![]() This allowed FAA doctors to actually understand what his in-flight blood sugar was doing, from takeoff to landing. ![]() ![]() Marsala began sharing his CGM data as well as the spreadsheets he created to align his flight hours with his glucose reports. James DeVall, the medical appeals manager at the FAA-a man who became a close contact with Marsala and was instrumental in moving the case toward the end result of the FAA's policy change. However, the meeting led to a connection between the insulin-firing flight instructor and those in power in the FAA's medical department. He bowed under pressure, but did not move past the guard. She, in fact, a double dog dared him to enter and prove that insulin should not limit him. in June 2016, Marsala and his then-girlfriend found themselves in front of the FAA building. In terms of glucose levels, the FAA has not published specific averages or required A1C values, but rather is looking at the bigger picture of "management" (which patients will appreciate!). If you are 40 or older, an exercise test is also required.You need to prove that you are under the supervision of an endocrinologist, and you must also visit an ophthalmologist and a cardiologist to have an ECG (electrocardiogram) to check your heart health.You must also use a continuous glucose monitor (CGM) and must provide a full six months of recorded glucose data along with time-in-range information.Your A1C results for the year must be submitted to the FAA.The requirements are pretty strict to be sure: Thanks to Marsala, we learned a lot about what it takes for a person with diabetes to become a commercial airline pilot. Since that initial announcement of the news, many questions have arisen about what this process entails. That is, until October 2019, when the FAA announced that it would begin allowing a "subset of low-risk applicants" to consider becoming a commercial airline pilot.
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