The new guidance for "Insulin Treated Diabetes Mellitus" (ITDM)is out. I'll post the short version below and link to the Federal Register for the long version and also to the updated guide for AME's. ITDM Pilots will need 6 months of CGM (Continuous Glucose Monitor) data.
Short Version:
In keeping with 14 CFR 67.413
requirements to provide the FAA with medical history to ensure appropriate fitness for flight, applicants applying for the new protocol must be able to provide the following:
(1) Initial comprehensive report from the treating, board-certified endocrinologist
(2) Initial comprehensive laboratory panel
(3) Finger-Stick Blood Sugar (FSBS) glucose monitoring data
(4) Continuous Glucose Monitoring (CGM) data for at least the preceding 6-month period (using a device legally marketed in the United States in accordance with Food and Drug Administration requirements and containing protocol-specific features needed for appropriate in-flight
monitoring.).
(5) Excel spreadsheet or similar that identifies CGM data for all flights for the past 6 months and any actions taken to address low or high glucose levels.
(6) Eye evaluation (from a board certified ophthalmologist)
(7) Cardiac risk evaluation (from a board certified cardiologist)
Long version:
https://www.govinfo.gov/content/pkg/...2019-24150.htm
Updated guide for AME's:
https://www.faa.gov/about/office_org...ase_prot/itdm/