What is the role of caloric and activity monitoring in the treatment of pediatric adrenal insufficiency (Addison disease)?

Updated: Dec 07, 2018
  • Author: Kimberly Tafuri, DO; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

The patient's caloric intake may need to be monitored. Restrict the patient's caloric intake if excess weight gain occurs and reevaluate the glucocorticoid dose, because excess glucocorticoid administration stimulates appetite.

Although no activity restrictions are necessary after adequate replacement therapy is started, provide patients who exercise in warm climates with sufficient sodium chloride to prevent hyponatremia. Stress doses of glucocorticoids are generally not needed for exercise.


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