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A 31-year-old woman with a 20-year history of type 1 diabetes presented with a 2-month history of recurrent disabling hypoglycaemia. Common causes of hypoglycaemia which included excess insulin, missing meals and unaccustomed exercise had been excluded. She did not have evidence of gastroparesis, her coeliac antibody screen was negative and her renal function was normal. However, a short synacthen test (SST) failed to show a cortisol response with a peak cortisol response of …
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