The following are the requirements for the medical certification of aircrew, including guidance material issued by the UK CAA Medical Department in relation to the metabolic and endocrine systems.
(a) Applicants with metabolic, nutritional or endocrine dysfunction may be assessed as fit subject to demonstrated stability of the medical condition and satisfactory aero-medical evaluation.
Applicants with symptoms and/or on first diagnosis should be assessed as unfit.
A fit assessment can be considered subject to a satisfactory endocrinologist’s report and visual fields assessment after 3 months of being stable on treatment.
Annual follow-up with endocrinology report and visual fields is required.
CLASS 2 - AMC2 MED.B.025
(a) Metabolic, nutritional or endocrine dysfunctionApplicants with metabolic, nutritional or endocrine dysfunction should be assessed as unfit. A fit assessment may be considered if the condition is asymptomatic, clinically compensated and stable.
Cabergoline is used for the treatment of microprolactinomas. It is acceptable for any class of certification, providing the pilot has been stabilised on this medication for a period of not less than three months on the ground and has no adverse side-effects from the therapy.
Information sheet for pilots (PDF)
Download the UK CAA
Certification of Obesity flow chart (PDF)
Download information on the
Medical Flight Test - Musculoskeletal (PDF)
Download UK CAA Guidance on Thyroid Dysfunction (PDF)
Glycosuria should always be investigated with a minimum of random blood sugar. Symptomatic individuals should have an oral glucose tolerance test.
Class 1 applicants with impaired glucose tolerance should be reviewed annually.
Download the UK CAA Diabetes certification guidance (PDF)
Download Pilots Diabetes Operational/Medical Flight Test Report (PDF)
Download information about the Diabetes Report Specification (PDF)
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