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Message:: [QUOTE="AggieMike88, post: 624094, member: 6978"]Dr. Bruce Chien will be along shortly with more detail and the "laundry list" of things to gather and bring. First, you're doing the right thing by researching what the reviewers at the FAA are going to want to see. If you do the utmost to "own your medical", as Dr. Bruce puts it, you get achieve your renewal very quickly. By obtaining and providing exactly what the first level reviewer wants to see and demonstrating that the quantifable items are within the limits, then that reviewer can reach for the approved stamp. It is when items are missing, badly organized, or not "formatted" (read worded correctly) that cause delays due to a need to send to an upper level examiner or worse, send a letter to you asking for things that should have been sent in the first time. Getting the Special Issuance (SI) for Diabetes 2 (DM2) with oral medication is not difficult. First you need to be stable on the medication and document that you have the HbA1C under control (target is 7.0 or less for a slam dunk). A status report from your treating physiscian is required. In this letter it needs to say:<ol> <li>DM2 is present and being treated with oral medication.</li> <li>You have been on this medication for at least 60 days with no side effects</li> <li>No significant hypoglycemic episodes as a result of the meds</li> <li>Your documented HbA1C level.</li> <li>No problems in areas of<ul> <li>neuro, </li> <li>renal/nephro (kidneys), </li> <li>cardiac, and </li> <li>ophthamological (eyes).</li> </ul></li> </ol> I have attached a sample letter that I used that was accepted. Make sure to include a copy of the lab report that documents the A1C. The status letters need to be simple and straight to the point. Make sure your doc doesn't get wordy because he might open up an unneeded can of worms. In my case, my doc wasn't comfortable to signing off on the eyes. So I printed off a copy of <a href="http://ame.cami.jccbi.gov/form_and_brochure/faa8500-7.pdf" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://ame.cami.jccbi.gov/form_and_brochure/faa8500-7.pdf" rel="nofollow">FAA Form 8500-7</a> and visited a local eye doc. This was also submitted. For your other conditions, similar status letters and supporting lab results and reports are needed. You can check the AME Guide on the Faa.gov website to find out what is needed. And best of all, Dr. Bruce is very willing to assist via PM to guide you.  When you seek out an AME, don't go to the first one who shows up in the phone book or online search. Call around and try to find a Senior AME who is one of the best in your area. One way to determine this is to ask if the AME is him/herself a pilot. Then ask if they have OKC on speed dial and have solid contacts within AMCD that s/he can reach out to. Finally ask if the AME will go to bat for you and call AMCD and convince them to do an office issuance if you have 100% of the required documentation and it all meets the standards. Dr. Bruce has pointed out may a time that items that other "not so stellar" AME's auto-defer can be done in office with a phone call. Unfortunately not many AME's are willing to make the effort. Finding one who will becomes a valuable tool in your flying arsenal.  This is a summary of what Sensei Dr. Bruce has taught me over the past 9 months. Do continue to ask questions and we'll be hearing you on the en route freq very soon![/QUOTE]

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