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A condition in which the pancreas produces little or no insulin.

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A disease in which your body produces abnormally shaped red blood cells. The cells are shaped like a crescent which cause them to get stuck in blood vessels, blocking blood flow.

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They recently had been in an intimate relationship before Anna broke things off.

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Had a dispute with the victim over their business.

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Had a heated argument a few days before the victim died

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Alex Garcia's new wife

Seen sitting in her car across from
the victim’s house the day before

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Financial issues

Beneficiary on victim's life insurance

At victim's house the night before she died

Expecting child

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92 degrees outside

Walked dog in sweater the previous morning

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2.3.3

Blood glucose – 280mg/dL (high)

A1C – 11% (high)

Significant protein and ketones in the urine (sign of kidney failure)

Lens of right eye is cloudy, blood vessels in both eyes are swollen, and abnormal blood vessels on left retina. (Vision was most likely compromised)

Significant plaque buildup on the teeth and severely receding gums

Left kidney appears pale and shows the beginning signs of necrosis.

Anna was showing signs of ketoacidosis (DKA)- Can cause cerebral edema

4.1.2

Evidence of statins

Sickle cell shapes in blood sample

Hematocrit- 36%

Concentric left ventricular hypertrophy and mild mitral valve prolapse

Narrowing in the renal arteries and cerebral arteries (signs of atherosclerosis)

Mild peripheral vascular disease in left leg

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Ischemic Stroke caused by Sickle Cell Anemia

Anna went into a diabetic coma caused by diabetic ketoacidosis. Due to high blood sugar for an extended amount of time, she was trying to give herself insulin but she fell and hit her head.

She injected too much insulin into her thigh, causing her blood sugar levels to dramatically decrease. This condition triggered her to become weak and dizzy and prompted her to fall. She then hit her head against the table side and died.

Anna Garcia had Heart disease and with Diabetes, she had a higher chance of getting heart attacks. Especially with all the medications she was on, Anna might have died from a heart attack or heart failure.

Anna could have been trying to take aspirin for her back pain. Instead she fell and hit her head and vomited.

Occlusion from sickle cells could've blocked the blood flow causing Anna to become dizzy and fall.

Anna's urinary tract infection increased ketoacidosis and produced excess hormones. The hormones interfered with insulin's ability to do it's job. With insulin not functioning properly, the body resorted to fats for energy, creating ketones as by product. Anna tried to help her situation by injecting insulin shots, but it was too late. She became dizzy and hit her head.

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1.3.1

Trace amounts of acetylsalicylic acid present.

Abdomen is distended

Right proximal humerus and left distal tibia show signs of recently healed breaks.

Inflamed, red injection sites on left thigh

Right elbow bruise

Generalized pallor and evidence of oxygen deprivation

Fingernails and toenails blue/gray color

Evidence of vomit in oral cavity

Blunt trauma to the head, wound indicative of a fall against a solid object, light bleeding suggesting lack of blood flow

Edema of ankles visible.

2.2.1

125 mL of partially digested food present

Stomach Contents:

Glucose +

Starch +

Lipids -

Protein -

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Sickle Cell Anemia: (Diagnosed at 14 months)

High urine output

Abdominal pain

Breathing problems

Type 1 Diabetes & Hyperglycemia: (Diagnosed at 14 years)

Increased urination

Glucose in urine

Increased thirst

Fatigue

Weight loss

Heart Disease, Hypercholesterolemia &  Atherosclerosis: (Diagnosed at 37 years)

Shortness of breath

Chest pain

High blood pressure

High LDL cholesterol

Urinary Tract Infection caused by Serratia Marcescens: (Diagnosed at 38 years)

Fatigue

Persistent urge to urinate

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Belong to Anna:

Vomit on floor

Blood splatter

Diameter- 10-15mm

Dropped from height of 10 cm

Pool of blood under head

Blood on overturned table

Fingerprints on spilled glass of orange juice

Whorl

Hair

Muddy shoe print- V-shaped pattern that matches her shoe

Other Evidence:

Fingerprint on insurance paper that belongs to Alex

Radial loop

Syringe on floor

Unknown Substance- Aspirin pills

Blood found was type B which matches Anna and Alex Garcia.