Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment specialist Home Care diet warning signs Complications Underlying Cause Anatomy Physiology

Cushing's Disease Home Care

Home care for Cushing's disease includes:

  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.
  • Measure your weight every day:
    • Keep a log of your results.
  • Eat potassium rich foods.
  • If you have high blood pressure:
    • Learn how to take your blood pressure.
    • Check your blood pressure every day.
    • Keep a log of your results.

Systolic Pressure Guideline for Adults
Systolic Blood PressureAssessment
Over 140-159Hypertension Stage 1
160 or higherHypertension Stage 2

Diastolic Pressure Guideline for Adults
Diastolic Blood PressureAssessment
Below 80Normal
90-99Hypertension Stage 1
100 or higherHypertension Stage 2

Cushing's Disease Diet

It is important to follow a healthy diet if you have Cushing's disease.

General dietary measures include:

  • Control calories:
    • Eat just enough calories to achieve and maintain a healthy weight.
  • Eat quality fats:
    • Use virgin olive oil and other unsaturated, low-cholesterol fats.
  • Eat the right amount of fats, carbohydrates and protein:
    • Limit your fat intake to 20 or 30 percent, but don't substitute simple carbohydrates for fat.
    • Less than 7% of the day's total calories from saturated fat.
    • Up to 10% of the day's total calories from polyunsaturated fat.
    • Up to 20% of the day's total calories from monounsaturated fat
  • Avoid fad diets:
    • Eat a well-rounded diet instead.
    • Eat small, frequent meals.
    • Avoid large and heavy meals.
  • Limit cholesterol in diet:
    • To less than 200 milligrams a day.
  • Limit iron intake:
  • Eat enough dietary fiber:
    • Whole grains are best.
  • Eat plenty of fresh fruit and vegetables
  • Reduce salt in your diet
    • Optimal: no more than 2 grams per day.
  • Check with your doctor about supplementing your diet with B vitamins:

Key Dietary Recommendations for Chronic Disease Prevention
Energy (calories)to maintain BMI < 25
Total fats< or = to 30% of total daily calories
Saturated fats< 7% of total daily calories
Polyunsaturated fats< 10% of total daily calories
Monounsaturated fats< 13% of total daily calories
Cholesterol< or = to 300 mg per day
Dietary fiber25-30 grams per day
Fiber type3:1 insoluble to soluble fiber
Sodium< or = to 1,500 mg per day
Calcium 9-24 yrs1,200-1,500 mg per day
Calcium 25-50 yrs1,000 mg per day
Calcium 51-65 yrs1,200 mg per day
Calcium >65 yrs1,500 mg per day
Vitamin D 9-50 yrs200 IU per day
Vitamin D 51-70 yrs400 IU per day
Vitamin D >70 yrs600 IU per day
Folic acid400 micrograms (ug) per day
Fruits & vegetables5-7 servings per day
Alcohol (men)< or = to 2 drinks per day
Alcohol (women)< or = to 1 drink per day

Cushing's Disease Warning Signs

Notify your doctor if you have Cushing's disease and any of the following:

Continue to Cushing's Disease Complications

Last Updated: Feb 15, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Cushing's Disease References
  1. Burch WM. Cushing's disease. A review. Arch Intern Med. 1985 Jun;145(6):1106-11. [3923962]
  2. Heaney AP. Novel medical approaches for the treatment of Cushing's disease. J Endocrinol Invest. 2004 Jun;27(6):591-5. [15717660]
  3. Mahmoud-Ahmed AS, Suh JH. Radiation therapy for Cushing's disease: a review. Pituitary. 2002;5(3):175-80. [12812309]
  4. Medical therapy of Cushing's disease. Pituitary. 2002;5(2):77-82. [12675504]
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