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question about GH???   Message List  
Reply | Forward Message #7729 of 8223 |
Re: question about GH???

I think your daughter may not be on enough cortef. I've read 10 to 15
mg is replacement for young children depending on age. So this may be
why she still have problems with hypoglycemia.

I primarily look at just hormone tests, but do look at renin,
potassium and sodium. All you got.

You're welcome,
Chris



--- In Hypopituitary_Support@yahoogroups.com, CAROLYN MCGOWAN
<c.mcgowan1@...> wrote:
>
> Thanks,
> Keirsten is on 50 mcg of levothyroixne, 2.5, 1.25, 2.5 mg of cortef
and she is on 0.6 of the GH.  She has had so many test done on her I
don't even know the half of them.  She has been tested for things like
glycogen storage disease, celiac, CF and on and on.  She was in and
out of the hospital parts March, April and all of May due to extremely
low blood sugars
> which they said at the time should be controlled with the cortef and
GH, but then that is when we found out she was not getting all the
GH.  I can try to send you a copy of her Chart.  I have all of the
Chart from the Endo, but I don't have a way of loading it on the
computer.  I can had put in the Labs, which ones do you want? and how
far back.  She was dx at about 1 yr old. She has been on GH for about
2yrs She is 34inc tall and 23lbs.  Still very small for her age. 
Especially her height.
>  
> Thanks Carolyn 
>
> --- On Wed, 10/1/08, Chris Jackson <chrisgj@...> wrote:
>
> From: Chris Jackson <chrisgj@...>
> Subject: [Hypopituitary_Support] Re: question about GH???
> To: Hypopituitary_Support@yahoogroups.com
> Date: Wednesday, October 1, 2008, 11:46 AM
>
>
>
>
>
>
> Sounds like she got enough to suppress her natural. You can't treat
> with a low dose for the same reasons you can't treat thyroid and
> adrenals with low doses.
>
> Other hormone deficincies can cause growth retardation such as low
> thyroid and low insulin. There are other causes such as kidney
> disease (Gary Coleman). She may have more than one cause.
>
> I'd like to see all her tests and what other treatments she's on, but
> know that I am not that up on kids hormones. Has she had vasopresin,
> prolactin, aldosterone, renin, DHEA-S tested?
>
> Have you checked out this site?
> http://health. groups.yahoo. com/group/ panhypopituitari sm/
>
> For her sleep check with her doc about trying her on very low dose
> melatonin (can cause early puberty). If were my daughter I wouldn't
> put her on more than 1/16 mg to start (cut with razor blade). Do
> discuss this with her doc, even though is OTC, melatonin is very
> strong stuff and not usually given to young children, but I think is a
> better alternative than a psych drug like Elavil.
>
> Keep in mind, that low thyroid, low adrenal and undertreated thyroid
> and adrenals will can cause sleep problems.
>
> Hang in there,
> Chris
>
> --- In Hypopituitary_ Support@yahoogro ups.com, "mcgowan2002"
> <c.mcgowan1@ ...> wrote:
> >
> > Hello,
> >
> > Just wondering if anyone has had this or has this as a problem.
> > Keirsten who is 3 1/2 cpan has not grown more than 1 centimeter sense
> > March. I am getting concerned that the GH is just not working. She
> > goes back to the endo in a couple of weeks and maybe we will see some
> > growth, but it would not be very noticeable. The GH is doing every
> > thing else that is should like keeping her sugars from dropping (most
> > of the time). She has good muscle tone and seams pretty healthy
> > other wise. There was a short period of time were her growth hormone
> > devise was not working and we did not know it, but we have sense
> > fixed that problem. So she did go with out the right amount of GH
> > from about May through June. But March, April, July August and
> > September she has gotten the GH. So I feel she should of grown more
> > than a centimeter?? ?
> >
> > One more question. I am struggling to get her to sleep. Do any of
> > you have that problem?
> >
> > Sorry so long
> >
> > Carolyn mom to Keirsten 3 1/2 cpan
> >
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> [Non-text portions of this message have been removed]
>





