I have always followed the common sense approach to managing his stressors and medication. I believe the Dr's when they say that for a child's size, age and a "normal" amount of daily physicalemotional stress that the body needs approximately "X" amount of cortisol. I also believe that if the child is having life's stressors excessively minimized, that there will likely be an excessive amount of unused cortisol in the body on a daily basis based on the same formula. This too is bad. I can look at my son and tell if his sugar level is low. Likewise, I can tell if he has been playing too hard or if there is a combination of irregular stressors that could be leading towards the first symptoms of an cortisol deficiency. When this situation arises, I believe that the administration additional cortisol is necessary and prudent.

So when we are walking all day in the sun around 6-flags or the Nat. Mall in DC, I believe that he will need extra sweetened hydration, more rest and maybe a double dose of cortisol to deal with the stress of the sun and irregular prolonged physical exertion.