A jury that heard proof on the trial of a person charged with the homicide of Lorraine Cox in Exeter discovered that she was unlikely to have died from an episode of diabetes.

Failed asylum seeker Azam Mangori, 24, of Mary Arches Avenue, Exeter – often known as Christopher Mayer – is on trial in Exeter Crown Court docket the place he denies the homicide.

He pleaded responsible to stopping the authorized burial of the physique of Miss Cox, 32.

Medical knowledgeable Dr Paul McNally advised the jury that there was an “ extraordinarily low ” probability Miss Cox would have died from her kind 1 diabetes within the early hours of September 1, 2020, within the Mangori room above Bodrum kebab home.

And the diabetes advisor stated he believes Miss Cox’s demise was not the results of ketoacidosis – a sequence of life-threatening signs that may take as much as 12 hours to develop and may result in a diabetic coma.

Dr McNally stated the chance of Miss Cox struggling sudden cardiac demise, which can be related to diabetes, was ‘extraordinarily low’.

He advised the court docket how a hypoglycemic diabetic – when blood sugar drops beneath regular – can move out, undergo mind harm, however keep alive as a result of the heartbeat continues.

He stated Miss Cox didn’t undergo from hypoglycemia the evening she died.

He stated the luck was “ diminished ” as a result of she had eaten a kebab an hour to an hour and a half earlier than she was final seen alive, which might “ drastically have an effect on ” the glucose in her blood.

Dr Mc Nally, who based mostly his conclusions on toxicology experiences, stated: “I’m of the opinion that ketoacidosis doesn’t clarify the demise of Lorraine Cox.”

The diabetes advisor added, “The probability of sudden cardiac demise as a explanation for Lorraine Cox is extraordinarily low based mostly on the proof I’ve reviewed.”

Dr McNally stated: “We all know that when a affected person loses consciousness following a extreme hypoglycaemic episode, though he could succumb to mind harm inside one to 2 hours, that doesn’t imply his coronary heart stops. to beat, as a result of his coronary heart is ready to metabolize vitality. by different means to maintain the guts transferring. “

The knowledgeable witness advised the jury {that a} kind 1 diabetic must be “ very intoxicated ” to have an effect on his potential to acknowledge if he was hypoglycemic.

House Workplace pathologist Dr Amanda Jeffery advised the jury the reason for Miss Cox’s demise was unknown.

She stated Miss Cox’s demise was ‘not established’ because of the decomposition of the stays once they have been recovered by police.

Dr Jeffery stated she ‘could not utterly rule out’ Miss Cox had been suffocated or died from sudden cardiac demise or stroke.

She stated two potential causes of demise have been asphyxiation and strangulation

The jury heard that Miss Cox had a tank prime in her mouth when her stays have been discovered.

Dr Jeffrey stated it was ‘lengthy sufficient at the back of the throat’, that it had ‘the potential of obstructing the airways’ and ‘may have induced demise’.

Dr Jeffery advised the court docket: “It seems prefer it was pushed into the mouth. An affordable portion was in the back of his throat. He was saturated with bodily fluids.

She added, “I simply cannot inform if this was pushed earlier than or after demise.”

The jury heard that the post-mortem discovered no proof of accidents to her mouth or neck to recommend Miss Cox tried to take away the garment.

And no accidents have been discovered indicating that she was bodily assaulted throughout her lifetime, or that she had a knife earlier than she died.

The jury heard how Mangori had used two knives to ‘dislocate’ Miss Cox’s physique – mutilation carried out after her demise – chopping off her limbs ‘neatly and cleanly’.

Dr Jeffery stated of the system: “It means that the individual has at the very least a point of anatomical information or understanding.”

Forensic toxicologist Alicia Pitcher stated exams for amphetamine, ecstasy, hashish, ketamine, heroin, methadone, diazepam and cocaine discovered no proof of medication within the system. Miss Cox.

She stated the decomposition prevented the alcohol from being analyzed.

Miss Pitcher advised the jury that toxicology outcomes confirmed Miss Cox “ was not affected by ketoacidosis on the time of her demise. ”

The trial continues.