Gadow Jewelry Type 1 Diabetic Give Sugar if Disoriented Necklace with Caduceus You can take off the red silencer or the caduceus charm if not needed. The caduceus is the same on the front side and the back side. The text is embossed on the tag. The text will not wear off. Easily read. Chain measures 30 inches. You can snip the chain to make it shorter. Tag measures 2 inches by 1 1/8 inches.