![]() The researchers noted that there were no episodes of pilot incapacitation and glycemic control did not deteriorate. ![]() Of the 48 low-red readings, 39 (81%) were within the satisfactory green range by the time of the next measurement, and five (10%) were within the cautionary amber range at the subsequent reading before being restored to within the green range.” “In particular, rapidly absorbed carbohydrate was ingested by the pilots in order to correct all low readings, and no adverse events were reported. “Appropriate action was taken by the pilots for all out-of-range measurements,” the researchers wrote. Out-of-range readings declined from 5.7% in 2013 to 1.2% in 2019. Only 0.12% of readings were within the low-red range and 0.02% within the high-red range. Overall, 97.69% of measurements were within the green range, 1.42% within the low-amber range, and 0.75% were within the high-amber range. Researchers analyzed preflight and in-flight blood glucose values (hourly and 30 minutes before landing) against protocol-specific ranges using a “traffic light” system: green (5-15 mmol/L) amber (low 4-4.9 mmol/L high 15.1-20 mmol/L), and red (low 20 mmol/L).īlood glucose values (n = 38,621) were recorded during 22,078 flying hours. Median duration of follow-up after issuance of certification was 4.3 years. Median diabetes duration for the cohort was 10.9 years mean HbA1c was 7.2% before certification and 7.2% after certification. In an observational study, Russell-Jones and colleagues analyzed data from 49 pilots with insulin-treated diabetes who were issued class 1 (61%) or class 2 certifications (39%) to fly commercial and noncommercial aircraft between May 2012 and December 2019 (84% with type 1 diabetes 96% men median age, 44 years). “This study has extended the initial assessment by collecting a much larger quantity of data on glucose monitoring by insulin-treated pilots in relation to flying.” “Since adoption of the protocol by Ireland and Austria, it now forms part of the European ARA.MED 330 protocol under the auspices and guidance of the European Aviation Safety Agency,” the researchers wrote. pilots who received class 1 medical certificates from May 2012 until March 2015. Researchers first reported on the outcomes of the U.K. Civil Aviation Authority began issuing class 1 medical certificates to pilots with insulin-treated diabetes in 2012, based on a protocol for safe flying first adopted in Canada, the researchers wrote. ![]() This has major, positive implications for all people with diabetes treated with insulin.” “The results presented detail more than 21,000 flying hours and show to date that the protocol works and is safe. Russell-Jones, MBBS, MD, FRCP, professor of diabetes and endocrinology at the University of Surrey and Royal Surrey Foundation NHS Trust, Guildford, United Kingdom, told Healio. “The study authors are part of the EurMed Programme, which allows pilots with insulin-treated diabetes to fly within a tight protocol of oversight to ensure safety,” David L. Pilots with insulin-treated diabetes who followed a strict European safety protocol maintained glucose levels in a safe range for 98% of flight time during 4 years of follow-up, with no episodes of pilot incapacitation, study data show. If you continue to have this issue please contact to Healio (Photo courtesy of Pietro Marsala)Ġ5.31.23 / Celebrating Jewish-American Heritage MonthĠ5.30.23 / Pilots at 2023 PAPA Expo Find Common Ground and InspirationĠ5.25.23 / Envoy is now more than 19,000 employees strongĠ5.23.23 / Envoy Partner Schools Compete in 2023 NIFA SAFECONĠ5.15.We were unable to process your request. Way to be an inspiration, Pietro! Cover photo: First Officer Pietro Marsala poses for a photo with an aspiring pilot at the Children with Diabetes event. ![]() “I want to give them hope that their lives aren’t limited to what they can do,” Pietro said. Pietro said his goal at the event was to inspire and reassure that, while type 1 diabetes can be scary, it doesn’t have to put limits on a child’s future. “I just wanted a change in regulations so that kids growing up with diabetes today aren’t denied the opportunity to fly.” The gift of hope First Officer Pietro Marsala shows off his insulin patch in solidarity with a young girl. “It wasn’t my goal to be the first,” Pietro said. Pietro shared his journey of helping change FAA regulations around pilots taking insulin, therefore creating opportunities for future aviators who share his diagnosis. First Officer Pietro Marsala on stage during his presentation at the event.
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