Yes, the urine ratio test is not, per se, considered truly "diagnostic" -- it's more a point-me-in-the-next-direction sort of test, if that makes sense. It can't diagnose Cushings, but it can tell a clinician whether or not to keep on poking in that general direction.
Okay, wow, learned something new today - thank you
!
SHAP is some sort of sex hormone adrenal imbalance / hyperplasia. In a way, it kind of reads like how they describe "Atypical Cushings" here in the US (which is what my Wylie has). For the US when this is suspected - we have to send the blood in to a University in Tennessee as they have a highly specialized endocrine lab. It appears you too have a kind of specialized endocrine lab over there --
this one (see page 16 forward).
So it appears they want to investigate further as they still highly suspect adrenal gland involvement, but don't know exactly, yet, where it's originating from. Is that how you're seeing their direction too...?
I know it's confusing, the adrenal issues always are
...but hang in there. The good thing here is that they seem to be SO very thorough in their diagnostic avenues here...that's a smart clinician, pulling out all the tools.
I agree on getting the diabetes / fasting glucose test too -- always smart to test for that in the presence of possible Cushings.
Sending lotsa good thoughts! Hugs!
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