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Relevant FAA Form 8500-8 Entry Number(s)
48
Description
Pilot Medical Standards from CFR Part 67 for Aviation Medical Certification

AME Instructions for the Exam

Grid

Metabolic Conditions Involving Poor Glucose Control

Hyperglycemic Conditions

DISEASE/CONDITION

CLASS

EVALUATION DATA

DISPOSITION
Diabetes Insipidus All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects		 Requires FAA Decision
Pre-Diabetes (Metabolic Syndrome, Impaired Fasting Glucose, Insulin Resistance, Glucose Elevation/Intolerance, and Polycystic Ovary Syndrome) All Review all pertinent medical records; current status to include names and dosage of medication(s) and side effects See Pre-Diabetes Worksheet (PDF version).
If airman meets all certification criteria - Issue.

All others require FAA decision. Submit all evaluation data.
Diabetes Mellitus - Diet Controlled All See Diabetes Mellitus - Diet Controlled Protocol If no glycosuria and normal HbA1c - Issue

All others require FAA decision. Submit all evaluation data.
Diabetes Mellitus II - Medication Controlled (non insulin) All See Diabetes Mellitus II - Medication Controlled (non insulin) Protocol Initial Special Issuance - Requires FAA Decision

Followup Special
Issuances - See AASI Protocol
Diabetes Mellitus I & II - Insulin Treated All See Diabetes Mellitus I & II - Insulin Treated Protocol Requires FAA Decision
FlightPhysical's Staff Take Home Message
References:
FAA AME Guide Version 12/03/2025