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Guide for Aviation Medical Examiners

Decision Considerations
Disease Protocols - Diabetes Mellitus Type I or
Type II - Insulin Treated - CGM Option

Consideration will be given 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.

Continuous Glucose Monitoring (CGM Protocol) - All Classes

For consideration for first- or second-class airman certification, the airman must submit Continuous Glucose Monitoring (CGM) data and ALL the certification requirements as outlined below:

For details of what specific information must be included for each requirement/report, see the following:

  1. Airman Information (PDF)
  2. Initial Certificate Consideration Requirements (PDF)
  3. Renewal Certificate Requirements (PDF)
  4. Insulin Treated Diabetes Information Submission Requirements (PDF)
  5. Blood Glucose Worksheet for Continuous Glucose Monitoring (CGM) Use (PDF)
  6. Overlay Report and Alert Sample (PDF)
  7. Frequently Asked Questions (FAQs) (PDF)

Non-CGM Protocol - Third Class Option

Third class airmen may elect to use either the CGM protocol or the non-CGM protocol. See below for details of what specific information must be included for each requirement/report for third-class certification.

  1. Initial Certification
  2. Monitoring and Actions Required During Flight Operations
  3. Re-Certification
  4. Diabetes on Insulin Re-Certification Status Report (PDF)

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This page was originally published at: https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/dec_cons/disease_prot/itdm/