Does this sound like Addisons disease or are there other causes for cortisol insufficiency?
The fact that your cortisol response to insulin-induced hypoglycemia was low would be in keeping with adrenal insufficiency. This problem can be due to destruction of the adrenal glands or to a problem in the pituitary gland that controls the adrenal gland by its production of ACTH. Usually, ACTH is measured along with cortisol during the insulin test and this helps to determine the cause of the problem. The MRI is done to visualize the pituitary, if there is any concern that you could have a pituitary problem. I am glad that you are going to talk to your endocrinologist to find out exactly what was found during testing. If it was shown that you have adrenal insufficiency, the treatment is usually lifelong. Your endocrinologist will follow you, be sure the dose is correct and you should not gain weight. If the problem is in the pituitary gland, you would require other investigation and treatment. It is important to discuss the tests and the treatment with your endocrinologist so you tr
