title: Blood glucose awareness training helps return insulin-treated aviators to the cockpit.
abstract: Insulin-treated diabetes mellitus has traditionally been considered disqualifying for aviation duties, the major concern being the risk of hypoglycemia. This phenomenon may lead to impaired judgment and even loss of consciousness, potentially leading to a mishap. Blood glucose awareness training has been advanced as a strategy to avoid hypoglycemia by teaching individuals to use the appearance of autonomic and neuroglycopenic symptoms as indicators of decreasing blood glucose levels. We present two military aviators with newly diagnosed type 1 diabetes mellitus who were returned to flying duty in a multicrew aircraft. Blood glucose awareness training was used as a tool for the education of these aviators regarding the early signs of hypoglycemia in order to avoid development of more significant hypoglycemia. These cases attest to the importance of blood glucose awareness training in the return of diabetic patients to the cockpit.
authors.affiliation: Israel Air Force Aeromedical Center, Israel.
authors.forename: Alon
authors.initials: A
authors.lastname: Grossman
authors.forename: Erez
authors.initials: E
authors.lastname: Barenboim
authors.forename: Bella
authors.initials: B
authors.lastname: Azaria
authors.forename: Liav
authors.initials: L
authors.lastname: Goldstein
authors.forename: Ohad
authors.initials: O
authors.lastname: Cohen
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D000401:Aircraft; D001359:Aviation; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D008887:Military Medicine; D008889:Military Personnel / Q000193:education*; D010353:Patient Education as Topic; D012307:Risk Factors; D014481:United States; D000078329:Workforce
chemical_list: D007328:Insulin