Patient’s past medical history was significant for type 1 diabetes mellitus treated with insulin lispro administered via insulin pump (total of 34 units daily), primary adrenal insufficiency treated with prednisone 10 mg and fludrocortisone 0.1 mg daily, and chronic lymphocytic thyroiditis treated with levothyroxine 225 mcg daily. The gene discussed is INS; the disease is Hashimoto thyroiditis.