Related Questions

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

Sounds adrenal. B"sd this is challenging - does sound like adrenal insufficiency - probably due to hypothalamic / pitiutary dsyfunction. The options are extensive work up, or limited work up with a trial of glucocorticoids and possibly mineralcorticoid - fludrocortisone. Steroid therapy has its own significant side effects, so needs to be expertly managed, with frequent attempts to wean off the steroids. Read more...

After acth stimulation test confirms adrenal insufficiency does it always need to be treated and/or followed up and how often?

Yes. Adrenal insufficiency means that your body is not able to produce enough steroids. Depending on the cause of adrenal insufficiency, you can be deficient in more than one steroid (cortisol and/or aldosterone). Your body needs these hormones, so it is important to follow-up with your dr. The frequency depends on how stable the disease is for the patient. Read more...

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

Yes. Without more information, I can not say for sure you have it, but this is essentially the def of secondary adrenal insufficiency. Secondary AI is a condition where the adrenal gland still has function, but is not being told to produce cortisol by the pituitary gland. There are other tests, but initial dx usually made by low baseline cortisol with ACTH injection causing nl cortisol by adrenal gland. Read more...

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

No. Not a specific group of symptoms for insufficiency. Read more...
It can be. However, it can be a cause of literally hundreds of other things, including anything that is causing dehydration. When we dont have enough liquid on board, the heart speeds up, blood pressure goes down and the body makes lots of adrenaline to counteract this, causing shakes and anxiety. Adrenal insufficiency can also do this. First thing, get hydrated! second - call your doctor. Read more...