For diabetes that is controlled by diet and exercise only, a medical certificate can be issued by the aviation medical examiner at the time of the examination and does NOT require a special issuance authorization. However, you will need to provide a current status letter from your treating physician and the results of an A1C hemoglobin determination within the past 90 days.
If you have a diagnosis of Pre-Diabetes (Metabolic Syndrome, Impaired Fasting Glucose, Insulin Resistance, or Glucose Elevation/Intolerance) your aviation medical examiner may issue a certificate at the time of examination if you have an FAA Pre-Diabetes Worksheet completed by your treating physician.
The FAA allows special issuance certification for diabetes mellitus controlled with oral medications. For special issuance consideration for diabetes mellitus on oral medications, you will need:
The number of available medications to treat diabetes is increasing, and with that comes increasing limitations on which drug combinations the FAA allows. This chart indicates the acceptable combinations of medications.
Generally, the FAA will grant six-year AASI authorizations with annual follow-up. Individual cases may require more frequent reevaluation, based upon case history.
After initial certification by the FAA, subsequent renewals for diabetes may qualify for AME Assisted Special Issuance (AASI), a process that provides examiners the ability to issue an airman medical certificate to an applicant who has a medical condition that is disqualifying under 14 CFR Part 67.
Examiners may reissue an airman medical certificate if you provide the following:
Use this address to submit your information to the FAA.
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