2001 Duramax
We had a 2001 Duramax until last December. We had no mods, no performance kits ext. At about 120,000 miles we started having what appeared to be coolant issues. The thermostat would peek out hi, then go cold, seemed to dump coolant, and warning light would come on. Took it to the dealer, where they put in both thermostats. Within a few miles it did the same thing. I found out it was sucking coolant into the block. I took it back to the Chevy dealer and told them I believed it was a head gasket issue. The dealer spent quite a bit of time on the phone with GM and found that it was a head gasket. We traded off the truck, because there was not enough time to tear down resurface the heads before our snowmobile trip.
I believe when the US went to low sulfur diesel the temperature increase to the engine was causing the heads to warp. I have no proof of this, but just an observation. There were very few head gasket issues with the first Duramax engines, then after the low sulfur came out there were a rash of them.
Good luck,