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I have been diagnosed with reactive hypoglycemia. My A1C blood test was 3.3%. I
take no meds, just have to eat several times a day. Am I going to have a problem
with my 3rd class? Dean
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Yes, but it will require that you apply for a special issuance. You will need a
medical report from your doctor emphasizing that the condition is under control.
Be sure to check out our new website at <www.flightsurgeon.com>
Thanks for using Landings.com Dr. Roberts
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I am a foreign pilot but received my training in the USA so I have an FAA
CPL/MEL/IR license as well. Four years ago I discovered I have a Type 1 diabetes
and had to quit flying because ICAO rules don't allow pilots with a well-cured
diabetes to fly, like the FAA does under a special waiver. Not being a resident
of the US, could I apply for the waiver to the FAA and thus be permitted to fly
when I am in the US? Is the periodic visit to be held every exactly three months,
or I just temporarily lose my medical until I do another one if three months pass
without a visit? Since there are AMEs in Europe can I do the periodic visit over
here after having earned the waiver, or I would need to do the visit always with
the same AME? Luca
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Yes, of course you can apply for a special issuance. You will need to submit to
the FAA, your medical records, lab tests, and a letter from your doctor outlining
your individual case.
Dr. Roberts
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Exactly what range of A1C results is CAMI looking for when considering the
certification of an ITDM patient? My doc wants to see 6.5 to 7.5%, which is
where I am (6.9), but normal range is 4.0 to 6.0%. I understand that 7.0% is
about 150 mg/dl blood glucose average. CAMI has been sitting on my medical for
almost a year with no response. They say it is "under review". I could put
my A1C anywhere I want as I have excellent control, but they give little or no
guidance.
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The normal range varies by lab. But the FAA will except the high end of the
particular labs norms plus up to 20%.
SkyDoc
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Both my brother and sister were recently diagnosed as diabetic. Both are able to
control the problem through diet and exercise. Given my family history, there is a
better than even chance that, sometime in the future, I will also be diabetic.
What is the FAA's current stance on allowing diabetic pilots to retain their medical
so they can still enjoy flying?
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Actually, pretty good, as long as you are not insulin-dependent.
Times are changing (finally)!
Doc
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Dr. Roberts I have recently sent the FAA all medical they required to obtain a 3rd
class medical. I am diabtic and use insulin. They wanted a ton of medical
information which I have supplied. How long will the process take, it is 8 weeks
since I sent the the information they requested. Is there any way to obtain a
status? John
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Generally it takes about about 8-12 weeks. You can always call them to inquire
how far along your file is. If you are a member of AOPA, call their
medical office and ask them to check on it for you. They have great
results, and it is one of the greatest benefits to being an AOPA member.
Doc
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I have had a trans phenoidal pituitary tumor removal which was 100% sucessful.
No side effects. What is the FAA's attitude to this procedure? Andrew
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The attitude is pretty good. It will require a special issuance. Send
letters from your endocrinologist, along with all tests that prove that
you are normal. If you are seeing more than one doctor for this, get a
letter from each one.
Stephen
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I currently take thyroid medicine daily. Does this effect my
upcoming medical?
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Generally not, as long as your T4 Thyroid levels are normal. Always
give your AME your most current T4 test results.
Stephen
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What are the requirements for a class three as a type II diabetic
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Here is what you need for initial certification:
- No episode of hypoglycemia due the medication.
- Copies of ALL your medical records.
- A current medical report with two hemoglobin1AC tests, to include mention of the medication you are taking, along with the dose. Make sure that the report states that you have not had any systemic secondary diseases, often associated with diabetes (heart disease renal disease, retinal disease,
neurological impairment, etc.).
Good luck, and happy flying!
Steve Roberts, MD
SkyDoc
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