INS and Hyperkalemia: Confirming the cause of death is the main part of forensic pathology, which needs a meticulous process involving systematic autopsy, subsequent morphological examination, toxicological analysis, etc. However, in some cases, defining the cause of death proves challenging due to the absence of morphological changes, such as fatalities related to fatal arrhythmia, hyperkalemia, electrolyte disorder, ketoacidosis, insulin overdose, and heat stroke.