单选题
Diabetes (糖尿病) and Eye Damage

Over 2 million Canadians have diabetes. It is the leading cause of blindness in North Americans under 65 years of age. Diabetes is a condition where the body either cannot produce enough insulin (胰岛素) or cannot respond properly to insulin. Insulin is important because it moves glucose (葡萄糖), a simple sugar, into the body's cells from the blood. The food people eat provides the body with glucose, which is used by the cells as a source of energy. If insulin isn't available or doesn't work correctly to move glucose from the blood into the cells, glucose will stay in the blood, leading to high blood sugar levels.
High blood sugar levels damage the blood vessels, including the tiny blood vessels in the eye. This leads to an eye disease known as diabetic retinopathy (糖尿病型视网膜病). The retina (视网膜) is an area at the back of the eye that changes light into nerve signals. With diabetic retinopathy, some blood vessels in the retina are lost, and some of the other blood vessels begin to "leak" blood. This causes the retina to swell, and gradually cuts off its supply of oxygen and nutrients (滋养物). Eventually, the retina starts to grow new blood vessels to replace the damaged ones. Unfortunately, these new vessels are not as strong as the old ones. They are more likely to break, Causing bleeding in the eye.
At first, people with diabetic retinopathy will not notice any symptoms. As the disease gets worse, they may notice blurred (模糊的) vision, black spots or flashing lights. As time goes on, it can progress to blindness. Everyone with diabetes is at risk for diabetic retinopathy, and the risk increases the longer you've had diabetes.
Fortunately, you can reduce your risk. If you do not have diabetes, but think you may be at risk for this condition, visit your doctor to be screened for diabetes. If you do have diabetes: have frequent eye check-ups.
Make sure that you monitor your blood sugar frequently and use your medications as recommended by your doctor. There is evidence to show that keeping your blood sugar under tight control can slow down eye damage.
If you have high blood pressure, follow your recommended diet and medications to keep it under control. If you are not sure whether you have high blood pressure, or whether your blood pressure is under control, discuss this with your doctor.
单选题 Glucose cannot be turned into energy in the body ______.
  • A. without diabetes
  • B. without sugar
  • C. without insulin
  • D. without food
【正确答案】 C
【答案解析】[解析] 细节题。用glucose回到原文定位到第一段可知,食物提供胰岛素,胰岛素是将葡萄糖转化成能量的重要物质,故本题选C。
单选题 The word "its" in the second paragraph refers to ______.
  • A. "the nerve's"
  • B. "the blood's"
  • C. "the eye's"
  • D. "the retina's"
【正确答案】 D
【答案解析】[解析] 指代题。回到第二段寻找its的指代对象,根据代词指代原则,its应该指代前文的单数名词,由此可知retina是备用选项,通过句子含义(造成retina的氧气供应不足)可确定,本题答案为D。
单选题 With diabetic retinopathy, the damaged blood vessels in the retina ______.
  • A. are stronger than what they used to be
  • B. cannot be properly replaced
  • C. are more likely to break than the new ones
  • D. may return to normal again
【正确答案】 B
【答案解析】[解析] 细节题。这是一道比较难的题。本题很容易定位到第二段,但句中的几个逻辑词使得正确答案到了倒数第三句才出来。unfortunally(不幸的是)是个明显的转折词,表示真正的答案在该词之后:受伤的血管被新血管代替,但新血管没有老的血管那么有耐性(strong),还容易破裂(break)。因此本题答案为B。
单选题 The worst eye damage induced by diabetes is ______.
  • A. blurred vision
  • B. black spots
  • C. blindness
  • D. flashing lights
【正确答案】 C
【答案解析】[解析] 细节题。通过第三段可知,A、B、D都是眼病,但“随着时间流逝,最终会导致失明”。因此本题答案为C。
单选题 To slow down eye damage, people with diabetes should try to ______.
  • A. use as many medications as they can
  • B. eat as little as possible
  • C. wear glasses as often as possible
  • D. keep their blood sugar under tight control
【正确答案】 D
【答案解析】[解析] 细节题。从最后两段可知,糖尿病患者应该常做眼部检查(eye checkup),控制血糖。因此本题正确答案为D。