This is a narrative review article regarding the insulin treated airclaft pilots with diabetes.

The topic is timely and important to clear the “stigma” of diabetes.

There are some comments.

1. The title does not clearly describe the contents of this review. The term “pilot” should be included in the title.

2. The purpose of the review was not clearly described. This should be clearly stated in the abstract and the main text.

3. The methods of the review were also not clearly described. The inclusion criteria of literatures should be clearly described.

4. The subtitles are only the noun phrases and do not effectively explain the contents. Please use more meaningful subtitles to guide the readers.

5. Page 6, lines 18-20. The reference is needed for this sentence.

6. The authors described only CGM as new technologies. Advances in insulin and insulin devices should be also discussed.

7. Conclusion was not clear. Conclusion section should be added.

The authors properly responded to the comments.