This is a great bookmark with a stainless steel laser engraved charm that has "Diabetic Type 2 Insulin" on it. The charm measures approx. 3/4 inch across. The bookmark measures approx. 3.3 Inches in length and would be a great bookmark for smaller paperbacks or smaller, compact planners or bibles. This item contains small pieces and is not intended for children under the age of 14.