Diabetes Mellitus | FAA Medical Certification

The initial presentation of any carbohydrate metabolism disorder requires an evaluation be performed to establish eligibility for certification.  This includes insulin or non-insulin dependant diabetes and the use of any hypoglycemic medication.  FAA evaluations must be accomplished
in compliance with specific protocols.

In most cases, an FAA designated Aviation Medical Examiner (AME) cannot approve FAA medical certification and must defer the application to the actual FAA in Oklahoma City. The FAA has an established policy that permits Special Issuance medical certification to insulin treated applicants on a case by case basis. Applicants must provide extensive medical documentation. If the FAA grants medical certification, the airman will be required to adhere to monitoring requirements and they are prohibited from operating aircraft outside the United States. An insulin using diabetic airman must carry a recording glucometer and monitor readings during flight in compliance with the FAA’s protocol.

While all classes of FAA medical certification may be considered by the FAA, the United States Federal Air Surgeon has determined that Insulin Using Diabetics cannot be approved by Aviation Medical Examiners.   Class 3 applicants may be approved by the FAA’s Civil Aerospace Medical Institute in Oklahoma City.  First and Second class applicants must be evaluated and may be authorized by the Federal Air Surgeon’s Office in Washington, D.C.. The Class 1 and Class 2 diabetes protocol has been released by the Federal Air Surgeon and is available from Pilot Medical Solutions. The deferral process typically takes several months without our service.

We can help!

We have helped thousands of pilots with this process. We work directly with your physicians and the FAA to assure compliance with FAA medical protocols and to resolve complex aeromedical certification issues quickly.

Contact us at 800-699-4457 or via E-Mail to confidentially discuss the details of your case and to establish your eligibility for FAA medical certification.
There is no charge for an initial consultation.

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11 replies
    • admin
      admin says:

      Jim,
      The Federal Air Surgeon has stated that FAA is now considering Class 1 and Class 2 medicals for IDDM / insulin dependent diabetics. We are now using the new ITDM CGM protocol for Class 1 airline and Class 2 commercial pilots. Call 405-787-0303 to discuss your case in detail.

      Reply
      • admin
        admin says:

        The Class 1 and Class 2 Insulin Treated Continuous Glucose Monitoring (CGM) protocol is now FAA accepted for Insulin Dependent Diabetics seeking Class One or Class Two FAA medical certification. This protocol includes the use of a Continuous Glucose Monitoring (CGM) device. Initial certification requirements include 6 months stability on insulin and a battery of reports and testing. For more information call Pilot Medical Solutions at 405-787-0303.

        Reply
  1. Gin Chia
    Gin Chia says:

    I read your blog on Diabetes. It’s hard to understand how the FAA can certify pilots on insulin but won’t approve other helpful medications

    Reply
  2. Josephaspef
    Josephaspef says:

    Delta airlines provides us with little actual flight medical support. Can Pilot Medical assist me with an issue?

    Reply
  3. Matt K
    Matt K says:

    Are there any updates or new developments regarding First and Second Class Medicals for insulin dependent diabetics?

    Reply
    • admin
      admin says:

      Matt,
      Thanks for your question. As you know, it’s been some time now since the FAA posted their willingness to consider class 1 and 2 insulin use cases. Many are asking “when”?. The time is now!
      Contact us at 405-787-0303 to discuss your case.

      Reply

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