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There is a progressive hypoglycemia and hyponatremia, and the hyponatremia continues in spite of the intravenous administration of large amounts of saline solution. It is accompanied by massive urinary sodium loss. The diagnosis is made by measuring the 24-hour urinary sodium to document the marked salt wasting. This can be immediately corrected by deoxycorticosterone, and the response to this drug is a diagnostic finding. The further demonstration that the patient is unresponsive to ACTH clinches the diagnosis. The adrenal insufficiency is usually permanent. ICD10 Training. is very useful service as it will help in the collections and also for the amount that is pending from the payers and patients