{
  "url": "https://openlegislation.uk/eu-regulation-2011-1178/annex-IV/division-SUBPART+B/section-2/division-MED.B.025",
  "json_url": "https://openlegislation.uk/eu-regulation-2011-1178/annex-IV/division-SUBPART+B/section-2/division-MED.B.025.json",
  "legislation": "eur/2011/1178",
  "legislation_title": "Commission Regulation (EU) No 1178/2011 of 3 November 2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-regulation-2011-1178",
  "path": "annex/IV/division/SUBPART+B/section/2/division/MED.B.025",
  "kind": "division",
  "number": "MED.B.025",
  "heading": "Metabolic and Endocrine Systems",
  "text": "(a)Applicants with metabolic, nutritional or endocrine dysfunction may be assessed as fit subject to demonstrated stability of the medical condition and satisfactory aero-medical evaluation.\n(b) Diabetes mellitus\n(1)Applicants with diabetes mellitus requiring insulin shall be assessed as unfit.\n(2)Applicants with diabetes mellitus not requiring insulin shall be assessed as unfit unless it can be demonstrated that blood sugar control has been achieved and is stable.\n(c) Aero-medical assessment\n(1)Applicants for a class 1 medical certificate requiring medication other than insulin for blood sugar control shall be referred to the medical assessor of the CAA.\n(2)The fitness of applicants for a class 2 medical certificate requiring medication other than insulin for blood sugar control shall be assessed in consultation with the medical assessor of the CAA.",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "F",
      "label": "F1",
      "text": "Substituted by Commission Implementing Regulation (EU) 2019/27 of 19 December 2018 amending Regulation (EU) No 1178/2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EU) 2018/1139 of the European Parliament and of the Council (Text with EEA relevance)."
    },
    {
      "type": "F",
      "label": "F2",
      "text": "Word in Annex 4 points MED.B.010-40 substituted (31.12.2020) by The Aviation Safety (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/645), regs. 1, 318(3) (with Sch. 3) (as amended by S.I. 2019/1098, regs. 1(3), 12); 2020 c. 1, Sch. 5 para. 1(1)"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eur/2011/1178/annex/IV/division/SUBPART+B/section/2/division/MED.B.025",
    "retrieved_at": "2026-11-01T14:49:46.231029+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}