RAK Metabolic Challenge

Online Self Informed Consent

RAK Diabetes Challenge-2025

I hereby voluntarily give consent to participate in RAK Diabetes Challenge 2025 program. I understand that the lifestyle & diabetes challenge program will involve effort from my side.

I understand that I am responsible for monitoring my own condition throughout program, and should any unusual symptoms occur, I will cease my participation and inform my doctor.

Also, in consideration of being allowed to participate in the lifestyle & diabetes program, I hereby release and hold harmless RAK Hospital and their employees from any and all health claim, suits, losses, or causes of action for damages, arising out of or related to my participation in the RAK Diabetes Challenge.

I also understand that surgical means are not within the rules of this challenge.

I am a known diabetic
I am not aware of my diabetes
I am not diabetic

I confirm the following conditions are not relevant to me

Dialysis
Transplant Surgery
Undergoing cancer treatment
Hemoglobin anomalies/ Variants
Iron deficiency therapy
CABG/ Angioplasty with 3 months
CKD
Drugs Utilization of the following & similar drugs Dapsone, Ribavirin, Antiretroviral, Corticosteroids, Antipsychotropics , Munjaro

I have read the instructions carefully and I understand its content. I, hereby assure that, the information about my medical and health conditions provided by me to the Organizers is correct to the best of my knowledge. My participation is indicative of my consent.