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Merged Diabetes Thread

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Merged Diabetes Thread

Old 30th Aug 2018, 10:17
  #81 (permalink)  
 
Join Date: Jul 2003
Location: Uk
Posts: 108
I fly on insulin with a UK CAA medical. For class 1 and class 2 the protocol is exactly the same. Only thing is that hou have an OML on the class 1 and an OSL on the class 2 (you can get rid of this after a checkflight)

You will be limited to operate only on planes that are registered in the participating memberstates (UK/IRL/AUT)

I know that the CAA is not able to give initial medicals (for now) to people on insulin. So unless you had an easa medical before it will be though.

as far as Iam aware the FAA is now also accepting pilots on insulin. https://www.faa.gov/about/office_org...betes_insulin/

Good luck!
whitelabel is offline  
Old 30th Aug 2018, 18:16
  #82 (permalink)  
 
Join Date: Oct 2004
Location: mids
Age: 54
Posts: 0
tonker some swear by cinnamon for reducing insulin resistance.

You need to get a meter and test yourself and learn what you react to and what you don't.

per say low cal might not help its the food you eat that has the major influence. 600 cals of carbs is going to have a different effect than 600 cals of protein.

When you reduce carbs to nearly nil it stops your body processing fats and screws with the mix for your cholesterol.

I agree with 3db a week is going to make no difference to your HbA1c level.

As for your low HDL level...… nuts...… and stick avocado slices on your salads.
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Old 1st Sep 2018, 02:13
  #83 (permalink)  
3db
 
Join Date: Jul 2000
Location: Kingston, Surrey, UK
Age: 69
Posts: 73
Tonker, As tescoapp states, you need to measure your own blood/glucose. I purchased a £14 inc delivery machine (a nexus gluco rx, the same as my NHS GP group supply, so as a diabetic I get the NHS supplied testing strips/needles without cost to me), just 2 weeks ago, no VAT as its a medical condition. By regular measuring, you can then see what helps or hinders in *your* case. As with all low cost hardware, it is the on-going supplies (test strips and needles) where the manufacturer makes the profit. If purchasing, you need to consider the on-going costs. I wanted to purchase another machine as I now have to measure my blood within 2 hours of driving and every 2 hours while driving – I wanted to keep a machine in the car for that purpose, as well as the machine I have at home. NHS only supply one machine (at least in this part of London), hence the purchase.

I also agree with tescoapp, reducing anything to zero in your diet is seldom good in my view. I think we were designed to eat a variety of foods, and its best left like that. Nothing to stop considerably reducing a food type, but personally I would not eliminate anything entirely.

Last edited by 3db; 1st Sep 2018 at 02:15. Reason: correct typo.
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Old 2nd Sep 2018, 07:55
  #84 (permalink)  
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Merged Diabetes Thread

I've created a thread for diabetes topics. This will help keep all of the relevant information together.
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Old 6th Sep 2018, 07:43
  #85 (permalink)  
 
Join Date: Jun 2001
Location: England
Posts: 875
Thanks for all the replies. After a couple of weeks walking, a complete change of diet Iíve lost 4 Kgs already, and my blood sugar level has dropped from 49 to 46, and cholesterol from 5.4 to 4.6.

Still very much in the danger zone, but it feels good to actually see scientific progress.
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Old 6th Sep 2018, 10:25
  #86 (permalink)  
 
Join Date: Oct 2004
Location: mids
Age: 54
Posts: 0
What units are those numbers?

Good news though if they are heading in right direction.
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Old 6th Sep 2018, 17:02
  #87 (permalink)  
 
Join Date: Nov 1998
Location: United Kingdom
Posts: 1,492
“Ezetrol” (Ezetmibe) could get your cholesterol lower ( in addition to Statins).
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Old 17th Jan 2019, 18:19
  #88 (permalink)  
 
Join Date: Apr 2004
Location: UK
Posts: 388
Diabetes Type 2 - Class 1 & timescales

Hi all,

Assuming no further complications etc. from time of diagnosis, what sort of timescale has anyone with Type 2 Diabetes experienced in managing a return to medically fit status (UK Class 1) to recommence work?? generally speaking. Is there a minimum timescale??

Thanks...
First.officer is offline  
Old 17th Jan 2019, 23:33
  #89 (permalink)  
 
Join Date: Jun 2014
Location: UK
Posts: 11
I can only speak from a Type 1 point of view:

I had to provide 90 days of blood sugar readings (3 to 4 times a day). Once I was approaching the end of those 90 days, I had to get bloods done for my latest A1c etc, eyes screen for retinopathy, feet checked for any nerve damage and a stress ECG carried out.

This is was all submitted to the CAA on the 90th day. Two days later I was invited down to Gatwick to have consultation with the CAA specialist whom signed me off. I got lucky with dates to see the consultant as he is only in a handful of days each month.

I was off 4 months on total once my airline got me in the sim for a medical test flight with a TRE.
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Old 18th Jan 2019, 09:47
  #90 (permalink)  
 
Join Date: Apr 2004
Location: UK
Posts: 388
Hi driftdown,

Many thanks for sharing that, useful....i had figured pretty much the same sort of timescale, but of course thats assuming all goes to plan ;-).
First.officer is offline  
Old 18th Jan 2019, 13:47
  #91 (permalink)  
 
Join Date: Jun 2014
Location: UK
Posts: 11
No worries. Like you, I was keen to know as soon as possible as to when I could get my medical back!

The bloods are all covered by the NHS. They are the exact same as required from any other diabetic. Eye and feet screening too. The only added extra that non flying diabetics donít need is a stress ECG. So whilst the 90 days was ticking by, I enjoyed the summer off from commercial flying and got my eyes, feet and stress test all done. In the final week approaching the 90th day, I got the bloods done so it was sent away on the evening of the 90th day.

