Skip to main content

Diurnal Cortisol Curve

Meaning

The Diurnal Cortisol Curve is a graphic representation of the cyclical, predictable changes in salivary or serum cortisol concentrations measured at multiple time points over a 24-hour period. This assessment is the gold standard for evaluating the functional integrity of the hypothalamic-pituitary-adrenal (HPA) axis, revealing the characteristic pattern of a high morning peak followed by a gradual decline throughout the day and lowest levels at night. Deviations from this expected rhythm can indicate various states of adrenal dysregulation or chronic stress adaptation.