My Flight Surgeon
Sr. Aviation Medical Examiner
The FAA has new criteria to allow the AME to issue a medical certificate when the airman has pre-diabetes (metabolic syndrome, impaired fasting glucose, insulin resistance, glucose elevation/intolerance) without going through the Special Issuance process. If the applicant meets ALL the acceptable certification criteria listed below, the Examiner can issue. Applicants for first- or second- class must provide this information annually; applicants for third-class must provide the information with each required exam. Without this documentation, the AME cannot issue the medical certificate and must defer the certification decision to the FAA.
Status report from treating physician that includes the type of headache and a statement the treating physician finds the condition stable on current regimen for at least 2 weeks and no changes recommended. The patient is stable and well-controlled with no symptoms of diabetes. There have been no hypoglycemic events with a glucose below 70 mg/dl. The fasting blood glucose is less than 126 mg/dl. Hemoglobin A1c within the last 90 days is less than 6.5%. Medications to treat pre-diabetes (metabolic syndrome, impaired fasting glucose, insulin resistance, glucose elevation/intolerance) is documented.
Status report from treating physician that includes the type of headache and a statement the treating physician finds the condition stable on current regimen for at least 2 weeks and no changes recommended. The patient is stable and well-controlled with no symptoms of diabetes. There have been no hypoglycemic events with a glucose below 70 mg/dl. The fasting blood glucose is less than 126 mg/dl. Hemoglobin A1c within the last 90 days is less than 6.5%. Medications to treat pre-diabetes (metabolic syndrome, impaired fasting glucose, insulin resistance, glucose elevation/intolerance) is documented.
