contribute to a typical hypoglycemic reaction which include physiologic symptoms such as blurred vision confusion weakness dizziness and lethargy if left unnoticed and untreated hypoglycemia can rapidly result in seizure coma and death suffice it to say diabetics are at risk for developing physiological symptoms that can severely impair without notice an ability to complete ordinary activities such as operating a motorized vehicle as early as four decades ago a positive correlation between diabetes and increased motorized vehicle accidents and traffic violations was reported see new england j med 1965 273 1413 1420 which is herein incorporated by reference in its entirety indeed diabetes type 1 and type 2 accounts for 18 of traffic accidents that are attributed to a medical condition in the united states u s and europe see j diabetes science and technology 2010 4 2 464 469 which is herein incorporated by reference in its entirety this is more than double an amount of accidents attributed to heart attack or stroke alone or combined as compared with non diabetics type 1 diabetic drivers are involved in almost three times more car accidents similarly type 2 diabetic drivers are one and a half times more likely to be involved in a car accident compared to non diabetics see ada diabetes care survey diabetes and driving mishaps frequency and correlations from a multinational survey august 2003 vol 26 8 2329 2334 which is herein incorporated by reference in its entirety overall diabetics have a 19 greater.