Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 48. General Systemic - Diabetes, Pre-Diabetes, Metabolic Syndrome, and/or Insulin Resistance

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)	All	Review all pertinent medical records; current status to include names and dosage of medication(s) and side effects	See Pre-Diabetes Worksheet (PDF). 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