Hints for Your FAA Medical Examination and Keeping Your Pilot Medical CertificatePrepare physically for the examination Pilots who have a medical examination should be well rested and should avoid high sugar meals, caffeine, tobacco and stimulant type medications before their physical examination. Meals high in sugar may cause an erroneous result in the urinalysis that raises a suspicion of diabetes. Complex carbohydrates and proteins before an examination will stabilize blood sugars and decrease the risk of an abnormal urine result in helping individuals. Fasting is not necessary, however. For those pilots requiring electrocardiograms (first physical examination after age 35 and annually after age 40 for First Class certification), being well rested, avoiding caffeine, tobacco and stimulant medications, such as decongestants, decreases the risk of abnormalities on the ECG. Although in most cases, these abnormalities are shown to be not clinically significant, the time and expense, not to mention the anxiety, associated with obtaining the required evaluation can be avoided by simple preparation.
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