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  • Title: Addison's disease in type 1 diabetes presenting with recurrent hypoglycaemia.
    Author: McAulay V, Frier BM.
    Journal: Postgrad Med J; 2000 Apr; 76(894):230-2. PubMed ID: 10727569.
    Abstract:
    Primary adrenal insufficiency (Addison's disease) often develops insidiously. Although a rare disorder, it is more common in type 1 diabetes mellitus. A 19 year old male with type 1 diabetes and autoimmune hypothyroidism experienced recurrent severe hypoglycaemia over several months, despite a reduction in insulin dose, culminating in an adrenal crisis. Recurrent severe hypoglycaemia resolved after identification and treatment of the adrenocortical insufficiency. In type 1 diabetes, undiagnosed Addison's disease can influence glycaemic control and induce severe hypoglycaemia.
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