Tubeless Freedom for Type 2 Diabetes

Request a free wearable, demo Pod – and say no to multiple daily injections

Please read our Privacy Policy and HIPAA Privacy Notice for details on how we manage and protect your information below. We value your privacy and appreciate the trust you place in us by providing it.

*All fields required.

* First Name

* Last Name

* Email Address

* Zip Code

* Preferred Phone

* Type of Diabetes

* I certify I am 18 years of age or older. If you are under 18, please ask your parent or guardian to order on your behalf.

* I acknowledge I have been provided access to the Insulet Corporation Privacy Policy and HIPAA Privacy Notice concerning the use and disclosure of my medical information.

* I authorize Insulet Corporation, its distributors, affiliates and wholly-owned subsidiaries to contact me by telephone or e-mail regarding the Omnipod Insulin Management System and other diabetes-related supplies and services.

Note: You must be a resident of the United States to request a Demo Kit.