Addison's disease presenting as reduced insulin requirement in insulin dependent diabetes

摘要

Diagnosing Addison's disease requires a high degree of clinical suspicion since it is rare and its presenting symptoms are often non-specific. An association between Addison's disease and insulin dependent diabetes is well recognised. Whereas about 10-18% of patients with Addison's disease have insulin dependent diabetes, Addison's disease remains relatively rare among patients with insulin dependent diabetes. We report two cases of patients with previously well controlled diabetes presenting with recurrent severe hypoglycaemia despite reduction in insulin doses.