An investigation has found that health providers, including Labtests, "missed opportunities for intervention" in the days before the death of a 68-year-old diabetic.
Maureen Pineki died in Auckland City Hospital's intensive-care unit on September 12.
The main cause was a critically low level of glucose in her blood - hypoglycaemia - caused by her using too much insulin.
Following a request under the Official Death brings call for change to the Information Act, the Herald has obtained a copy of the Auckland District Health Board's report.
Debate on this issue is now closed: