Arrange long-term follow-up in primary care to monitor for and treat any complications arising from Cushing's syndrome, such as diabetes, hypertension, osteoporosis, and increased cardiovascular risk NICE CKS.
Follow-up should include regular assessment of biochemical markers to detect recurrence, although specific intervals are not explicitly detailed in the guidelines, it is recommended to individualise follow-up based on clinical judgment and local protocols NICE CKS.
Monitor for signs and symptoms of cortisol excess or recurrence, including weight gain, hypertension, hyperglycemia, and Cushingoid features, during routine reviews NICE CKS.
Consider offering vaccinations such as influenza, herpes zoster, and pneumococcal vaccines, as patients with Cushing's syndrome are at increased risk of infection, which may be relevant during follow-up NICE CKS.