A woman suffering blackouts and blurred vision went on to cause a fatal road smash just days after being ordered by doctors not to drive.
Stephanie Oakenfull, 28, was also found to be nearly twice the drink drive limit four hours after she smashed head on into another car killing Kay Smith, 53.
Oakenfull wept as she was jailed for six years at Birmingham Crown Court for causing death by dangerous driving and was banned from the roads for seven years.
She also admitted causing serious injury by dangerous driving, failing to stop at the scene of an accident, failing to report an accident and driving without due care an attention.
It was heard she got behind the wheel of her Vauxhall Corsa on February 21 last year, days after being ordered not to drive by doctors.
She had also failed to tell the DVLA of a mystery condition which was causing her to suffer blackouts, blurred vision and memory loss.
Well loved Mrs Smith died of chest injuries following the smash near Sutton Coldfield, Birmingham.
Judge Mark Wall QC told a sobbing Oakenfull, from Piddington, Northamptonshire; “You were aware and telling members of your family in the days leading up to this appalling driving you were suffering blurred vision and lapses in concentration.
“(You had) been told by a doctor you should not be driving and you should report it to the DVLA.
“You were well aware of the condition you were suffering and well aware you should not be driving that day.”