{"id":3391,"date":"2019-05-06T14:18:22","date_gmt":"2019-05-06T19:18:22","guid":{"rendered":"https:\/\/siouxcountychp.org\/?page_id=3391"},"modified":"2020-03-26T18:06:21","modified_gmt":"2020-03-26T23:06:21","slug":"prevent-diabetes-northwest-iowa-registration","status":"publish","type":"page","link":"https:\/\/siouxcountychp.org\/es\/programs-services\/choose-health-nw-iowa\/prevent-diabetes-northwest-iowa-registration\/","title":{"rendered":"Prevenci\u00f3n de la Diabetes Registro del Noroeste de Iowa"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f3168-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3168\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/3391#wpcf7-f3168-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/3391#wpcf7-f3168-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3168\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3168-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p class=\"firstname\"><label for=\"firstname\">Primer nombre<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required firstname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span>\n<\/p>\n<p class=\"lastname\"><label for=\"lastname\">Apellido<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required lastname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lastname\" \/><\/span>\n<\/p>\n<p class=\"age\"><label for=\"age\">Envejecer<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"18\" max=\"110\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"age\" \/><\/span>\n<\/p>\n<p class=\"program\"><label for=\"program\">\u00bfA qu\u00e9 programa te est\u00e1s registrando?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"program\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"program\"><option value=\"\">-Por favor, elija una opci\u00f3n-<\/option><option value=\"In-Person Sioux Center DPP Class, Starting 9\/22\/22\">Clase de DPP en Sioux Center en persona, a partir del 22 de septiembre de 2022<\/option><\/select><\/span>\n<\/p>\n<p class=\"referral\"><label for=\"referral\">\u00bfQuien lo refiri\u00f3?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Referral\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Referral\" \/><\/span>\n<\/p>\n<p class=\"phone\"><label for=\"phone\">Tel\u00e9fono<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone\" \/><\/span>\n<\/p>\n<p class=\"address\"><label for=\"address\">Habla a<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required address\" aria-required=\"true\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span>\n<\/p>\n<p class=\"email\"><label for=\"email\">Correo electr\u00f3nico<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n<\/p>\n<p class=\"bmi\"><label for=\"bmi\">IMC &gt; 24 (o IMC &gt; 22 para estadounidenses de origen asi\u00e1tico)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"bmi\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required bmi\" aria-required=\"true\" aria-invalid=\"false\" name=\"bmi\"><option value=\"\">-Por favor, elija una opci\u00f3n-<\/option><option value=\"Yes\">s\u00ed<\/option><option value=\"No\">No<\/option><option value=\"Unsure\">Inseguro<\/option><\/select><\/span>\n<\/p>\n<p class=\"height\"><label for=\"height\">Altura (pulgadas)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"HeightInches\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number height\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"HeightInches\" \/><\/span>\n<\/p>\n<p class=\"weight\"><label for=\"weight\">Libras de peso)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"WeightPounds\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number weight\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"WeightPounds\" \/><\/span>\n<\/p>\n<p class=\"prediabetes\"><label for=\"prediabetes\">\u00bfSu proveedor le ha dicho que tiene prediabetes, niveles elevados de az\u00facar en la sangre o diabetes lim\u00edtrofe?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"prediabetes\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required prediabetes\" aria-required=\"true\" aria-invalid=\"false\" name=\"prediabetes\"><option value=\"\">-Por favor, elija una opci\u00f3n-<\/option><option value=\"Yes\">s\u00ed<\/option><option value=\"No\">No<\/option><\/select><\/span>\n<\/p>\n<p class=\"bloodtest\"><label for=\"bloodtest\">\u00bfQu\u00e9 tipo de an\u00e1lisis de sangre se realiz\u00f3?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"bloodtest\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required bloodtest\" aria-required=\"true\" aria-invalid=\"false\" name=\"bloodtest\"><option value=\"\">-Por favor, elija una opci\u00f3n-<\/option><option value=\"Finger prick\">pinchazo en el dedo<\/option><option value=\"Fasting glucose\">Glucosa en ayuno<\/option><option value=\"Hemoglobin A1C\">Hemoglobina a1c<\/option><option value=\"Oral glucose tolerance test\">Test oral de tolerancia a la glucosa<\/option><option value=\"Don&#039;t know\/don&#039;t remember\">No&#039;no s\u00e9\/no&#039;no recuerdo<\/option><\/select><\/span>\n<\/p>\n<p class=\"gestational\"><label for=\"gestational\">\u00bfAlguna vez le han dicho que tuvo diabetes mellitus gestacional (DMG) durante el embarazo?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"gestational\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required gestational\" aria-required=\"true\" aria-invalid=\"false\" name=\"gestational\"><option value=\"\">-Por favor, elija una opci\u00f3n-<\/option><option value=\"Yes\">s\u00ed<\/option><option value=\"No\">No<\/option><\/select><\/span>\n<\/p>\n<p class=\"risk\"><label for=\"risk\">Calificaci\u00f3n de puntaje de riesgo (mantenga presionado el bot\u00f3n Ctrl y haga clic en todo lo que corresponda)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"risk\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required gestational\" aria-required=\"true\" aria-invalid=\"false\" multiple=\"multiple\" name=\"risk[]\"><option value=\"Are you a woman who has had a baby weighing more than 9 lb. at birth?\">\u00bfEs usted una mujer que ha tenido un beb\u00e9 que pes\u00f3 m\u00e1s de 9 libras al nacer?<\/option><option value=\"Do you have a sibling with diabetes?\">\u00bfTienes un hermano con diabetes?<\/option><option value=\"Do you have a parent with diabetes?\">\u00bfTiene un padre con diabetes?<\/option><option value=\"Are you younger than 65 years of age and get little to no exercise in a typical day?\">\u00bfTiene menos de 65 a\u00f1os y hace poco o nada de ejercicio en un d\u00eda t\u00edpico?<\/option><option value=\"Are you between 45-64 years of age?\">\u00bfTienes entre 45-64 a\u00f1os?<\/option><option value=\"Are you 65 years of age or older?\">\u00bfTiene 65 a\u00f1os de edad o m\u00e1s?<\/option><\/select><\/span>\n<\/p>\n<p>\n\n<\/p>\n<p class=\"submit\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Entregar\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2026 <a href=\"https:\/\/siouxcountychp.org\/es\/programs-services\/choose-health-nw-iowa\/prevent-diabetes-northwest-iowa-registration\/\" class=\"more-link\">Lee mas &quot;<\/a><\/p>","protected":false},"author":1,"featured_media":3285,"parent":1248,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3391","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/pages\/3391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/comments?post=3391"}],"version-history":[{"count":1,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/pages\/3391\/revisions"}],"predecessor-version":[{"id":3392,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/pages\/3391\/revisions\/3392"}],"up":[{"embeddable":true,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/pages\/1248"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/media\/3285"}],"wp:attachment":[{"href":"https:\/\/siouxcountychp.org\/es\/wp-json\/wp\/v2\/media?parent=3391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}