Adrenal Insufficiency Support Group

I have a paper from the University of Sheffield UK that talks about curve matching sort of. Not so much on stress dosing though. I cant find much in that except "find out what works".

Bob

WOuld you mind telling me the dr. at the teaching hospital that you saw? I have a friend who works there as a researcher, and just wondering since i live in such a small town where there is very little of PAI if i might be able to talk to him at all. Tx!

rnoble … you're question is addressed to Bob, right?

Bob, I'm getting so frustrated with the sressdosing trial & error! I've been circling the drain of a crisis since 7/25. Stress dosed for a week & got BP up to 111/78. Held steady for a few days then bada boom … here we go again. It's this dang feeding tube & not being able to eat ANYTHING. Not getting enough sodium, so I'm supplementing with Thermotabs. My BP avg today is 80/51, HR 70. I took an extra 10 of HC @ 7:30PM last night (norm pm dose is 10 mg) & when I took my BP @ 11:30pm, it had DROPPED! ?? 79/48

My protocol is : 6:30-7:00 AM : 20MG HC, .1 MG FC, 1 Thermotab prn; Was taking my PM dose @ 6:00, but as of yesterday changed it to 4:00PM: 10MG HC, .1FC, 1 Thermotab.

I just need a bag of fluids hooked up to me every 3 days to hang off my feeding bag/IV pole. It's been looked into, because my GI Dr here said that I didn't qualify for home health because I'm ambulatory. ????? Because I can drive myself to Dr's appts … barely. Because I Look Good? Arrrrgh!

August is going to be a month of being hospital free! I'm almost there … I CAN DO IT, I CAN DO IT, I CAN DO IT *clicking heels together as I say it*

From experience I have found that HC can give you a dual BP change direction depending on the situation. Generally if you are BP and cortisol low it will raise it through vaso constriction and eventually water+mineralocorticoid. I have however found that the anti-inflammatory effect can also lower it if things are BP high. I noticed this for example when I had chest/asthma issues so I guess some kind of muscle relaxation takes place.. I havent found any papers etc that back this up, it just seems to happen to me.

I would suspect that you need a lot more HC either for a temporary situation or permanent. BG will also be a good indicator of a too low HC dose but of course you have to eat as well!

Bob

Bob … I think you hit on something with BG. My EndoC said he wanted to ck BG levels when he talked to me on the phone. I'll crawl into his office Monday morning, if that's what I have to do!

I think while I'm on this feeding tube, I'm going to require a higher dose of HC. WHOA! I just cked my BP & it was 87/57, HR 72 …highest reading of the week! I took 20mg of HC on the pm dose tonight. My mind is bouncing around like Tigger, too! LOL

Thanks Teri & Bob for your input & support!

You have to think about your fatigue and BG timings too. Like if you only feel bad in the afternoons and the BG is low then, you probably wont see that in a morning BG test.

Bob

I hear what your saying, but that slump is harder to pinpoint when I'm on a feeding tube 24/7. I feel a slump frequently during day. So, maybe I'll wait until mid-morning to get the blood work.