![]() ![]() By systematizing available data on such devices and present regulations in CPL issuance worldwide, our review can be used as handy tool for a fruitful discussion among the scientific community, national and international civil aviation regulators, stakeholders and pilots, aimed at evaluating the evidence-based opportunity to revise CPL issuance criteria for insulin-treated diabetic pilots.įor the above-mentioned reasons, there are, among the regulatory administrations of Civil Aviation around the globe, several different approaches and limitations set for the subjects with insulin-treated diabetes who want to obtain, or renew, a CPL. Worldwide there are accepted protocols (rules) and practices that allow pilots to fly commercially under. CGM clearly showed to prevent hypoglycemic events in insulin-treated diabetic patients by allowing strict monitoring and trend prediction of glucose levels. Type 1 diabetes is actually not an issue for pilots. The road to get here has been long and difficult. It could be possible now to revise this attitude thanks to the availability of Continuous Glucose Monitoring (CGM) devices. Jeremy Robertson is the first Australian commercial pilot flying with type 1 diabetes. This negatively affects social and working aspects of pilots’ lives, who have a high profile and a high-cost professional qualification. ![]() This depends on justified concerns about hypoglycemia, the most threatening event for people who carry out jobs requiring a high level of concentration and reliability. I hope this means that no one's dreams of being a pilot will be cut short by type 1 diabetes.Civil aviation pilots who develop insulin-treated diabetes and want to renew a Commercial Pilot License (CPL) represent a medical, social and regulatory problem. Improving outcomes among young adults with type 1 diabetes: the D1 Now pilot cluster randomised controlled trial Eimear C. I am grateful for all the work done by my father, Diabetes Canada, my health-care team, and especially those pilots with type 1 diabetes who have trail-blazed since the '90s. When I told him about some of the policy stances Transport Canada was taking, he encouraged us to get involved with the Diabetes Canada advocacy group to help with our case. Peter Senior at the Kaye Edmonton Clinic. How did you connect with Diabetes Canada?Īusten: Through my endocrinologist Dr. Pilots who had gotten or kept their licences had been diagnosed after pilots, and continued to work following successful appeals and risk assessments performed by themselves and Transport Canada. After learning that there were pilots with type 1 diabetes working in the airline industry, my father started digging into the rules and regulations around the medical guidelines. Although the FAA’s position is that it will do an individual assessment of people with diabetes for these certifications, no one in the United States has ever passed this individual assessment. How long have you and your dad been talking to Transport Canada?Īusten: It has been nearly five years. Currently, Type 1 diabetes is a disqualifying factor for both first and second class medicals if you have T1D, you cannot be a professional pilot. It really made no sense to us.Īusten: Shortly after my diagnosis, I attended the diabetes transition program offered by the Stollery Children's Hospital, and was told that nearly every career opportunity was available to people like me-with the exception of military service and commercial piloting. ![]() But no one who already was on insulin could do the same. ![]() Why is this policy decision such a big deal?Įd: Up until now, pilots who already had their commercial licence when they became insulin-dependent could apply for a medical certificate to keep flying. I had my mind set when I was around 12 years old that I was going to follow my dad’s path through the air force and then into the airlines.” We spoke to Austen, and his dad, Captain Ed McDonald, who have been advocating, with support from Diabetes Canada, for Transport Canada to change its policy. Diagnosed with diabetes in 2011 when he was 14 years old, he says, “I've always wanted to fly. He became the first Canadian with type 1 diabetes to receive a medical certificate from Transport Canada, allowing him to fly commercially. On February 11, 2019, 22-year-old Austen McDonald made history. ![]()
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