a history of alcoholism, or high blood triglycorido levels since thcso medical conditions make you more likely ;o get pancreatitis. Stop taking Victoza® and call your doctor right away if you have pain in your stomach area that is severe and will not go away, occurs with or without vomiting, or is felt going from your stomach area through to your back. These may be symptoms of pancreatitis. Before using Vlctoza®. tell your doctor about all the medicines you take, especially sulfonylurea medicines or insulin, as taking them with Victoza® may affect how each medicine works. Also tell your doctor if you are allergic to any of the ingredients in Vlctoza®: have severe stomach problems such as slowed emptying of your stomach (gastroparcs s) or problems with digesting food: have or have had kidney or liver problems: havo any other medical conditions; are pregnant or plan to become pregnant. Tell your doctor if you are breastfeeding or plan to breastfeed. It is unknown if Victoza® will harm your unborn baby or if Victoza® passes into your breast milk. Your risk for getting hypogfycemia. or low blood sugar, is higher if you take Victoza® with another medicine that can cause low blood sugar, such as a sulonylurca. The dose of your sulfonylurea medicine may need to be lowered while taking v ctozato. The most common side effects with Victoza® include headache, nausea, diarrhea, and resistance to liraglutide (antibody formation). Nausea is most common when first starting Victoza®. but decreases over time in most people. Immune system related reactions, including hives, were more common in people treated with Victoza® compared to peopte treated with other diabetes drugs in medical studies. Please click here for Prescribing Information and Medication Guide. Novo Nordisk provides patient assistance for those who qualify. Please call 1-866-310-7549 to learn more about Novo Nordisk assistance programs. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800- FDA-1088. 143089-A December 2010

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