AMC5 MED.C.025 Content of aero-medical assessments

• ED Decision 2019/002/R found in: Aircrew (1178/2011) Part-FCL Part-MED Part-CC Part-ARA Part-ORA Part-DTO (Dec 2024)

AMC5 MED.C.025 Content of aero-medical assessments ED Decision 2019/002/R METABOLIC AND ENDOCRINE SYSTEMS (a)     Cabin crew members should not possess any functional or structural metabolic, nutritional or endocrine disorder which is likely to interfere with the safe exercise of their duties and responsibilities. (b)     Cabin crew members with metabolic, nutritional or endocrine dysfunction may be assessed as fit, subject to demonstrated stability of the condition and satisfactory aero-medical evaluation. (c)      Diabetes mellitus (1)     Cabin crew members with diabetes mellitus requiring insulin maybe assessed as fit: (i)      if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness is established and maintained; and (ii)     in the absence, within the preceding 12 months, of any; (A)     hospitalisation related to diabetes; or (B)     hypoglycaemia that resulted in a seizure, loss of consciousness, impaired cognitive function or that required the intervention by another party; or (C)     episode of hypoglycaemia unawareness. (2)     Limitations should be imposed as appropriate. A limitation to undergo specific medical examinations (SIC) and a restriction to operate only in multi-cabin crew operations (MCL) should be placed as a minimum. (3)     Cabin crew members with diabetes mellitus not requiring insulin may be assessed as fit if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness, if applicable considering the medication, is achieved. AMC5 MED.C.025 Content of aero-medical assessments ED Decision 2019/002/R METABOLIC AND ENDOCRINE SYSTEMS (a) Cabin crew members should not possess any functional or structural metabolic, nutritional or endocrine disorder which is likely to interfere with the safe exercise of their duties and responsibilities. (b) Cabin crew members with metabolic, nutritional or endocrine dysfunction may be assessed as fit, subject to demonstrated stability of the condition and satisfactory aero-medical evaluation. (c) Diabetes mellitus (1) Cabin crew members with diabetes mellitus requiring insulin maybe assessed as fit: (i) if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness is established and maintained; and (ii) in the absence, within the preceding 12 months, of any; (A) hospitalisation related to diabetes; or (B) hypoglycaemia that resulted in a seizure, loss of consciousness, impaired cognitive function or that required the intervention by another party; or (C) episode of hypoglycaemia unawareness. (2) Limitations should be imposed as appropriate. A limitation to undergo specific medical examinations (SIC) and a restriction to operate only in multi-cabin crew operations (MCL) should be placed as a minimum. (3) Cabin crew members with diabetes mellitus not requiring insulin may be assessed as fit if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness, if applicable considering the medication, is achieved. ##### AMC5 MED.C.025 Content of aero-medical assessments *ED Decision 2019/002/R* **METABOLIC AND ENDOCRINE SYSTEMS** (a) Cabin crew members should not possess any functional or structural metabolic, nutritional or endocrine disorder which is likely to interfere with the safe exercise of their duties and responsibilities. (b) Cabin crew members with metabolic, nutritional or endocrine dysfunction may be assessed as fit, subject to demonstrated stability of the condition and satisfactory aero-medical evaluation. (c) Diabetes mellitus (1) Cabin crew members with diabetes mellitus requiring insulin maybe assessed as fit: (i) if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness is established and maintained; and (ii) in the absence, within the preceding 12 months, of any; (A) hospitalisation related to diabetes; or (B) hypoglycaemia that resulted in a seizure, loss of consciousness, impaired cognitive function or that required the intervention by another party; or (C) episode of hypoglycaemia unawareness. (2) Limitations should be imposed as appropriate. A limitation to undergo specific medical examinations (SIC) and a restriction to operate only in multi-cabin crew operations (MCL) should be placed as a minimum. (3) Cabin crew members with diabetes mellitus not requiring insulin may be assessed as fit if it can be demonstrated that adequate blood sugar control has been achieved and hypoglycaemia awareness, if applicable considering the medication, is achieved.