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Guide for Aviation Medical Examiners

Decision Considerations
Disease Protocols - Diabetes Mellitus Type I and Type II - Insulin Treated - Non-CGM - Third Class Option

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. The FAA has an established policy that permits the special issuance medical certification to some insulin treated applicants. Individuals certificated under this policy will be required to provide medical documentation regarding their history of treatment, accidents, and current medical status. If certificated, they will be required to adhere to monitoring requirements. There are no restrictions regarding flight outside of the United States air space. Airmen with a current 3rd class certificate will have the limitation removed with their next certificate. If they need the limitation removed sooner, they should contact AMCD for an updated certificate without the limitation.

The following is a summary of the evaluation protocol and an outline of the conditions that the FAA will apply for third class applicants. First and second class applicants will be evaluated on a case-by-case basis by the Federal Air Surgeon's Office.

(Note: Insulin pumps are acceptable.)

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