Your body can use cortisol to make glucose (sugar) from muscle and fat when you’ve been fasting. So if you’re out of cortisol (because you’ve been sick and used it all up or taking too low a dose) and haven’t eaten anything recently, your blood sugar will bottom out.

Dilini- low blood sugar can be a sign of low cortisol and adrenal crisis. However, it sounds as if your daughter had enough cortisol, yet not enough aldosterone (or flourinef). Usually low cortisol and low aldosterone go hand in hand, but *sometimes* you can have one at normal levels and the other at low levels. That means you can have a normal blood sugar (normal cortisol) yet have a high potassium (low aldosterone). Regardless, not enough of either one is a bad thing and can lead to crisis.

I want y’all to know all these questions are helping me tremendously in studying for my endocrinology test this Thursday. Thank you!

MarthaF