Pharmaceuticals (Therapeutic Medications)
Diabetes Mellitus - Insulin Treated

  1. Code of Federal Regulations

  2. Medical History: Item 18.k., Diabetes.
    The applicant should describe the condition to include, symptoms and treatment. Comment on the presence or absence of hyperglycemic and/or hypoglycemic episodes. A medical history or clinical diagnosis of diabetes mellitus requiring insulin or other hypoglycemic drugs for control are disqualifying. The Examiner can help expedite the FAA review by assisting the applicant in gathering medical records and submitting a current specialty report.

  3. Aeromedical Decision Considerations: See Item 48, General Systemic Aerospace Medical Disposition table.
  4. The FAA has established a policy that permits the special issuance medical certification of insulin treated applicants for third class medical certification only. Consideration will be given only to those individuals who have been clinically stable on their current treatment regimen for a period of 6-months or more.


  5. Protocol: See Diabetes Mellitus Type I or Type II - Insulin treated

  6. Pharmaceutical Considerations:
    • Insulin pumps are an acceptable form of treatment.
    • Combination of insulin with other anti-diabetes medication(s): The chart of Acceptable Combinations of Diabetes Medications (PDF) summarizes the acceptable medications for both monotherapy and combination therapy. The chart organizes medications into groups based on similarity of mechanisms of actions and/or therapeutic effects.