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A 51-year-old female asked:

Normal acth stimulation test could i still have secondary adrenal insufficiency? i have low blood pressure and low blood sugar

1 doctor answer • 4 doctors weighed in

A Verified Doctoranswered

Endocrinology 25 years experience

Yes: The ACTH stimulation test is primarily a test for primary adrenal insufficiency or long standing secondary adrenal insufficiency. If secondary adrenal insufficiency has not been there too long the ACTH stimulation test may very well be normal. Other tests, based on cause that can answer this including: Low dose ACTH Stim, Insulin Tolerance, Metyrapone (now available again) & CRH stimulation test.

1.6k viewsReviewed >2 years ago

Dr. Susan Rhoads

Dr. Cornelius Oleary

Dr. Rifat Naghmi

Dr. Susan Rhoads and 2 doctors agree3 doctors agree

Related questions

A 23-year-old female asked:

Does short synathcen ACTH test rule out secondary adrenal insufficiency? My 9am cortisol was 8.7, after 30 mins stimulation it was 23.1 and after 60 it was 25.2. If no what other tests are needed? If yes, is the cortisol a concern? Thanks?

1 doctor answer • 1 doctor weighed in

A 35-year-old member asked:

Is rapid heart rate and low blood pressure with the shakes a sign of adrenal insufficiency?

2 doctor answers • 4 doctors weighed in

A 34-year-old member asked:

Can adrenal insufficiency cause high blood pressure or low blood pressure?

2 doctor answers • 5 doctors weighed in

A 29-year-old member asked:

What is adrenal insufficiency and why does it cause low blood pressure?

1 doctor answer • 2 doctors weighed in

A 32-year-old female asked:

I had a smear test 2 days ago and since then I have been dizzy and out spaced ,blood pressure is normal and sugar as well.Please help !

1 doctor answer • 2 doctors weighed in

Last updated Mar 23, 2018

Found in:

Low blood pressure›Hypotension›Blood pressure

People also asked

My cortisol + ACTH are both very low. I also have severe nausea, fatigue, and low blood pressure. My ACTH stim test showed that I do *not* have adrenal insufficiency. Could the low cortisol still be the cause of the nausea? If so, how do I raise it?

2 doctor answers • 2 doctors weighed in

Low cortisol. Low acth but normal stimulation test. Could I still have secondary adrenal insufficiency?

1 doctor answer • 1 doctor weighed in

Always so cold, low blood pressure 77/42 sometimes. Low blood sugar. ACTH stimulation test ok. But sometimes low cortisol. Ideas?

1 doctor answer • 2 doctors weighed in

Lightheaded, fatigue, low blood pressures, salt cravings. On very high salt and florinef. Normal AM cortisol. Doctor ordered ACTH stim test. What is that checking and will it likely be normal since AM cortisol was normal?

1 doctor answer • 1 doctor weighed in

Endocrinology. What specific blood test covers pit & hypothalmus, thymus adrenal glands.No acth allowed, scans wont be read anywhere in uk, need closure?

1 doctor answer • 4 doctors weighed in

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