Contribution of methamphetamine and insulin to the death of a woman suffering from type I diabetes – which played the greater role?

Author:

Handlosová Klára,Šištík Pavel,Uvíra Matěj,Andelova Kateřina,Handlos Petr,Stejskal David

Abstract

AbstractThis report presents a fatal case of a young female Type I diabetic patient who developed convulsions and loss of consciousness after taking methamphetamine and spending some time in a dance club. During the convulsions, she was given sugar and when no response occurred, her boyfriend who was not experienced in the use of insulin administered a dose of insulin to her. The woman lost consciousness and died despite the efforts of the emergency service. A biochemical analysis revealed a high level of insulin (196.67 mU/L) and low levels of glucose (2.96 mmol/L) and C-peptide (26 pmol/L). Toxicological analysis revealed a methamphetamine concentration of 389 ng/mL and an amphetamine concentration of 19 ng/mL. The forensic perspective of the difficult determination of the contribution of each of the factors to the death, i.e., the pre-existing medical condition (Type I diabetes), the use of methamphetamine, the physical exertion at the dance club, and, finally, the non-indicated administration of insulin, is discussed. The ruling of the court is also reported.

Funder

University Hospital in Ostrava

Publisher

Springer Science and Business Media LLC

Reference16 articles.

1. Jelínek J, Pelc V, Říha J, Sovák Z, Bruna E, Heranová S et al. Trestní zákoník a trestní řád s poznámkami a judikaturou [Internet]. Leges; 2022 [cited 2024 Feb 13]. https://is.vsfs.cz/publication/10270/en/Trestni-zakonik-a-trestni-rad-s-poznamkami-a-judikaturou/Jelinek-Pelc-Riha-Sovak

2. Fryšták M. Odborné vyjádření versus znalecký posudek. Dny Práva–2010–Days Law. 2010;1.

3. Belsey S, Flanagan R. Postmortem biochemistry: current applications. J Forensic Leg Med. 2016;41:49–57.

4. Maeda H, Ishikawa T, Michiue T. Forensic biochemistry for functional investigation of death: concept and practical application. Leg Med. 2011;13:55–67.

5. Giugliano D, Ceriello A, Esposito K. Glucose metabolism and hyperglycemia. Am J Clin Nutr. 2008;87:S217–22.

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