ACTH stimulation test

I am curious, when you all got your dx, you may have had the ACTH stimulation test. I was wondering what your results were. Mine shows 17 in a reference range of 10 to 60. Is that bad?

[rumpled]

To get diagnosed, the doctor should do a stim test.
Are you giving a result for a point in time test, or a stim test result? If stim test, where are the other results? Usually there are a couple others.

[compnet]

"Cortrosyn is a synthetic corticotropin, which is intravenously administered with a dose of 350 mg. Serum cortisol levels are measured from blood samples drawn after 30 and 60 minutes. Peak serum cortisol levels greater than 18 mcg/dL exclude the diagnosis of adrenal insufficiency because the response to stimulation is considered adequate at this level. Cortisol levels of 13-17 mcg/dL are indeterminate. Cortisol levels of less than 13 mcg/dL suggest adrenal insufficiency."

emedicine

[compnet]

I wonder what the next test would be if you fall in the "indeterminate" range.  Hmmm....

[compnet]

Morning cortisol or stimulation tests can be repeated every few months until the morning cortisol level is greater than 18 micrograms/dL, or the appropriate stimulation test confirms hypothalamic-pituitary-adrenal axis integrity.

epocrates


...Or you fall into the bad zone.

I think I've read that some doctors put people on a trial of medicine if they are lowish and symptomatic.

Note: micrograms/dL = ug/dL