Air Force Flying Physical
Medical Examination Standards
Endocrine
and Metabolic.
Flying Classes II and III.
Adiposogenital dystrophy (Frohlich's syndrome).
Adrenal dysfunction of any degree, including pheochromocytoma.
Cretinism.
Diabetes insipidus.
Diabetes mellitus, see note at A3.32.
Gigantism or acromegaly.
Thyroid disorders.
Goiter if associated with pressure symptoms, or if enlargement is of such degree
as to interfere with wearing of a military uniform or military equipment.
Hyperthyroidism or thyrotoxicosis.
Thyroiditis, acute and subacute.
Hypothyroidism.
Gout
Hyperinsulinism, confirmed, symptomatic.
Parathyroid dysfunction.
Hypopituitarism.
Myxedema, spontaneous or postoperative, with clinical manifestations. A7.28.l.13.
Nutritional deficiency diseases (including sprue, beriberi, pellagra, and scurvy)
which are more than mild and not readily amenable to therapy or in which permanent
pathological changes have been established.
Other endocrine or metabolic disorders which obviously preclude satisfactory
perfor mance of military service or which require frequent or prolonged treatment.
Hypercholesterolemia requiring medication for control. (See Chapter 16)
Osteopenia.
Flying Classes I and IA. In addition to the above:
Diabetes mellitus (see Note in A3.32). Persistent glucosuria from any cause
including fasting renal glucosuria is disqualifying. Glucosuria post-prandially
or during glucose loading challenge is not disqualifying in the absence of any
renal disease or history of recurrent genitouri nary infections. However, this
finding requires evaluation.
Any confirmed (repeated) serum cholesterol in excess of 230 mg/dl with one or
both of the following criteria present:
HDL cholesterol equal to or less than 15 percent of total cholesterol. A7.28.2.2.2.
LDL cholesterol greater than 170 mg/dl.
Information derived from Air Force Instruction 48-23, Current as of Dec 2000.

