Article Text

Download PDFPDF

Addison's disease in type 1 diabetes presenting with recurrent hypoglycaemia
  1. Vincent McAulay,
  2. Brian M Frier
  1. Department of Diabetes, Royal Infirmary, Lauriston Place, Edinburgh EH3 9YW
  1. Dr Frier


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.

  • type 1 diabetes
  • Addison's disease
  • hypoglycaemia
  • cortisol

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.