Insulin Controlled Diabetes: Initial Pilot Certification
FAA Protocol for Airmen: IDDM
Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide pages 208-209, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).
Disease Protocols - Insulin Treated Diabetes Mellitus - Type I or Type II
- The applicant must have had no recurrent (two or more) episodes of hypoglycemia in the past 5 years and none in the preceding 1 year which resulted in loss of consciousness, seizure, impaired cognitive function or requiring intervention by another party, or occurring without warning (hypoglycemia unawareness).
- The applicant will be required to provide copies of all medical records as well as accident and incident records pertinent to their history of diabetes.
- A report of a complete medical examination preferably by a physician who specializes in the treatment of diabetes will be required. The report must include, as a minimum:
- Two measurements of glycosylated hemoglobin (total A1 or A1c concentration and the laboratory reference range), separated by at least 90 days. The most recent measurement must be no more than 90 days old.
- Specific reference to the applicant's insulin dosages and diet.
- Specific reference to the presence or absence of cerebrovascular, cardiovascular, or peripheral vascular disease or neuropathy.
- Confirmation by an eye specialist of the absence of clinically significant eye disease.
- Verification that the applicant has been educated in diabetes and its control and understands the actions that should be taken if complications, especially hypoglycemia, should arise. The examining physician must also verify that the applicant has the ability and willingness to properly monitor and manage his or her diabetes.
- If the applicant is age 40 or older, a report, with ECG tracings, of a maximal graded exercise stress test.
- The applicant shall submit a statement from his/her treating physician, Examiner, or other knowledgeable person attesting to the applicant's dexterity and ability to determine blood glucose levels using a recording glucometer.
FAA Note: Insulin pumps are acceptable.
Note: Student pilots may wish to ensure they are eligible for medical certification prior to beginning or resuming flight instruction or training. In order to serve as a pilot in command, you must have a valid medical certificate for the type of operation performed.
- Initial Certification (This Page)
- Monitoring and Actions Required During Flight Operations
- Subsequent Medical Certification
This page discussed Insulin Controlled Diabetes: Initial Pilot Certification
Reminder: use FlightPhysical.com to familiarize yourself with aviation medical regulations and guidelines, but always discuss your specific situation with one or more AMEs before dedicating resources toward expensive clinical workups. Find an AME now