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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am A 67 Year Old Private Pilot With Type

I am a 67 year old private pilot with type II diabetes. About a year ago my endocrinologist added Invokana to the max-dose metformin and max dose of Victoza I was already taking. This combination was very effective with no side effects. When I reported this change in medication during my annual FAA Class III flight physical in July of 2016 the FAA declared that Invokana was not allowed and deferred approval of my medical certificate. They did, however, provide a list of "approved" diabetic meds which I have studied on this website such as Junuvia and Actos. By comparison to Invokana these meds have far more serious and a greater number of negative side effects. Can you provide me with or direct me to complete and exhaustive information written by medical professionals on all of the Type II medications (except insulin) available today? I have great faith in my endocrinologist but no faith whatsoever in the FAA. I need to make a cogent and persuasive argument to use the best medications to control my BG/A1C and to protect my health. Health first, pilot license second,but at the same time I need to comply with FAA requirements to maintain my license. Supposedly these rules are supposed to insure pilots are safe in the air. I just don't think the FAA has taken the time to properly test and analyze this new medication. I need help. I'm also requesting help from Pilot Protection Services at AOPA. Hopefully their information, your information and my trusted doctor we can demonstrate a safe, compliant medication regimen. I went through the same drill with Victoza two years ago when it first came out. Your help will be most appreciated.
Fri, 28 Oct 2016
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I Am A 67 Year Old Private Pilot With Type