Diabetic Oral Pill Guidlines:

Mark Hyman - Blood Sugar Solution
  • Natural Blood Thinners -
The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. 

Normal - A normal A1C should be below 5.7 percent. 
Prediabetic - An A1C level between 5.7 and 6.4 percent is considered prediabetes
Diabetic - A level of 6.5 percent or higher on two separate tests indicates you have diabetes.


Cholesterol / Lipid Management - Most medications used in the treatment of hyperlipidemia or the management of cholesterol are approved by the FAA.  
Some of the medications, such as CaduetLescol (Fluvastatin) & Colestid (Colestipol), require detailed favorable documentation.
This includes but may not be limited to: 

  • Caduet (Amlodipine Besylate + Atorvastatin Calcium)
  • Colestid (Colestipol)
  • Crestor (Rosuvastatin Calcium)
  • Lescol (Fluvastatin)
  • Lipitor (Atorvastatin)
  • Lopid (Gemfibrozil)
  • Mevacor (Lovastatin)
  • Niacin (Nicotinic Acid)
  • Pravachol (Pravastatin)
  • Precose (Acarbose)
  • Questran,Cholestyramine, Locholest, Prevalite (Cholestyramine Resin)
  • Tricor (Fenofibrate)
  • Vytorin (Ezetimibe / Simvastatin)
  • WelChol (Colesevelam Hydrochloride)
  • Zetia (Ezetimibe)
  • Zocor (Simvastatin)

Angiotensin Converting Enzyme (ACE) Inhibitors

  • Aceon (Perindopril Erbumine)
  • Accupril (Quinapril)
  • Altace (Ramipril)
  • Capoten, Capozide (Captopril)
  • Lotensin (Benazepril)
  • Mavik (Trandolapril)
  • Monopril (Fosinopril)
  • Prinivil, Prinzide, Zestril, Zestoretic (Lisinopril)
  • Univasc, Unitrec (Moexipril)
  • Vasotec, Vaseretic (Enalapril)

Diabetes - Humulin, Lantus (Insulin) is approved on a case by case basis for Class 3 medical certification only.  Invokana (Canagliflozin) is not approved by the FAA.  With proper documentation, most oral hypoglycemic medications are approved for all classes. This includes:

  • Actos (Pioglitazone)
  • Amaryl (Glimeperide)
  • Avandamet (Rosiglitazone Maleate + Metformin Hydrochloride)
  • Avandia (Rosiglitazone)
  • Byetta (Exenatide) & Liraglutide (Victoza) A 30 day wait period is required if the airman is on any sulfonylurea class hypoglycemic drugs.  A 14 day wait period is required if other diabetes medications are used by the pilot.  A 2 hour wait period is required after each injection before flying.
  • Diabeta or Glynase (Glyburide)
  • Glucophage (Metformin)
  • Glucotrol (Glipizide)
  • Januvia (Sitagliptin) A 14-60 day wait period is required.  The wait is determined by the use or combination of other medications.
  • Janumet (Sitagliptin & Metformin)
  • Glyset (Miglitol) Observation Period Required
  • Prandin (Repaglinide)
  • Precose (Acarbose)
  • Starlix (Nateglinide)
 JENTADUETO is a prescription medicine that contains 2 diabetes medicines, linagliptin and metformin.

Acceptable Combinations of Diabetes Medications (Updated 04/27/16) 
Use: no more than one medication from each group (A-E) below. 
Up to 3 medications total are considered acceptable for routine treatment according to generally accepted standards of care for diabetes (American Diabetes Association; American Association of Clinical Endocrinologists). 
For applicants receiving complex care (e.g., 4-drug therapy), refer the case to AMCD. 
• Initial certification of all applicants with diabetes melitus (DM) requires FAA decision 
• For applicants on AASI for DM, follow the AASI 
• Consult with FAA for any medications not on this chart 
• Fixed-dose combination medications count as 2 medications

  • Metformin (e.g. Glucophage, Fortamet, Glutetza, Riomet)

 DPP-4 inhibitors - 
  • sitagliptin (Januvia)
  •  saxagliptin (Onglyza)
  •  linagliptin (Tradjenta)
  • alogliptin (Nesina)
Group E
Sulfonylureas (SFU)
  • chlorpropamide (Diabenase)
  • glyburide (Diabeta)
  • glimepiride (Amaryl)
  • glipizide (Glucotrol) - tolbutamide (Orinase) - tolazamide (Tolinase)