Cushing’s Disease Diet – Cushing's Disease News (2024)

Cushing’s disease is characterized by increased secretions of adrenocorticotropic hormone(ACTH) by the pituitary gland. ACTH plays an important role in the production and release ofcortisol, a steroid hormone normallyproduced in response to low blood sugar. Cushing’s results in hypercortisolism, or abnormally high levels of cortisol in the body.

Because cortisol is essential formetabolic processes, hypercortisolism associated with Cushing’s can significantly affect how the body processes nutrients. The following Cushing’s disease diet changescan help limit or counteract some symptoms:

Reducing sodium intake

Excess sodium can worsen symptoms of Cushing’s by increasing blood pressure and causing weight gain. Therefore, cut down on sodium by avoiding processed foods and limiting the amount of salt added to food.

Increasing calcium and vitamin D intake

Cushing’s can cause reduced bone densityor osteoporosis. Since calcium and vitamin Dstrengthen bones, doctors recommend a healthy diet rich in calcium and vitamin D for people with Cushing’s. This includes kale, cheese and broccoli, as well as milk and beverages fortified with vitamin D. Multivitamins are also a valuable source of calcium and vitamin D. Adults should aim for adaily intake of about 800 mg of calcium and five to 15 micrograms of vitamin D, with vitamin D intake increasing with age.

Reducing cholesterol

A common symptom of Cushing’s is high cholesterol levels. Avoiding fatty foods and eating more high-fiber foodssuch as kidney beans, apples, pears, barley and prunes may help offset the effects of higher cholesterol associated with Cushing’s.

Controlling blood sugar

Cortisol stimulates the liver to increase blood sugar levels, so people with Cushing’s — who have perpetually high cortisol levels — may also have elevated blood sugar. This condition, also known as hyperglycemia, is linked to many long-term complicationsincluding cardiovascular disease, nerve damage, kidney damage, and bone and joint problems. A doctor can advise how to space out meals during the day to keep blood sugar levels in check.

Reducing or eliminating alcohol and tobacco

Many clinicians recommend reducing alcohol intake and tobacco use. Chronic, heavy drinking can damage thehypothalamic-pituitary-adrenal (HPA) axis hormone network, resulting in symptoms nearly identical to those of Cushing’s. So-called pseudo-Cushing syndrome can not only intensify the symptoms of existing Cushing’s disease but also make it more difficult to diagnose and treat.

Tobacco use increases the risk of complications during surgery. If surgery has been identified as a treatment option for Cushing’s, quitting smoking can reduce the risk of surgical complications.

Note:Cushing’s Disease Newsis strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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Cushing’s Disease Diet  – Cushing's Disease News (2024)

FAQs

What is the best diet for Cushing's syndrome? ›

With Cushing's syndrome, too much salt can further elevate blood pressure and contribute to weight gain. Replacing processed foods with fresh vegetables, fruits, and high-quality complex carbohydrates like peas, beans, and whole grains is the easiest way to reduce sodium intake. What you drink also matters.

How to lose weight if you have cushings? ›

Eat sensibly.

Nutritious foods are a good source of fuel for your body during recovery. They also can help you lose any weight you gained from Cushing syndrome. Make sure you're getting enough calcium and vitamin D. Taken together, they help your body absorb calcium, which may strengthen your bones.

Can caffeine cause Cushing's? ›

'Hyper' means high, sort of how we might get when we drink too much caffeine or eat too much sugar. Therefore, anything that causes the body to release too much cortisol can cause Cushing's syndrome. Most medical professionals divide these causes into two large categories.

What is the new treatment for Cushing's disease? ›

The U.S. Food and Drug Administration today approved Isturisa (osilodrostat) oral tablets for adults with Cushing's disease who either cannot undergo pituitary gland surgery or have undergone the surgery but still have the disease.

What can trigger Cushing's? ›

What causes Cushing's syndrome? The most common cause of Cushing's syndrome is the long-term, high-dose use of the cortisol-like glucocorticoids.

Why am I always hungry with Cushing's? ›

There are several possible mechanisms by which patients with Cushing's have increased appetite. Insulin resistance associated with high insulin levels may be a cause since insulin plays a regulatory role on hunger and satiety.

How to reduce cortisol belly fat? ›

Fighting against cortisol belly

Minimize processed foods, sugary snacks, and unhealthy fats. Regular Exercise: Incorporate both cardio and strength training into your routine. Exercise helps burn calories, reduce body fat, and boost metabolism. Adequate Sleep: Aim for 7-9 hours of quality sleep per night.

How to reverse Cushing's? ›

Treatment for Cushing's syndrome
  1. surgery to remove the tumour.
  2. radiotherapy to destroy the tumour.
  3. medicines to reduce the effect of cortisol on your body.

Can you be skinny with Cushing's? ›

Though weight gain is the rule in Cushing's syndrome, a paradoxical weight loss can be seen in a subgroup of patients, including those with a malignant tumour as the cause of Cushing's syndrome. Other causes of weight loss in Cushing's syndrome are shown in box 1.

What mimics Cushing's disease? ›

Pseudo-Cushing state

Some people have an abnormal amount of cortisol that is caused by something unrelated to Cushing's syndrome such as polycystic ovarian syndrome, depression, pregnancy, and obesity. This is called pseudo-Cushing state.

What should you avoid if you have cushings? ›

Manage your blood sugar: Cushing syndrome can lead to high blood glucose, so try to limit foods that can cause a rise in blood sugar and keep carbohydrates in the diet as low as possible. Examples of foods to focus on eating include nonstarchy vegetables, nuts, berries, and fish.

Does quitting coffee lower cortisol? ›

Caffeine is a stimulant, which means it increases activity in your brain and nervous system and is unlikely to promote quality sleep. Removing it from your diet lets the hormones that affect your sleep (cortisol and melatonin) follow their natural rhythms.

What is the life expectancy for Cushing? ›

However, with treatment, survival rates for people with Cushing syndrome and Cushing disease are excellent. Studies have found that people with Cushing disease live for an average of 40 years after curative surgery for pituitary tumor removal.

Does Cushing's disease ever go away? ›

Untreated Cushing syndrome can be life-threatening. Fortunately, most people with the syndrome are treated and cured. However, after successful treatment of the syndrome, some health problems may continue.

Does Cushing's get worse over time? ›

It's a rare pituitary disorder that is progressive. That means that without treatment, it gets worse over time.

What is the best exercise for Cushing's syndrome? ›

Since patients are usually treated soon after diagnosis, no studies have evaluated the effect of a high protein diet. Regarding exercise, the best type of exercise is that which is not stressful to the skeletal system. For example, swimming and bicycle riding are good exercises.

Do you always gain weight with Cushing's? ›

Symptoms that affect everyone include: Rapid weight gain in the face (sometimes called “moon face”), abdomen, the back of the neck (sometimes called “buffalo hump”) and chest. A red, round face. High blood pressure (hypertension).

What organ does Cushing's syndrome affect? ›

Cushing's syndrome happens when you have too many corticosteroids in your body. When the disorder often starts with the pituitary gland, the condition is called Cushing's syndrome. The gland makes too much adrenocorticotropin hormone (ACTH). That causes the adrenal glands to make too many corticosteroids.

What diseases mimic Cushing's syndrome? ›

Pseudo-Cushing state

Some people have an abnormal amount of cortisol that is caused by something unrelated to Cushing's syndrome such as polycystic ovarian syndrome, depression, pregnancy, and obesity. This is called pseudo-Cushing state.

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