sure
1) if a person has diabetes [in this context]
2) if you know where this person lives
3) if you know a person uses a remote insulin delivery pump
4) if you know the model of the device
5) if entropy of serial numbers, for this specific device, is low enough
6) if you are able place a device within range to where this person is living for a sustained period
7) if you are able to ensure remote wireless control is on for this period
8) if you are able to then hack the device [edit: remove - in order to find the exact serial number of the device]
9) if you are able to then change the insulin delivery such that it injects too much or too little
10) if the person is unaware of such a change through external bio-identifiable changes [ http://en.wikipedia.org/wiki/Diabetes_mellitus#Signs_and_sym... ]
11) if the person consequentially is unable to reach medical assistance within such a period in order to receive more or less insulin resulting in their death
12) if you are able to remove any evidence of tampering with their device without being caught
yes, then this is a concern and low entropy is relevant. But pragmatically and realistically - if you can do all this - then you could execute a murder anyway :P