A woman, who has had Addison's for 7 years, told me, " I love to travel but now I'm just traveling 2-4 hours away to see family and friends or for conferences. I am often exhausted after these trips...especially the professional ones. I don't feel tired or like I'm pushing myself during the trips but when I get home I end up sleeping most of the day for a day or two."
Remember that your adrenal glands help you deal with change by adjusting such things as blood pressure, blood sugar, metabolism, and temperature. Even with medication, a person with Addison's disease will not function as well as a person has normal adrenal glands.
Imagine a person with diabetics. Now think of them eating a large piece of cake. What will happen? They will become very ill! Why? Because they did not have the insulin they needed for the amount of sugar they ate.
Your adrenal medication is set for a certain amount of stress in your life. It will replace the cortisone your body would have made to deal with your regular stress level. When you travel, you are not doing your regular life. Your stress level may be increased, so you may need to also increase your cortisone medication to cope with the increased stress level.
If you are very tired the day after traveling, you probably need to take more medication the next time you take a similar trip. When I made a several hour plane trip, I slept almost the entire next day. I was exhausted!
I learned to take my hydrocortisone a couple of hours before doing something which I think might be stressful, or knew from experience that it tired me. This is where a health journal really is a great help. Write down when you are very tired and what you have just been doing. This can help you determine when you might need to take more medication in the future.
I know it can seem like all is well, that nothing is very stressful, but stress is cumulative. Start adding them up -- getting ready, packing, weather, rough road, catching a flight, getting through security, icy road, glare, high altitude, challenging relationships, being alone, making business presentations, eating differently or not on time, night driving, getting to bed late, and the list goes on. Even fun activities can create some stress. It is good stress, but must be considered.
I've listed all the stressful elements of an activity, then assigned them a number from 1 to 10, with 10 being very stressful. Afterward, I all them all up. It has surprised me and helped me identify things that could cause stress. Being more aware of my stress level has enabled me to more accurately adjust my medication.
Even with a little more medication for a trip, I still become very tired. People with Addison's disease simply need more rest because our bodies are unable to adjust to stress. We are dependent on medication to help us deal with stress, but it is far from the instantaneous response that healthy adrenal glands can give, therefore we will need extra rest.