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Clinical Practice Guidelines - Resource Library
Glucocorticoid-Induced Adrenal Insufficiency
Glucocorticoid-Induced Adrenal Insufficiency
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Video Transcription
Video Summary
In the video, experts present joint guidelines on diagnosing and managing glucocorticoid-induced adrenal insufficiency, emphasizing education for patients on glucocorticoid therapy, monitoring morning serum cortisol levels, and clinical judgment in assessing adrenal function. A case example illustrating tapering prednisone to hydrocortisone is discussed, with recommendations on monitoring cortisol and ACTH levels. The guidelines stress awareness of adrenal insufficiency in various clinical situations and considering factors beyond BMI for dosages. The significance of cortisol and ACTH levels, body size in dosing decisions, and sharing guidelines with non-specialists are highlighted. The need for further research on adrenal insufficiency from supplements and different adrenal surgeries is mentioned. The experts emphasize clinical observation in tapering patients, alongside laboratory assessments. Overall, the guidelines provide a practical framework for safe and effective management of patients on glucocorticoid therapy.
Keywords
glucocorticoid-induced adrenal insufficiency
diagnosis guidelines
management guidelines
patient education
morning serum cortisol levels
clinical judgment
tapering prednisone
hydrocortisone
monitoring cortisol levels
ACTH levels
dosage considerations
adrenal function assessment
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