A 34-year-old Aboriginal male died of coronary atherosclerosis while in custody. He had type 2 diabetes diagnosed in 2007 but was non-compliant with medications and lifestyle modifications. Upon reception to prison, he was appropriately screened, found to have elevated blood sugar (24.1 mmol/L), and started on diabetes medications. Three days into custody, he developed chest pain and was rapidly transferred to hospital by ambulance with appropriate clinical escalation. Despite resuscitation efforts, he suffered cardiac arrest. The coroner found his longstanding coronary artery disease was the result of years of poor diabetes control and heavy smoking. Prison staff responded appropriately and promptly. The brief medication delay did not affect prognosis. Care and supervision were appropriate.
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