Keith Galen Bach died last September in San Diego County jail after his insulin pump ran out of insulin, alerting him for nearly 24 hours. Despite repeated requests for insulin from Bach and other detainees, deputies failed to respond adequately. The Medical Examiner’s Office ruled his death a homicide due to “neglect,” stating that Bach developed diabetic ketoacidosis and died because of insufficient insulin administration.
Keith Galen Bach had been dead for hours. The alarm on his insulin pump was still beeping when an investigator from the Medical Examiner’s Office arrived at the Men’s Central Jail following his death last September.
“Following insufficient insulin administration while in custody, Mr. Bach developed diabetic ketoacidosis and died,” the medical examiner’s report states. “The description of inaction by jail staff that led to this in-custody death is beyond the pale,” said Aaron Fischer, one of a group of lawyers“No one with diabetes should be denied insulin or the diabetes-management tools they need to survive,” Fischer added. “When you deny someone oxygen, they suffocate.”released in early 2022 noted that San Diego had the highest mortality rate among California’s largest jail systems. It documented 185 in-custody deaths between 2006 and 2020.
Even so, Bach was medically cleared for booking within 40 minutes and transported to the downtown central jail. Just after 1 a.m. on Sept. 27, Bach’s blood glucose level hit a dangerous high of 322 mg/dL. According to sheriff’s medical records, Bach refused an offer of 10 units of insulin because he felt the dose was too low.
Diabetes Jail Death Homicide Neglect San Diego County
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