What is Trulicity?
What kind of treatment is the Trulicity consent form for?
Trulicity is a non-surgical injectable treatment intended for managing type 2 diabetes.
- Utilised to improve blood sugar control alongside diet and exercise.
- Helps in weight management for some patients.
- Administered once a week via subcutaneous injection.
- Commonly leads to reduced HbA1c levels over time.
Patients may experience rare side effects, including gastrointestinal issues or pancreatitis. Always consult your healthcare provider for personalised advice.

- It is a legal and ethical requirement in the UK
- Confirms you understand the treatment and possible side effects
- Helps set realistic expectations and ensures safe practice
- Builds trust between you and your practitioner
- Your signed confirmation of informed consent
Potential side effects of Trulicity treatments
Trulicity may cause several common side effects during treatment.
- Nausea
- Diarrhoea
- Vomiting
- Abdominal pain
- Loss of appetite
Rare side effects include pancreatitis and allergic reactions.
Who is the ideal candidate for this treatment?
The ideal candidate for Trulicity treatment is typically an adult with type 2 diabetes, needing improved blood sugar control.
- Adults with type 2 diabetes
- Not suitable for those with a personal or family history of medullary thyroid carcinoma
- Should not be used during pregnancy or breastfeeding
- Must not have a history of severe gastrointestinal disease
Consult your healthcare provider for personalised advice.
Aftercare advice for best results
Proper aftercare is essential for optimal results when using Trulicity.
- Store in the fridge until use.
- Inject at room temperature.
- Rotate injection sites to avoid irritation.
- Monitor blood sugar levels regularly.
Always consult your healthcare provider if you experience adverse effects.
How to fill the consent form?
To complete the consent form, carefully read each section outlining the treatment, potential risks, and expected outcomes. Ensure you understand all information before proceeding. Fill in personal details accurately and confirm agreement by ticking the required boxes. The form must be signed digitally to confirm your informed consent.
