I was dx'd with cah 34 years ago. now i have high cortisol (28) lowered acth (11.2) and almost 0 aldosterone (<1.0). is this typical of cah?

CAH: There are different forms of CAH. The most common is 21 hydroxylase deficiency. This typically results in low normal cortisol, normal ACTH, low normal aldosterone. The diagnostic test will be a high 17 hydroxyprogesterone level. You should see an endocrinologist to confirm your diagnosis.

Yes: Depending on the type you have, it could be - most commonly the cortisol level is low and there is an elevation of mineralocorticoids like aldosterone. Since there are at least 4 distinct types of CAH, I'd need more information to answer your question. The best way to personally address your questions is to sit down with your endocrinologist and ask for an update on your condition...