Day Curve cortisol results:

9:00 322

11:00 321

13:00 327

15:00 284

17:00 261

Triglyceride 33

HDL Colesterol 1.3

LDL 380

Ratio 5

HbA 1C 8.3

Potassium 3.9 (range 3.4-5)

Sodium 141

Urea 5.3

Calcium 2.32

TSH 1.2 (range 0.3-5.5)

Free 14.1 (range 11.5-22.7)

LH 2.7 (range 2.4-8.4)

FSH 4.8

Oest 85 (range 21-140)

Prolactin 484

IGF-1 25.7

ACTH 67

Glucose 10.2

The care plan as a result of my appointment with my endocrine consultant of 25th April 2008:

1) To take control of my Cushings by getting off the dexamethasone completely. If this is not a viable option then to increase my ketaconozole and take a small amount of dex but closely monitor my liver function.

2) To start a course of oestrogeon/HRT

3) To start Growth Hormone therapy - they need to do this though the PCT and so it depends on them as it comes from their budget by my consultant feels I am low in GH and need this.

I asked about fertility v adoption and he feels it would not be in my best interests or that of the baby to try and get pregnant in my present condition. It would be unsafe and ultimately could cause my tumour to regrow. Therefore we are now looking into adoption.

The past few months since being diagnosed with the reccurrance have been up and down. I want to make th emost of this year so have tried to work through it and stay focused. It has been difficult and challenging but I am getting there. Some days are more difficult than others.