• Guide for Aviation Medical Examiners Topics
  • AMCS Login
  • Search Guide
  • Application Process
  • Decision Considerations
  • Important Notices
  • Pharmaceuticals
  • Special Issuances
    • AASI for All Classes
    • AASI for Third-Class
    • Special Issuance
  • Substances Dependence/Abuse
  • Synopsis of Medical Standards

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AME Assisted - All Classes
Diabetes Mellitus - Type II, Medication Controlled

AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations
(14 CFR) part 67.

An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination. If this is a first time issuance of an Authorization for the above disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or RFS for the initial determination.

Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:

• An Authorization granted by the FAA;
• A statement attesting that the airman is maintaining his or her diabetic diet;
• A statement regarding any diabetic symptomology; and
• The results of a current HgA1c level performed within last 90 days.

The Examiner must defer to the AMCD or Region if:

• The applicant has been placed on insulin;
• The HgA1c level is greater than 9.0 mg%; or
• The applicant has developed cardiovascular, neurological, renal and/or ophthalmological disease.