They realized that: 1) given the diabetes treatment technology available today, the risk of a well-controlled PWD passing out from a hypo is unlikely and 2) even if it did happen, airliners have two pilots. In 2012, a more enlightened approach was taken, starting with the Canadian aviation authorities. In much of the rest of the English-speaking world, things had already started changing.
Still, the door to the cockpit of an airliner remained firmly closed and locked - at least in the USA. Then in 2017, changes to medical certification for private pilots opened yet more doors for recreational flying.Later in 2004, things lightened up even more, with many insulin users permitted to fly very light planes if they had a valid driver’s license.I won’t bore you with the details, but suffice it to say there was a LOT of paperwork and expense involved. In 1996, things started to change, when the FAA started allowing some insulin users to fly private planes.Worse, they took away the flying privileges of licensed pilots who developed diabetes and required insulin. For decades, the FAA didn’t let insulin-using people become pilots.
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