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 | Evaluation Data | Disposition |
|---|---|---|
| Pre-Diabetes (Metabolic Syndrome, Impaired Fasting Glucose, Insulin Resistance, and Glucose Elevation/Intolerance) | See disposition | See Prediabetes Disposition Table (PDF) If meets criteria, see CACI – Prediabetes Worksheet (PDF) |
| Diabetes Mellitus – Diet Controlled | See Diabetes Mellitus – Diet Controlled Protocol | See Diabetes Mellitus Disposition Table (PDF) |
| Diabetes Mellitus II – Medication Controlled (non-insulin) | See Diabetes Mellitus II – Medication Controlled (non insulin) Protocol See chart of Acceptable Combinations of Diabetes Medications (PDF). | See Diabetes Mellitus Disposition Table (PDF) |
| Diabetes Mellitus I & II – Insulin Treated | See Diabetes Mellitus I & II – Insulin Treated Protocol See chart of Acceptable Combinations of Diabetes Medications (PDF). | See Diabetes Mellitus Disposition Table (PDF) |
| Diabetes Mellitus, Insulin-Treated, Non CGM – Third Class | See See Insulin-Treated Diabetes Mellitus Non CGM – Third Class Option Protocol | See Diabetes Mellitus Disposition Table (PDF) |
| Diabetes Insipidus | See disposition Table | See Diabetes Insipidus Disposition Table (PDF) |
Note: If taking diabetes medication for Weight Loss Management only, see that page.
Last updated: Wednesday, September 30, 2026