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In the United States, many states restrict licenses for people with diabetes In 1971, the U.S. Supreme Court held that driving is an "important interest" that may not be taken away from a licensed driver without a government agency providing procedural due process. In 1993, a court of appeals in California noted that a person with insulin-treated diabetes is not automatically subject to license forfeiture or nonrenewal unless diabetes affects the driver's safe operation of a motor vehicle. Californian doctors are, however, required to inform authorities about sudden loss of consciousness due to hypoglycemia. In contrast, the state of New York has no specific policies about licensing of drivers with diabetes other than if loss of consciousness occurs while driving. People with diabetes should be assessed individually, taking into account each individual's medical history as well as the potential related risks associated with driving.

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