Insulin Treated Applicants With Diabetes Mellitus (ITDM)
This group will include all Type I DM applicants and those Type II DM applicants who require insulin in
addition to dietary management.
The major issue in this group, particularly in the Type I (IDDM) applicants, is assessing the risk of
hypoglycemia. An attempt has been made based on the opinions of the diabetologists at the conference to
classify low risk and high risk ITDM (see Table 1).
It is conceivable that an applicant who meets all the criteria to be classified as low risk could be
considered for a Category 4 (ultralight/glider) or a Category 2 (ATC) medical certificate. (See
Appendix I & II). All Category 2 applicants should be referred to the Senior Consultant, Operations
in Ottawa prior to a medical certification recommendation.
Until data has been gathered from the Category 2 group (ATC) both in Canada and from other
jurisdictions, applicants for Category 3 with ITDM will be considered unfit. An exceptionally low risk
ITDM who already holds a Category 1, may be considered for medical certification restricted to “as
or with co-pilot”.
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