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[IP] e-news 7/10/02 - Acanthosis Nigricans

Acanthosis Nigricans is a disorder/physical finding that looks like "dirty
neck" or "dirty arms", as the kids describe it.   Diabetes Care
25:1009-14,2002 indicated the prevalence in Cherokee Indians.  The study
confirmed that this was related to high insulin values in the blood,
findings that are consistent with prediabetes 2.

This finding is not limited to any ethnic group but it does signal insulin
resistance.  We are able to reverse this and do so whenever this situation
presents itself.  Parents seem to worry about all the wrong things when this
is discovered so it is important to recognize this for what it is and deal
with it appropriately.

Therapy ranges from ruling out other endocrine disorders to very vigorous
and successful weight loss program.  It has to be worked up.

Dr. Joe, The Diabetes Doctor

E-News is written by Dr. Joe Prendergast and his staff at Endocrine
Metabolic Medical Center.
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