We found one of the most underlying reasons for unexplained lows in our type 1 patients, despite reduction of insulin therapy, is subclinical celiac disease. This seriously raises the issue of adrenal insufficiency. This may be recommended or patient-induced. It would be helpful to know if he also has any other systemic disease which could be stressing him. This might be an infection or other problem which would require higher doses of steroid than taken as usual maintenance.
Celiac disease is a reasonable thing to mention, however.
It would certainly be worthwhile to check antibodies for celiac disease. Comments and Feedback . Privacy statement .