----------------------------------------------------------- New Message on Pituitary Chat
----------------------------------------------------------- From: huggi111 Message 1 in Discussion My primary endo - nice guy, but primarily deals with diabetes - said to me when I brough up andrenal insuf. "you probably have enough to be walking around daily", but said my levels were in range. I went to a pit specialist at Ceaders Siani, and the 1st thing he asked me after looking at my meds list was "Where's the cortisol replacement?" Unfortunately, I have to keep going to my current endo, but the good thing is that he does listen to me. So I just had my fasting/morning levels done, and my ACTH was 15, with the low end of the lab range starting at 7. Pre-stim, my cortisol level was a 9, and post stim test, my level was at 28. At 1st I was a little bummed, because everything is within the lab ranges (I was hoping that they would find something - I feel like crap). I don't see my primary endo until July 17th, but I did some research and found this on Wikipedia: "In secondary adrenal insufficiency, the base cortisol can double, triple, quadruple or more from a low base value. Other examples reported include quintupling (5 stimming to 25 ng/dl, 6 stimming to 30), sextupling (4 stimming to 24, 5 stimming to 30), septupling (0.7 stimming to 4.9) and decupling (2 stimming to 20, 2.7 stimming to 27.6) and recently a stim that almost tridecupled (1.25 - 16 went up 12.8 times) and a stimulation that quadecupled (went up 14 times 1.7 stimming to 24, after 1 1/2 hours reached 27.5 for sexdecupling). These examples illustrate how extreme secondaries ACTH stimulation test can be. Most secondaries only double or triple and usually start with a base cortisol value of at least 10. The base cortisol can be very low because of the bodies lack of natural ACTH. When the synthetic ACTH is given in the test, the patients adrenals go hog wild because they can work, just not getting enough ACTH from the pituitary gland." I fall right into that diagnosis, but since it was on Wikipedia, I tend to take stuff on that site with a huge grain of salt. I'm mailing my results to the pit specialist at Ceaders Siani, but I was wondering what people thought and their experiences with secondary adreanl insuf? ----------------------------------------------------------- To stop getting this e-mail, or change how often it arrives, go to your E-mail Settings. http://groups.msn.com/PituitaryChat/_emailsettings.msnw Need help? If you've forgotten your password, please go to Passport Member Services. http://groups.msn.com/_passportredir.msnw?ppmprop=help For other questions or feedback, go to our Contact Us page. http://groups.msn.com/contact If you do not want to receive future e-mail from this MSN group, or if you received this message by mistake, please click the "Remove" link below. On the pre-addressed e-mail message that opens, simply click "Send". Your e-mail address will be deleted from this group's mailing list. mailto:[EMAIL PROTECTED]
