Glossary of Diabetic Terms - N

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Nephropathy: Disease of the kidneys caused by damage to the small blood vessels or to the units in the kidneys that clean the blood. People who have had diabetes for a long time may develop nephropathy.

Neurologist: A doctor who treats people who have problems of the nervous system (brain, spinal cord, and nerves).

Neuropathy: Nerve damage. People who have had diabetes that is not well controlled may develop nerve damage.

Non-insulin dependent diabetes: Former term for type 2 diabetes.

Nutritionist: See dietitian.

Although accurate and convenient for detecting type 2 diabetes and prediabetes in adults, current HbA1c cutoffs may not be enough to diagnose diabetes in children.

A 2010 clinical practice guideline from the American Diabetes Association recommends that physicians exclusively use the HbA1c assay to detect diabetes. The guidelines recommend a cutoff of 6.5% or greater for diagnosis.

However, researchers for two recent studies highlight significant vulnerabilities in the recommended test’s ability to diagnose diabetes and prediabetes in children.
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I got my first shot when I was five.

I mean, it wasn’t my first, but it was the first one that I was old enough to remember and resent. The office was bright, my doctor was telling bad jokes, and then she said she’d give me a lollipop before I left. Even at the time I thought that was suspicious (especially because my Dad had just read “Hansel and Gretel” to me a few days earlier). Then she told me to look at my mom, who kept making faces in hopes that I’d stare in her direction, and not see the doctor rummaging through her drawer of childhood torture devices.

It didn’t work.
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