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Hashimoto's Disease is autoimmune hypothyroidism. It is the most common other autoimmune disease associated with Type 1 autoimmune diabetes.
Vitiligo can occur for a number of reasons, and one of them is an autoimmune problem. Psoriasis is the same. T1 is a condition where your autoimmune response goes haywire and once you have one autoimmue condition, the chances of getting another autoimmue condition are greater. An astute endochronologist will look for other autoimmune conditions.
Not all endos are created equal :S The first doctor I saw told me I was prediabetic and they would run further tests to see how it went. They didn't understand that I felt sick and was eating very little - so my levels were lower than usual. A few days later, I had a smoothie and my sugar was so high, it was unreadable and I ended up in the hospital where I was seen by a great endo who ran all the proper tests. Further to that, my gastro's secretary forgot to call me to let me know I was celiac!!
If you're spiking at meal times, I don't see why you couldn't have a fast acting insulin. Your body doesn't need to deal with the stress of high blood sugars, if it can be prevented. I hope things improve for you and it sounds like they will since you are identifying what isn't working :)