Guide for Aviation Medical Examiners

Decision Considerations – Aerospace Medical Dispositions
Item 48. General Systemic – Diabetes, Pre-Diabetes, Metabolic Syndrome, and/or Insulin Resistance

Common Conditions and Course of Action
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)
Last updated: Wednesday, September 27, 2023