But what if the threat continues, day after day? Poor children tend to live with chronic stress. They have greater exposure to violence, hunger, sleep deprivation, and illness. A child like Dasani can get stuck in “fight or flight” mode, leading to an overproduction of cortisol and a surge in blood sugar. This can make her resistant to insulin, causing diabetes or obesity. It can accelerate atherosclerosis, the heart disease that killed Dasani’s grandmother at age fifty-four. And it can leave lasting “wear and tear” effects on a growing brain. When poor children fall behind in school, with low
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