Addison's Disease Diet
Addison's disease, also called primary adrenal insufficiency, is a rare condition that affects your body's ability to produce adrenal hormones. Treatment for Addison's disease requires oral medications to replace these hormones, including corticosteroids and mineralocorticoids. There's no special diet you must follow with Addison's disease, but additional calcium and vitamin D may be beneficial and increasing your sodium intake may be recommended under certain circumstances.
Calcium, Vitamin D and Corticosteroids
Corticosteroids generally impact bone health by decreasing bone formation, and regular use of this medication may increase your risk of osteoporosis. Thirty to 50 percent of people taking corticosteroids for other conditions suffer from osteoporotic fractures, according to an April 2009 review article published in "Therapeutic Advances in Musculoskeletal Diseases." To prevent osteoporosis due to your long-term need for corticosteroids, your doctor may recommend calcium and vitamin D supplements. Including calcium- and vitamin D-rich foods may also help maintain bone health.
- Corticosteroids generally impact bone health by decreasing bone formation, and regular use of this medication may increase your risk of osteoporosis.
What Are the Side Effects of Prednisolone 5 mg?
Mineralocorticoids help the body maintain normal levels of sodium. People with untreated Addison’s disease have low levels of sodium, which can cause serious problems such as low blood pressure, seizures and even coma. Treatment with mineralocorticoids will maintain normal levels of sodium most of the time. However, if a lot of sodium is being lost from the body, as may occur with excessive sweating, sodium levels may fall. Talk to your doctor about whether you should increase your sodium intake in hot weather, especially if you are exercising outside.
- Mineralocorticoids help the body maintain normal levels of sodium.
- However, if a lot of sodium is being lost from the body, as may occur with excessive sweating, sodium levels may fall.
What Are the Side Effects of Prednisolone 5 mg?
Does Sodium and Potassium Imbalance Lead to Swollen Ankles?
How Many Milligrams of Sodium Should I Have in One Day?
Health Side Effects of Salt
How to Lower Sodium Levels in the Blood Naturally
Lasix & Diet
A Low-Salt, Low-Fat & Low-Cholesterol Diet
How to Correct and Maintain Electrolyte Balance in the Body
Causes of Low Sodium Levels in the Body
Sample of Low 2 Gram Sodium Diet
- Clinical Medicine: Adrenal Insufficiency
- Therapeutic Advances in Musculoskeletal Diseases: Glucocorticoid-Induced Osteoporosis: Treatment Update and Review
- Office of Dietary Supplements: Calcium
- Office of Dietary Supplements: Vitamin D
- The Journal of Clinical Endocrinology and Metabolism: Addison’s Disease 2001
- Babaliche P, Madnani S, Kamat S. Clinical Profile of Patients Admitted with Hyponatremia in the Medical Intensive Care Unit. Indian J Crit Care Med. 2017;21(12):819-824. doi:10.4103/ijccm.IJCCM_257_17
- Filippatos TD, Makri A, Elisaf MS, Liamis G. Hyponatremia in the elderly: challenges and solutions. Clin Interv Aging. 2017;12:1957-1965. doi:10.2147/CIA.S138535
- National Institute of Diabetes and Digestive and Kidney Diseases. Hypothyroidism (Underactive Thyroid). Published August 2016.
- Godek SF, Peduzzi C, Burkholder R, Condon S, Dorshimer G, Bartolozzi AR. Sweat rates, sweat sodium concentrations, and sodium losses in 3 groups of professional football players. J Athl Train. 2010;45(4):364-71. doi:10.4085/1062-6050-45.4.364
- Gankam Kengne F, Decaux G. Hyponatremia and the Brain. Kidney Int Rep. 2018;3(1):24-35. doi:10.1016/j.ekir.2017.08.015
- Yasir M, Mechanic OJ. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Updated April 2, 2019.
- Liamis G, Milionis H, Elisaf M. A review of drug-induced hyponatremia. Am J Kidney Dis. 2008;52(1):144-53. doi:10.1053/j.ajkd.2008.03.004
- Yee AH, Burns JD, Wijdicks EF. Cerebral salt wasting: pathophysiology, diagnosis, and treatment. Neurosurg Clin N Am. 2010;21(2):339-52. doi:10.1016/j.nec.2009.10.011
- U.S. Food & Drug Administration. Use the Nutrition Facts Label to Reduce Your Intake of Sodium in Your Diet. Updated June 8, 2018.
- Rondon H, Badireddy M. Hyponatremia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Updated December 13, 2018.
- Kapoor K, Fashanu O, Post WS, Lutsey PL, Michos ED, deFilippi CR, McEvoy JW. Relation of Dietary Sodium Intake With Subclinical Markers of Cardiovascular Disease (from MESA). Am J Cardiol. 2019 May 29. pii: S0002-9149(19)30581-8. doi:10.1016/j.amjcard.2019.05.014
Jill Corleone is a registered dietitian and health coach who has been writing and lecturing on diet and health for more than 15 years. Her work has been featured on the Huffington Post, Diabetes Self-Management and in the book "Noninvasive Mechanical Ventilation," edited by John R. Bach, M.D. Corleone holds a Bachelor of Science in nutrition.