Diabetic Oral Pill Guidlines: https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/media/diabetesmeds_acceptablecomb.pdf
Diet Mark Hyman - Blood Sugar Solution - http://www.chewfo.com/diets/the-blood-sugar-solution-by-mark-hyman-md-2012-what-to-eat-and-foods-to-avoid-food-list/
- Natural Blood Thinners - http://naturalbloodthinners.org/herbal-blood-thinners-list/
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.
Medications 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 Caduet, Lescol (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
GROUP A Biguanide - Metformin (e.g. Glucophage, Fortamet, Glutetza, Riomet)
GROUP C 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)
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