First Class Medicals can be issued as long as you are not an insulin dependent diabetic. Type II diabetics on oral medication can be issued a special issuance medical as long as you have been stabilized on medication for 60 days, you have no episodes of hypoglycemia, and you have no side effects to your vision or organs. Type II Diabetics who control their diabetes with diet do not require any special authorization. Type I diabetics and Type II diabetics on insulin are not eligible for Class I or II medicals at present, but can be issued a Third Class medical if an insulin pump is used.