Toxicological and Biochemical Analyses of an Autopsy Case Involving Oral Overdose of Multiple Antidiabetic and Antihypertensive Drugs

Table 1

Biochemical analysis and reference data of the pericardial fluid, heart peripheral iliac vein blood, cerebrospinal fluid, and vitreous humor.

		HbA1c mmol/mol	Glucose (mg/dL)	Lactate (mmol/L)	Insulin g/mL	C-peptide (ng/mL)	Glucagon pg/mL
Present case	Left heart blood		1		217	0.69	214
	Right heart blood	33	5		1.34	0.25
	Iliac vein blood		2		3.30	1.41
	Pericardial fluid		4		2.09	0.07	109
	Vitreous humor (left/right)		1/1	136/94	3.0/3.0	0.3/0.3	50/50
	Cerebrospinal fluid		1	236	10.4	0.40	50
Autopsy reference values and medians (25th and 75th percentiles) in our department	Left heart blood	—	70 (18–186)	—	—	—	—
	Right heart blood	42 (41-42)	189 (72–361)	—	3.19(1.12–4.61)	—	353(208.7–692.5)
	Iliac vein blood	—	63 (26–141)	—	3.3(0.3–5.12)	—	—
	Pericardial fluid	—	97 (51–178)	—	—	—	—
	Vitreous humor	—	16.32	165.82	—	—	—
	Cerebrospinal fluid	—	—	—	—	—	—