CACI for GLP-1 medication with singular high A1C result

  • Thread starter Thread starter Anonymous Aardvark
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Anonymous Aardvark

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Interesting situation I'm looking at for my third-class medical renewal...

I’m currently taking Zepbound (tirzepatide) for weight loss. According to the CACI worksheet for weight loss management, I see that it doesn’t apply if there was ever an A1C test >6.5%.

In my case, my A1C has always been in the 5.4 - 5.5% range - except one test that came back as 7.2% in September 2020. My doctor re-ran the test a couple weeks later, which returned 5.4% as expected. My understanding is that A1C can't fluctuate that much over two weeks, which made both of us suspect the first test was erroneous. Every other A1C test I've gotten since has been in the normal range.

How does this affect my medical renewal? Is there any additional documentation the FAA will require from me? Given that my doctor believes that singular 7.2% A1C result was erroneous, is there anything that I can give the AME to allow them to apply the CACI protocol here?
 
I'm not an expert. But, I am going through something similar. My recommendation is to get a copy of your historical A1C results and maybe a note from your doctor stating that the single 7.2 lab was erroneous. FInd an AME that has a reputation in your local area for working with pilots who're worried about getting deferred and talk to him before filling out the 8500-8 or MedExpress.
 
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