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Utah nurse accused of fatal insulin overdose: a closer look at the case

A registered nurse in Utah allegedly convinced her friend that she had terminal cancer, injected her with insulin that wasn’t prescribed to her, and killed her in order to collect over $1m in life insurance, according to the police. The nurse, Meggan Randall Sundwall, faces charges of first-degree felony aggravated murder and obstruction of justice after her recent arrest in the death of Kacee Lynn Terry, who was 38 years old. Sundwall, 47, believed that she was the beneficiary of a $1.5m life insurance policy held by Terry. The two exchanged tens of thousands of text messages since 2019, in which Terry believed she had cancer and Sundwall shared that she would take her own life if she were in Terry’s position. They also texted about Sundwall’s money problems and how they would be resolved by receiving money from Terry’s life insurance policy.

Sundwall even offered to help Terry die in August. Investigators became suspicious of Sundwall after Terry’s uncle called first responders to her home for a medical emergency. Sundwall, who was present, claimed that Terry had been unconscious and unable to breathe for a couple of hours and had a do-not-resuscitate order. First responders took note of a diabetic needle at the scene and took Terry to a local hospital. Terry, who was not diabetic, was pronounced dead three days later. The autopsy revealed that Terry neither had cancer nor other health problems and her death was caused by an overdose of promethazine and insulin administered from outside her body.

Police interviewed a forensic pathologist who said that administering insulin was the only way to lower blood sugar levels to the level Terry had. Terry had never prepared a do-not-resuscitate order and hadn’t given Sundwall power to make medical decisions on her behalf. Police found evidence that Sundwall pursued information about Terry’s life insurance after her death and deleted over 900 texts from her phone. Sundwall is charged with murder and could face between 25 years and life in prison if convicted. Prosecutors have the option of pursuing the death penalty, but they have not said if they will do so in Sundwall’s case. Sundwall has had a nursing license since 2007 and has no disciplinary record. Terry’s obituary describes her as someone who enjoyed the outdoors, hunting, and camping. She worked helping adults with disabilities and loved babysitting, hoping to have her own family one day.

Source: https://www.theguardian.com/us-news/2025/mar/22/utah-nurse-unprescribed-insulin

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