The level of cortisol in saliva normally drops to low levels overnight. However, people with Cushing's syndrome show high levels late in the evening and overnight, and may be asked to collect a sample of saliva at midnight. Normally, this test is done at home and delivered to hospital in the next few days.
Individuals should avoid eating and brushing teeth for 30 minutes before collecting saliva samples to minimise the potential for blood contamination.
Saliva specimens should be collected using a Sarstedt cortisol salivette. Saliva collected into a plain container by passive drool is also acceptable
Salivettes for saliva collection can be requested from specimen reception.
Early morning range (7-9 a.m.): 3.2-22.8 nmol/L
Late night range (11 p.m. to 12 a.m.): <3.2 nmol/L
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University Hospitals Birmingham medical laboratories at Queen Elizabeth Hospital, Heartlands Hospital, Good Hope Hospital and Solihull Hospital are UKAS (United Kingdom Accreditation Service) accredited to the ISO 15189:2012 standard. For a list of accredited tests and other information please visit the UKAS website using the following link: https://www.ukas.com/find-an-organisation/
Tests not appearing on the UKAS Schedule of Accreditation currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.
For further test information, please visit the test database: http://qehbpathology.uk/test-database
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