staticnrg!! That is me! This is one question I posted under the adrenal/Conn's section. I am definitely more active in the night. Thus far, I've had more elevated symptoms occuring in the night which may cause a conflict in how I take my medication. I asked my doctor about the possibility of reversing the amount of dosing (taking more in the evening than in the day) to reduce symptoms and she said no, for the reason that we need more cortisol in the day than night. But is this for the typical circadian only? I am a night student for example and I wouldn't want my condition to conflict with my nightly activities. I'm already having trouble adjusting my medication as it is...
That was a very informative link by the way, but one thing I don't understand is (this is stemming from another user who mentioned this to me) about the way pit and adrenal is differentiated. Sometimes ACTH pulses and therefore hard to catch in bloodwork. Did they mention this on the site? Their chart immediately flows from ACTH low/independent testing to immediate conclusion of unilateral/bilateral adrenal hyperplasia. As if this is the only determining test. Most other varied tests they have is just to differentiate patients with hypercortisolism from those with Cushing's and those with ectopic or Cushing's disease (pit patients).
I am trying to find what other tests are involved that determine that indeed, even with an incidentology of an adrenal tumor, that it is not pituitary, but isolated to the adrenals. ACTH can't be the only testing.