Appendix 2 - Air Traffic Controllers (ATCS)
Permission by special flexibility may be granted to ATCs who have developed ITDM but are in the low
risk group.
Glucose management during working hours:
All ITDM shall identify themselves as such to the shift supervisor. Individual ATCs with ITDM shall
have appropriate medical supplies available at all times in the workplace.
Supplies shall include:
- Blood glucose monitor with a memory chip.
- Blood sampling lancets.
- A source of readily absorbable glucose.
- Insulin with syringes or pump.
Blood glucose levels will be tested:
- 30 minutes prior to shift commencement.
- Every 2 hours during shift.
- If because of operational requirements the 2 hourly blood glucose cannot be done then the
individual must consume at least 10 gm glucose as a snack or drink.
- No two consecutive blood glucose estimations may be substituted by a snack.
- The shift supervisor should be given evidence periodically that blood glucose is well controlled.
Precautions:
If the blood glucose (BG) falls below 3.5 mmol/L, the individual shall stop work and take at least 10 gm
of readily absorbable glucose. If at recheck within 30 min., the BG is <5.5 mmol/L then further glucose
shall be taken until BG is 5.5 mmol/L or greater, at which time the individual may resume shift.
If BG is between 5.5 and 16.5 mmol/L no action is required.
If BG is between 16.5 and 22 mmol/L, take appropriate action to lower BG. (i.e. with insulin
and/or exercise). Recheck BG in 30 minutes.
If BG > 22 mmol/L then individual shall stop work and take corrective action (insulin), and then recheck
BG every 30 minutes until BG < 22 mmol/L before resuming work. They should seek advice from a
physician.
If the controller experiences blurring of vision he/she should cease work and check BG.
- There should also be a set of instructions for shift supervisors.
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