Automatism - cause of the involuntary act
must be external i.e, a blow to the head, an attack by a swarm of bees, sneezing, and the affect of a drug.
Exceptional stress (R v T)
Diabetes - the involuntary action must be as a result of taking insulin in order to be automatism (Quick)
Any condition caused by diabetes would be an internal factor and the D would have to rely on insanity (Hennessey)