2. Acanthosis Nigricans (the goofy name for the mark on your neck) We’ll call it “A.N.” for short

3. Why does the nurse look for “A.N.”? The law says that all 1 st, 3 rd, 5 th, and 7 th graders must be checked for “A.N.” It doesn’t hurt at all! The nurse can see it with just her eyes- or feel it with a finger.

4. What is “A.N.”? “A.N.” is a signal from your body that something inside your body might not be working as well as it used to. When your body gives you a signal or warning sign, it’s important to pay attention!

5. -The ‘something’ that your body is trying to warn you about is called insulin. Your body needs insulin to use the food that you eat. Insulin is the “key” that unlocks the “doors” of your cells so that nutrients from your food can get in. Cells (the itty-bitty living parts) in your,,, and many other parts of your body, need insulin to open their “doors” so they can get nutrients to help you grow and stay healthy.

6. When a person has “A.N.” their body may be trying to tell them that the “keys” are not opening the “doors” like they used to. When this happens, your body makes more “keys” to try and open the “doors”. The extra “keys” cause certain areas of your skin to thicken and get darker- just like the mark on your neck.

7. The nurse says I have “A.N.” Now what happens? The nurse will find out some important things about you, to help your doctor decide how to fix your “keys” so your body can get the nutrients it needs. The nurse will check your height, your weight, and your blood pressure.

8. The nurse will call your parents to talk with them about the same things we have talked about today. Your parents will take you to the doctor to find out more about “A.N.” and how to help your body’s “keys” work better.

9. What can you do to make “A.N.” go away? * Eat more healthy foods and less “junk” foods. *Exercise everyday!

10. Do you have any questions about “A.N.”? Remember, when our body gives us a It’s important to pay attention! You can do a LOT to keep your body healthy.