All this is from a new diagnosis of insulin dependant diabetes. T2 on oral medication could possibly result into a streamlined process to regaining your medical.

I found the CAA to be very proactive with it all.
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Old 18th Jan 2019, 15:27
  #92 (permalink)  
 
Join Date: Aug 2015
Location: England
Posts: 247
My wife was recently diagnosed as Pre Type 2 Diabetes due to her hba1c level
As a result she has been attending the local Wellbeing for pre type 2 people.

In just 6 months she has lost 12lbs. No diet. Simply following the healthy eating steps.
She is due to have her blood glucose levels rechecked in a month.

However, most all people on this type of course have significantly reduced their hba1c levels and are no longer classed as pre type 2.

The course is run by the NHS and is weekly for the first 8 weeks then reduces up to about 9 months.
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Old 18th Jan 2019, 16:44
  #93 (permalink)  
 
Join Date: Apr 2004
Location: UK
Posts: 388
Many thanks for the replies, all very interesting.

I was only diagnosed officially almost a week ago, and HbA1c was then 58 from a test a few days prior (up from 51 3-months prior). Since then (due to G.I. problems and issues i've heard regarding Metformin) I have (with NHS clinic nurse approval) gone down the MM 800 calorie diet and lost 5-6 Lbs thus far, and invested in a blood glucose meter that with pre and post prandial measurements each day, are seemingly always within the Type 2 guidelines (or non-diabetic range) as published on various websites and NHS site. Hopefully a step in the right direction!. Will admit that finding foods that are low fat, low (to zero) sugar and also low carbohydrates - seem to now spend more time reading food labels than anything else ha.
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Old 18th May 2019, 13:57
  #94 (permalink)  
 
Join Date: Nov 2004
Location: UK
Posts: 721
Can someone please clarify how frequently I should check my blood sugar whilst operating public transport with type 2 diabetes controlled by Metformin? UK CAA. Thanks.
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Old 18th May 2019, 16:23
  #95 (permalink)  
 
Join Date: Aug 2007
Location: scotland
Posts: 73
Pilots and ATCOs taking non-hypoglycaemic medications should test before commencing flight/controlling and if symptoms are experienced during flight/controlling (mandatory for classes 1 and 3)
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Old 20th May 2019, 14:47
  #96 (permalink)  
 
Join Date: May 2019
Location: london
Posts: 2
Type 1 Diabetes Class 2 medical CAA

Apologies if this topic is covered elsewhere

I am a UK based pilot with a EASA PPL and a class 2 medical

I have recently been diagnosed with Type 1 diabetes

In order for me to regain my class 2 I understand from the CAA website I need the following reports to be submitted (apologies but I cannot post the link as this is my first post)

Reports to be sent to CAA
-
  • Specialist Clinic letter
  • Home monitored blood sugars for three months
  • Up to date biochemical test results for:
Bloods - HbA1c; Cholesterol; Triglycerides; Creatinine Urine - Albumin/creatinine ratio
  • Retinal eye screening results.
I also understand that i need to undertake a flight review with a CFI to demonstrtae I can follow the CAA inflight procedures and blood sugars testing?

Is the above a correct interpretation to regain my class 2

Also once I have regained my class 2 will my FAA piggyback licence still be valid to fly N reg aircrafts abroad?


Many thanks for your help
flyingwhiteknight is offline  
Old 21st May 2019, 23:20
  #97 (permalink)  
 
Join Date: Jun 2014
Location: UK
Posts: 11
Flyingwhiteknight, I hope all is well after your diagnosis. Not the easiest thing to come to terms with...

I have a Class 1 medical with T1D and so I'm not 100% sure if the requirements are the same but I'll pass on what I had to submit anyway - it pretty much ties in with what you've written.

A report by my treating consultant. Written as per the diabetes report specification found on the CAA medical website.
90 days worth of blood glucose monitoring (3-4 times a day)
Blood Tests - HbA1c, Liver and Renal Function (eGFR & ACR), Lipids
Complications - retinopathy report, neuropathy report, nephropathy report, stress ECG
Completed medical flight test report signed by CFI or TRE

All this was submitted to the CAA and within 2 days, I was invited to attend a consultation with the consultant running the diabetes protocol with the CAA. A couple of weeks later, my Class 1 was in the post.

Currently, I'm restricted to G,EI and OE registered aircraft. You can fly on the Class 3 medical in the US but not sure if the Class 2 will 'piggy back' across.
Driftdown89 is offline  
Old 22nd May 2019, 14:06
  #98 (permalink)  
 
Join Date: May 2019
Location: london
Posts: 2
Originally Posted by Driftdown89 View Post
Flyingwhiteknight, I hope all is well after your diagnosis. Not the easiest thing to come to terms with...

I have a Class 1 medical with T1D and so I'm not 100% sure if the requirements are the same but I'll pass on what I had to submit anyway - it pretty much ties in with what you've written.

A report by my treating consultant. Written as per the diabetes report specification found on the CAA medical website.
90 days worth of blood glucose monitoring (3-4 times a day)
Blood Tests - HbA1c, Liver and Renal Function (eGFR & ACR), Lipids
Complications - retinopathy report, neuropathy report, nephropathy report, stress ECG
Completed medical flight test report signed by CFI or TRE

All this was submitted to the CAA and within 2 days, I was invited to attend a consultation with the consultant running the diabetes protocol with the CAA. A couple of weeks later, my Class 1 was in the post.

Currently, I'm restricted to G,EI and OE registered aircraft. You can fly on the Class 3 medical in the US but not sure if the Class 2 will 'piggy back' across.
many thanks for your response. That sounds about right. Some of tbe CAA docs are hard to follow so thank you for taking the time to respond

cheers

ashley
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