In the video below, our endocrine specialist nurse, Darshna Patel, covers how to adjust your hydrocortisone doses during periods of illness or physical strain. She goes through the 'Sick Day Rules' for managing hydrocortisone medication, as well as the signs of adrenal crisis and what to do if this occurs.

You can watch this video for a helpful reminder of the Sick Day Rules, or share it with others to educate them.

There have been a few updates to the sick day rules for those with adrenal insufficiency recently. We have been getting a few questions and want to clear things up.

The Society for Endocrinology (SfE) have recently changed their guidance. We will be updating our sick day rules on the website and within our adrenal insufficiency booklet in accordance with the new guidelines as soon as possible.

It will cause no harm to follow either our existing sick day rules, or the rules your clinic has provided, or the new SfE rules for now.

We will be continuing our advocacy work with the SfE and other support organisations to ensure that the guidelines are consistent and clear.