How does one know if this may be a problem? Dr did serum cortisol and was hi IN range but saliva (active) was low morning and noon and high evening and night (will see how to retrain my circadian rhythm). Can the adrenals effect BG ? An ACTH lab was 16 so in lab range but wondered if not really optimal.
Thank you for reaching out to us. I forwarded your question to our Medical Director, Dr. Margulies. In his reply he stated that at this point in time there is no conclusive data on cortisol and ACTH levels that could be used as a guide to manage Addison’s disease. Dr. Regan’s My AI Cortisol study (www.nadf.us/myai-cortisol-study.html) includes analyzing cortisol data to see if it is helpful. For now, I would discourage individuals from checking cortisol or ACTH levels and simply rely on clinical well-being and the lowest dose that prevents adrenal insufficiency symptoms. Please discuss the results with your endocrinologist who ordered them. Thank you again for contacting us, Kalina (nadfmail@nadf.us )
How does one know if this may be a problem? Dr did serum cortisol and was hi IN range but saliva (active) was low morning and noon and high evening and night (will see how to retrain my circadian rhythm). Can the adrenals effect BG ? An ACTH lab was 16 so in lab range but wondered if not really optimal.
Thank you for reaching out to us. I forwarded your question to our Medical Director, Dr. Margulies. In his reply he stated that at this point in time there is no conclusive data on cortisol and ACTH levels that could be used as a guide to manage Addison’s disease. Dr. Regan’s My AI Cortisol study (www.nadf.us/myai-cortisol-study.html) includes analyzing cortisol data to see if it is helpful. For now, I would discourage individuals from checking cortisol or ACTH levels and simply rely on clinical well-being and the lowest dose that prevents adrenal insufficiency symptoms. Please discuss the results with your endocrinologist who ordered them.
Thank you again for contacting us, Kalina (nadfmail@nadf.us )