Medical Science and Health
Something about the treatment of Diabetes
One recent study that was published in the January 2004 issue of the Journal of the American Medical Association, found that just 12 percent of people with diabetes have met the doctors' recommended guidelines for blood glucose, lipids and blood pressure levels. Those people, failing to meet these goals, are at an extremely high risk for heart disease, which is the leading cause of death for people with diabetes.
According to data released at the American Diabetes Association's (ADA's) 64th Annual Scientific Sessions in June, most diabetes specialists worldwide do not regard diabetes as a "coronary equivalent". That is, they don't treat problems such as high cholesterol as aggressively in people who have diabetes as they do in people who have heart disease, even though people who have diabetes are as much at risk for a coronary event as someone without diabetes who has already had a heart attack.
Other studies show that doctors fail to treat high blood pressure aggressively enough in people who have diabetes, and that nearly half of all people with diabetes who are treated for high blood pressure cannot succeed in keeping their blood pressure levels "at goal". More than 70 percent of all people with diabetes have high blood pressure, though many of them do not even know it.
What makes this more complex is the reality that many other obstacles hold people from keeping their own blood pressure, lipids and blood glucose levels in check. These problems might include the patient's failure to stick to a treatment plan, a lack of social support and the fact that many people who have diabetes face various disease conditions that can become overwhelming.
Because diabetes is such a complex disease, it is often difficult for people to see how to take a few simple steps to vastly improve their health. That's why the American Diabetes Association has developed a new tool, known as Diabetes Personal Health Decisions (Diabetes PHD), which can immediately show people the specific benefits they would achieve by losing a specific number of pounds, or by lowering blood glucose, cholesterol or blood pressure levels by varying amounts.
This tool allows people who have diabetes-and even those who are at risk for developing it-to enter personal health information such as age, sex, height, race, weight, family history, medications and a variety of blood values onto a Web site. The program then gives back an accurate risk profile that spells out what that person can do to lower his or her risks by changing specific health parameters such as weight, blood pressure or cholesterol. People will have free access to the Diabetes PHD on the ADA's Web site later this year.
But retrieving a report from Diabetes PHD is only the first step. The information provided can help emphasize the benefits of different health and lifestyle changes, but it is up to health care providers and the people they treat to follow through on Diabetes PHD data with action.
Diabetes is a serious and life-threatening disease, but it is one that we know how to treat, how to delay or prevent it. And that's a goal worth working towards in the future.[page]
1. According to one recent study published in the Journal of the American Medical Association, what is the percentage of those people with diabetes who have not met recommended guidelines for blood glucose, lipids and blood pressure levels? ______
2. According to the passage, doctors have not been active enough in treating ____of the patients with diabetes.
[A] their heart disease
[B] their high cholesterol
[C] their high blood pressure
[D] both B and C
3. In real life, many people can not succeed in keeping their own blood pressure, lipids and blood glucose at healthy levels as a result of many obstacles except____.
[A] the patients can not stick to a treatment plan
[B] there is a lack of family support
[C] the patients have to face many other disease conditions
[D] the society does not give enough support
4. By developing Diabetes PHD, the American Diabetes Association aims at ______.
[A] helping the people with diabetes in analyzing their physical conditions
[B] offering people some accurate health parameters
[C] helping emphasize the importance and benefits of different health and lifestyle changes
[D] directing doctors in their treatment of the diabetes
5. The author's attitude towards the present treatment of diabetes is ______.
1. glucose 葡萄糖
2. lipid 脂质, 油脂
3. coronary 冠心病的，冠状动脉的
4. cholesterol 胆固醇
5. risk profile 风险预测
1. 第三段的"keeping their blood pressure levels ‘at goal'"是指"将他们的血压控制在合格标准之内"。
2. 第四段的"What makes this more complex is the reality that many other obstacles hold people from keeping their own blood pressure, lipids and blood glucose levels in check."这句话包含了两个从句，一个是由what引导的主语从句，另外一个是由 that引导的同位语从句，先行词是reality.
3. 第四段的"...who have diabetes face various disease conditions that can become overwhelming." 中的"that can become overwhelming"是个定语从句，先行词是disease conditions，而其中又包含了一个以conditions为先行词，由that引导的定语从句。
4. 第六段的spell out意思使"清楚地说明"。
5. 第七段的"..., but it is up to health care providers and the people they treat to follow through on Diabetes PHD data with action."中的up to表示"由......决定，取决于......"。"they treat to follow through on Diabetes PHD data with action"是个定语从句，先行词是people，省去了引导词that。