AMC1 ATCO.MED.B.025 Metabolic and endocrine system
ED Decision 2015/010/R
(a) Metabolic, nutritional or endocrine dysfunction
Applicants with metabolic, nutritional or endocrine dysfunction may be assessed as fit if the condition is asymptomatic, clinically compensated and stable with or without replacement therapy, and regularly reviewed by an appropriate specialist.
(b) Obesity
(1) Applicants with a Body Mass Index ³ 35 may be assessed as fit only if the excess weight is not likely to interfere with the safe exercise of the privileges of the licence and a satisfactory cardiovascular risk review and evaluation of the possibility of sleep apnoea syndrome has been undertaken.
(2) Functional testing in the working environment may be necessary before a fit assessment may be considered.
(c) Thyroid dysfunction
Applicants with hyperthyroidism or hypothyroidism should attain a stable euthyroid state before a fit assessment may be considered.
(d) Abnormal glucose metabolism
Glycosuria and abnormal blood glucose levels require investigation. A fit assessment may be considered if normal glucose tolerance is demonstrated (low renal threshold) or impaired glucose tolerance without diabetic pathology is fully controlled by diet and regularly reviewed.
(e) Diabetes mellitus
(1) The following medication, alone and in combination, may be acceptable for control of type 2 diabetes:
(i) alpha-glucosidase inhibitors;
(ii) medication that acts on the incretin pathway;
(iii) biguanides.
(2) A fit assessment may be considered after evaluation of the operational environment, including means of glucose monitoring/management whilst performing rated duties, and with demonstrated exemplary glycaemic control.
(3) Annual follow-up by a specialist should be required including demonstration of absence of complications, good glycaemic control demonstrated by six-monthly HbA1c measurements, and a normal exercise tolerance test.
Air Traffic Controller medical assessments consider metabolic, nutritional, and endocrine disorders. Stable, compensated conditions may be acceptable. Obesity requires cardiovascular and sleep apnea evaluation. Thyroid and glucose abnormalities need control. Type 2 diabetes, managed with specific medications and demonstrating excellent control, may be acceptable with specialist monitoring.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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