Question from Apalachin, New York, USA:

I have type 1 diabetes which I developed about eight years ago. I developed hypothyroidism a few years earlier. There is no family history of diabetes. I recently started using an insulin pump. I become hypoglycemic with blood sugars of 22 mg/dl [1.2 mmol/L], 46 mg/dl [ (2.6 mmol/L], 48 mg/dl [2.7 mmol/L], etc. an hour or two after going to sleep. My doctor dropped the basal to 0.1 at 10 p.m. My blood sugar is running very high during the day (300s mg/dl [over 16.7 mmol/L]) with a basal of 0.75 (He said we’ll address that after nighttime problem is solved. For now, he wants to be careful that I don’t keep going so low). Here are my concerns:

I am pre menopausal yet already have osteoporosis and, now, two degenerative discs due to bone loss (I take Boniva and 1200 of calcium and vitamin D per day).

I have hypothyroidism and take 137 micrograms of levothyroxin.

Is it possible that I have another endocrine problem that has not yet been discovered? I had a urine test for Cushing’s and it was negative. I am overweight and do tend to gain weight in the abdominal region. I am frequently tired. My muscles get tired easily. I walk one mile a day but have great difficulty doing much exercise.

I did get anemic three or so times per year for several years, but haven’t been in the past nine months. My doctors were unable to discover why I was becoming anemic so often even after running numerous tests.