Karmity Hoeb becomes lethargic. The normally busy 4-year-old is not active at all. After four days, her symptoms getting worse each day,  Karmity turns blue and stops breathing. Her mother finally calls 911 for help. First responders are able to revive the little girl and she is taken to Children's Hospital. Karmity Hoeb seems malnourished, and her teeth appear to be rotted out 

Doctors order a brain scan and determine that the little girl with a big personality is brain dead. An autopsy is done and reveals Karmity died from a diabetes-related brain injury.  Investigators determine that Karmity has never been formally diagnosed with Diabetes. 

Investigators discover her mother, Tamara Banks, has been feeding the 4-year-old a mixture of Mountain Dew and baby formula through a bottle, long after she should have been weaned off the bottle, causing her teeth to rot. Her teeth are almost all rotted, but no record can be found of her parents taking her to a dentist