INS and hypopituitarism: The patient had a history of poorly controlled type 1 diabetes mellitus (diagnosed in 2010, treated with mixed insulin for the past 2 years, HbA1c = 9.7%), autoimmune hepatitis (treated with prednisolone for 2 years), and hypopituitarism (on hormonal replacement therapy for the past 7 months at 0.3 units/day).