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espanolLa formacion de un piloto de combate, transporte o helicoptero, tripulaciones de vuelo y vehiculos de combate y dotaciones de buques de guerra, supone un gran esfuerzo en cuestion de recursos economicos, de tiempo y medios logisticos para nuestras Fuerzas Armadas (FAS). Por tanto, es responsabilidad de la Sanidad Militar velar por mantener en las mejores condiciones y durante el mayor tiempo posible las aptitudes y capacidades de nuestro personal de vuelo, vehiculos de combate y embarcado, procurando asi la maxima operatividad para el cumplimiento de las misiones que el mando pudiera requerir. En este articulo se hace una revision y propuesta de aquellos farmacos antidiabeticos susceptibles de ser utilizados con seguridad por pilotos, tripulaciones de aeronaves y vehiculos de combate y dotaciones de buques de guerra, valorando que no produzcan hipoglucemias ni causen efectos secundarios que comprometan la operatividad. Se recomienda y estimula a aquellos que presenten un estado prediabetico a modificar su estilo de vida y tratamiento con metformina para retrasar o evitar la aparicion de una diabetes prolongando su vida operativa. Se estimula a quienes presenten una diabetes tipo 2 la utilizacion de aquellos antidiabeticos que mejor preserven la funcion de la celula beta para retrasar la necesidad de tratamiento insulinico. EnglishThe training of combat, transport or helicopter pilots and flight, combat vehicles and warship crews imply a big effort in terms of economic resources, time and logistics for our Armed Forces (FAS). Therefore, it is the responsibility of the Military Health Service to maintain the aptitudes and the skills of our personnel in the best possible conditions for the longest period of time, thus procuring the maximum operating capacity required for the accomplishment of their missions. In this paper it is reviewed and proposed anti-diabetic drugs that may be safely used by pilots, flight, combat vehicles and warship crews, appreciating those that do not produce hypoglycemia neither cause side effects that can compromise the operating capacity. It is recommended and encouraged personnel with pre-diabetic condition to modify their life style and to initiate treatment with metformin, in order to delay or to avoid the onset of diabetes and extend their operating life. It is also encouraged the use of those anti-diabetic agents that best preserve the function of the pancreatic beta cell, therefore delaying the need for insulin based therapy.

Type 2 diabetes: new anti-diabetics and therapeutic strategy for military pilots and planes, combat vehicles and warship crews