It is now possible for pilots with well controlled Diabetes treated with an increased range of medications which can cause hypoglycaemia including Insulin, to achieve restricted OML certification. There is a rigid protocol to follow including measuring periodic blood sugar pre and during flight.
It is now possible for licence holders who are on limited maintenance treatment for depression (Sertraline, Citalopram, Escitalopram).
Certain anticoagulants are accepted by the CAA.
The cut-off point for certification with raised blood pressure remains “persistently greater than 160/95” however under EASA pilots with blood pressure > 140/90 now require investigation to establish if their blood pressure is persistently greater than this figure. If so they will require further assessment including investigations
Normal BMI is 19-24. Obesity is defined in terms of BMI as any figure > 30. Pilots with BMI of 35 or greater now require formal assessment of cardiovascular risk( Class 1 by cardiologist) which may include an exercise ECG and also a Medical Flight Test.
Pilots with a history of asthma will require spirometry at their next routine medical.
Exercise spirometry (6 minute free running test with spirometry before and after) is required if routine spirometry is abnormal or if there is history of an asthma episode within the last 5 years (Class 1) or 2 years (Class 2) or when needing regular use of an inhaler (defined as > once per 3 months)
Class 1 holders with an established diagnosis of asthma who are stable, or initial Class 2 applicants, require referral to a local respiratory specialist for assessment including either exercise spirometry / or chemical challenge testing.