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    The State of Texas mandates that all kindergartners, 1st, 3rd, and 5th graders be screened for hearing and vision problems.  If they fail an initial screening they will be rescreened on a later date and then if they fail the second screen a referral will be sent home.  

    Students in 1st, 3rd, and 5th grade are also screened for Acanthosis Nigricans. 
     
    Acanthosis Nigricans is a black-brown velvety skin condition on the back of the neck casued by too much insulin in the blood.  It is a warning sign for insulin resistant Type 2 Diabetes.  Screeners who have been trained will look at and gently run their hand on the back of your child's neck.  If the screener suspects the presences of Ancanthosis Nigricans, your child will be called individually into the nurse's office at a later time for a private evaluation.  At that time the nurse will check the student's height, weight, and 2 blood pressure readings.  The nurse will also calculate the student's Body Mass Indes (BMI), the standard measure of recommended weight by gender and age.  Parents will be advised of the results of the evaluation accompanied by a notification recommending a visit to a medical doctor for further evaluation and to rule out early diabetes.
     
    If you receive a referral form for hearing, vision, or Acanthosis Nigricans please follow up with your physician and inform the nurse of the results.
     
    If your child is in 2nd or 4th grade and you feel they are having difficulty with their hearing or vision, please do not hesitate to call and let me know and I will screen them for you. 
     
    As always, if you have any questions or concerns, please do feel free to contact me.