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FAA ITDM CGM Option Certification Aid (Insulin)

This five-page FAA certification aid spells out each numbered item the Initial and Renewal requirements ask of an insulin-treated pilot seeking any class under the continuous glucose monitor (CGM) option. It covers the endocrinologist's initial comprehensive report, a comprehensive lab panel, CGM data and device features, insulin pump rules, a diabetic eye exam and a cardiologist's cardiac risk evaluation.

Who completes it

The treating board-certified endocrinologist provides the comprehensive report and CGM review. A board-certified ophthalmologist (or an optometrist if there is no retinopathy) does the eye exam, and a board-certified cardiologist, not a mid-level practitioner, does the cardiac evaluation.

Submitting and payment

How to submit it
The pilot gathers the reports and data and sends them to the FAA following its instructions for initial or renewal documents; the AME defers initial applications.

Good to know

  • The endocrinologist evaluation must be in person within 90 days, and the FAA wants the actual detailed progress note, not an encounter summary or letter. Follow-up is required every 3 months.
  • CGM data must cover at least the preceding 6 months for initial certification and 3 months thereafter, with time below 54, below 70, 70 to 180, above 180 and above 250 mg/dL.
  • The CGM must be FDA-approved, real-time with predictive trend arrows, have adjustable alarms switched on, a MARD of 10% or less, and be the pilot's own unblinded device.
  • Cardiac evaluation includes a baseline ECG and, from age 40, a maximal Bruce treadmill stress test every 5 years or whenever clinically indicated.

Get the official form

Download the current version from the source each time; forms change without notice.

Diabetes Mellitus Type I or Type II - Insulin Treated CGM Option C. Certification Aid

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Which CGM devices does the FAA accept for insulin-treated pilots?

Any device meeting the FAA's feature requirements. The aid lists Dexcom G4 Platinum through G7, FreeStyle Libre 3, Medtronic MiniMed 630G, 670G and 780G, Guardian Connect, and Eversense and Eversense E3 as meeting them as of 08/30/2023, noting the list may not be all-inclusive.

What CGM reports should be sent to the FAA?

Monthly reports, in color when possible: for Dexcom, the Overview, AGP, Alert Settings and weekly overlays; for Medtronic, the Assessment and Progress report and weekly overlays. Other devices need estimated A1c or GMI, average glucose, CV, SD, time in range, sensor usage and weekly graphs. Daily or hourly pump statistics are not wanted.

What labs are in the ITDM CGM initial panel?

Within 90 days: A1C plus all values from the prior 12 months, CBC, lipids, liver function tests, urine microalbumin or albumin-to-creatinine ratio, creatinine, BUN and eGFR, and TSH. Vitamin B12 is added when clinically indicated, and potassium when indicated or when taking ACE inhibitors, ARBs or diuretics.