Diabetic Insulin Dependent Medical Italian Charm Bracelet Blue This medical charm is raised higher than most which is more noticeable and easier to read. Very Nice. Any size. Stretches. We will send a standard 7 inch bracelet unless you contact us with another size. If you purchase other medical charms from us and we will add them in this bracelet for you. Italian charms are interchangeable if you decide to take out or add other Italian charms. You will also receive 3 extra links and instructions on how to add or take out charms and links.