Wed Oct 1, 2008 7:49 pm

chrishollyja...
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Message #7729 of 8223 |
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Hello, Just wondering if anyone has had this or has this as a problem. Keirsten who is 3 1/2 cpan has not grown more than 1 centimeter sense March. I am...
mcgowan2002
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Oct 1, 2008
4:30 am

Sounds like she got enough to suppress her natural. You can't treat with a low dose for the same reasons you can't treat thyroid and adrenals with low doses. ...
Chris Jackson
chrishollyja...
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Oct 1, 2008
6:47 pm

Thanks, Keirsten is on 50 mcg of levothyroixne, 2.5, 1.25, 2.5 mg of cortef and she is on 0.6 of the GH.  She has had so many test done on her I don't even...
CAROLYN MCGOWAN
mcgowan2002
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Oct 1, 2008
7:33 pm

I think your daughter may not be on enough cortef. I've read 10 to 15 mg is replacement for young children depending on age. So this may be why she still...
Chris Jackson
chrishollyja...
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Oct 1, 2008
7:49 pm

Hello, Here is some lab work before DX panpit   sodium  137  ... From: Chris Jackson <chrisgj@...> Subject: [Hypopituitary_Support] Re: question...
CAROLYN MCGOWAN
mcgowan2002
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Oct 2, 2008
7:19 pm

Hello, Here is some lab work before DX panpit   sodium  137 ... From: Chris Jackson <chrisgj@...> Subject: [Hypopituitary_Support] Re: question...
CAROLYN MCGOWAN
mcgowan2002
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Oct 2, 2008
7:19 pm

Hello, Here is some lab work before DX panpit Date 8-21-06  sodium  137  (135-146) Potassium 4.3  (4.1 5.3) Creatine  0.3 L  (.5-1.2) Glucose non fasting...
CAROLYN MCGOWAN
mcgowan2002
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Oct 2, 2008
7:37 pm

That is very low, I would expect her to have problems with salt wasting. Potassium between 4.0-4.3 is 75% chance of being secondary. She needs aldosterone and...
Chris Jackson
chrishollyja...
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Oct 2, 2008
11:17 pm

I am confused about what you mean when you say salt wasting and the low Potassium?  But every time she end up in the hospital she need potassium??  And what...
CAROLYN MCGOWAN
mcgowan2002
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Oct 3, 2008
12:05 am

Secondary adrenal insufficiency is what she has, that alone makes one hypopituitary. Yes, potassium is deficient in 99% of secondaries. I forgot to mention...
Chris Jackson
chrishollyja...
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Oct 3, 2008
12:30 am

OK I understand that she is secondary Adrenal insufficiency, that also makes her thyroid insufficiency secondary right??  I was thinking secondary like there...
CAROLYN MCGOWAN
mcgowan2002
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Oct 3, 2008
12:54 am

Sometimes I see (usually women) secondary AI with primary hypothyroid. Hashimotos always enters into this though. Her secondary AI didn't cause her secondary...
Chris Jackson
chrishollyja...
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Oct 3, 2008
1:28 am

Here is her page again I hope it works Thanks for all the info.  You can never have enough Carolyn http://www.caringbridge.org/visit/keirstenmcgowan ... From:...
CAROLYN MCGOWAN
mcgowan2002
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Oct 3, 2008
1:32 am

I figured out the misspelling. Pretty girls you have. From reading it, it sounds like the GH was more of a concern than cortisol, the doc should have been...
Chris Jackson
chrishollyja...
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Oct 3, 2008
1:39 am

Thank you.  Yes I have heard it can cause that and I think we are just very lucky to have Keirsten with us as I am sure she had lots of droops in her sugars...
CAROLYN MCGOWAN
mcgowan2002
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Oct 3, 2008
1:48 am

You're welcome, Chris ... lucky to have Keirsten with us as I am sure she had lots of droops in her sugars as a baby and crashes as I look back at the road we...
Chris Jackson
chrishollyja...
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Oct 4, 2008
8:16 pm
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