Individuals certificated under this policy will be
required to provide substantial documentation regarding
their history of treatment, accidents related to their
disease, and current medical status. If certificated,
they will be required to adhere to stringent monitoring
requirements and are prohibited from operating aircraft
outside the United States. The following is a summary of
the evaluation protocol and an outline of the conditions
that the FAA will apply:
Initial Certification
1.
The applicant must have had no recurrent (two or more)
episodes of hypoglycemia in the past 5 years and none in
the preceding 1 year resulting in loss of consciousness,
seizure, impaired cognitive function or requiring
intervention by another party, or occurring without
warning (hypoglycemia unawareness).
2.
The applicant will be required to provide copies of all
medical records as well as accident and incident records
pertinent to their history of diabetes.
3.
A report of a complete medical examination preferably by
a physician who specializes in the treatment of diabetes
will be required. The report must include, as a minimum:
-
Two measurements of glycated hemoglobin (total A1 or A1c
concentration and the laboratory reference range), the
first at least 90 days prior to the current measurement.
-
Specific reference to the applicant's insulin dosages
and diet.
-
Specific reference to the presence or absence of
cerebrovascular, cardiovascular, or peripheral vascular
disease or neuropathy.
-
Confirmation by an eye specialist of the absence of
clinically significant eye disease.
-
Verification that the applicant has been educated in
diabetes and its control and understands the actions
that should be taken if complications, especially
hypoglycemia, should arise. The examining physician must
also verify that the applicant has the ability and
willingness to properly monitor and manage his or her
diabetes.
-
If the applicant is age 40 or older, a report, with ECG
tracings, of a maximal graded exercise stress test.
-
The applicant shall submit a statement from his/her
treating physician, aviation medical examiner, or other
knowledgeable person attesting to the applicants
dexterity and ability to determine blood glucose levels
using a recording glucometer).
The FAA recommends that the medical information and
Application for Airman Medical Certificate or Airman
Medical and Student Pilot Certificate (FAA Form 8500-8)
be submitted prior to beginning or resuming flight
instruction or training.
The CAA is the UK's specialist aviation regulator.
Its activities include making sure that the aviation
industry meets the highest technical and operational
safety standards; preventing holidaymakers from
being stranded abroad or losing money because of
tour operator insolvency; planning and regulating
all UK airspace; and regulating airports, air
traffic services and airlines and providing advice
on aviation policy from an economic standpoint.
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