I've reviewed it, and it's pretty much what I thought it would be.
A few thoughts:
1. At least we get to explain highs and lows. For example, waking up with a 400 mg/dl, and then a sharp drop, while on the surface might seem suspicious, but is easily explained with an infusion set that got pulled out. I get it... an incident like this every few (6) months is "acceptable" but every week might get a little concerning.
2. 70 (THANK YOU!!!!) - 250 is a lot better than 100-300. I like keeping my blood sugar the same as the Muggles (non-diabetic folk), where there's is 65-80 (fasting) to 160 (after that piece of cake).
3. Documenting what you did on a flight to low/high BG at least lets us explain what happened.
4. I'm glad at least they had a Dexcom report in there. Being vague with the requirements is not helpful. It'd be nice if they, at least, said, "These CGM systems meet the FAA requirements: Dexcom, Medtronic, Abbott Labs, and Sensonics" Heck, the FAA keeps a list of "no-fly" drugs, make a list of "OK CGM's"
5. The rest of it is pretty much the same as it was for the Class 3, with the exception of the non-sequitur "Insulin Pumps are acceptable" (The previous Class 3 went through a bunch of (from an airman perspective) bizarre conditions and prescriptive actions, and then one sentence at the end, just listed, made no sense in the context.)
6. I absolutely LOVE the fact that the FAA finally said that CGM's are better than fingersticks, plus the silliness of poking my fingers at altitude, making sure I didn't bleed all over the yoke/throttle, and make an evaluation, while I had a perfectly good CGM attached to me. (Never mind the attempts to get the test strip out, inserted into the meter, and getting the fingerstick cocked and poked in a pain-free area. I'm just glad it didn't prescribe using a new lancet, or else my lancet cost would have increased 50 fold each year. - Those that use fingersticks will get that joke...)
7. Dexcom G6's don't require FSBS calibration... since I have about 12 meters, do I have to bring all 12 in for those monthly random checks?
8. Item 4.B.10 I've never heard of anyone sharing a CGM. How is that done? I get it, the FAA (logically) wants to see only your CGM data, but that was a weird (meaning, who does this? and why?) requirement.
All in all, I'm looking forward to someone seeing the pump tube while I'm doing the "buh bye, hope you enjoyed the flight" and says, "I didn't know diabetics could fly!"
