You are likely to see several healthcare professionals from the suspicion of acromegaly through to confirmed diagnosis.
The healthcare professionals that may be the first to suspect you have acromegaly may include your:
If your GP or other healthcare professional suspects that you have acromegaly, you will normally be referred to an endocrinologist who will perform further tests, confirm the diagnosis and oversee your care long-term.
These healthcare professionals may be involved in your treatment:
Once you have a confirmed diagnosis of acromegaly, a healthcare team will be involved in your care, with the endocrinologist being your main point of contact.
Others healthcare professionals who may be part of your healthcare team include those who treat conditions that might occur alongside acromegaly. These may include:
Acromegaly can take a long time to develop and may not show any specific symptoms at the beginning, which may make it difficult for doctors to spot the signs of the condition at an early stage.
Initial symptoms or signs can be similar to other ailments or situations and so they may be initially attributed to other conditions such as depression and anxiety, arthritis or the start of the menopause in women. More distinct symptoms, such as enlargement of the hands and feet, usually occur later in the disease process.
This is why the diagnosis of acromegaly can often take several years and people may see several clinicians, including dentists and ophthalmologists, before an endocrinologist formally diagnoses them.
Do not be afraid to seek out a second medical opinion if you suspect that you, or a loved one, may have acromegaly.
“My GP referred me to have an MRI scan, and the MRI scan confirmed that I had a pituitary gland tumour”
This patient testimonial reflects only this person’s opinions about their own care. Each person’s case is unique. You should always consult a doctor for information and advice about the diagnosis and treatment of acromegaly.
“It wasn’t a specific thing that made me go to the doctor; I had already been having diverse and varied pains for several years”
This patient testimonial reflects only this person’s opinions about their own care. Each person’s case is unique. You should always consult a doctor for information and advice about the diagnosis and treatment of acromegaly.
To begin the diagnostic process, the endocrinologist will take a medical history and conduct a physical examination. He or she may then recommend the following tests:
To screen for this condition, your doctor will take a blood sample after fasting overnight to measure your levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-I). Higher than normal levels of these two hormones suggest a diagnosis of acromegaly.
This test is used to confirm that you have acromegaly. In this test, your blood levels of GH are measured before and after you drink a preparation of sugar (glucose). Normally, ingesting large amounts of glucose supresses GH secretion from the pituitary. If you have acromegaly, your GH level will remain high.
This will be undertaken after confirmation from the blood tests that you have acromegaly. A MRI scan is used to determine the location and size of the tumour of your pituitary gland.
A number of expert healthcare professionals will be involved in your care and will work together to decide what treatment is best for you. This multidisciplinary approach is the recommended ‘gold standard’ for managing acromegaly and it ensures that you will receive the most appropriate care.
The main healthcare professional that you are likely to see is an endocrinologist who will generally oversee your care.
If surgery is required, you will see a surgeon who specialises in pituitary surgery, usually a neurosurgeon.
If radiotherapy is required then a radiotherapist will also be involved in your treatment.
There may also be a specialist (endocrine) nurse to help and support you in hospital.
If medicines are required to treat your acromegaly an endocrinologist will usually be the one to recommend this treatment. As most medicines used to treat acromegaly are suitable for administration in the community, a GP or practice nurse may also be involved in this part of your treatment.
Acromunity Fast FactsWho makes the diagnosis? People can see three or more clinicians before a diagnosis of acromegaly is made. Endocrinologists are usually the health care professional to formally confirm the acromegaly diagnosis. |
As you are likely to see several healthcare professionals throughout your journey with acromegaly you may find it helpful to keep a log of who you have seen and when you have had an appointment.
You might also find it helpful to note down your medical details and the results of any tests you may have had, your treatments, and any side effects or symptoms you may have had or be experiencing.
See the keeping track of your medical care section of this website where you can download the Acromunity Medical Details and Treatment Tracker to help you share important information about your care with all the members of your healthcare team.
Find out how acromegaly is diagnosed and the tests that healthcare professionals may use to assess acromegaly symptoms
Diagnosis & TestingRead about acromegaly treatment options, including surgery, medications and radiotherapy, and the goals of therapy
Treating acromegalyRead and hear answers to some common questions that patients with acromegaly have asked
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