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听力文本

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: Tool to

helps who are . The can help them lose and their .

part of the , so the is to eat less food. It is a , life- . Yet some think it be done more often, obese.

Shaun for more than 20 years to his while he the .

"By just and ...with the , I was never going to lose the of I to, to ...and get the under good ," he said.

take to get blood sugar, or , into their cells. , can make feel , it even to lose .

is . In the , will not pay for the . They a 's body mass index (BMI) to be at least 35, even if a 's is . BMI is the of body fat based on the 's and .

Stacy is a at The Ohio State in , Ohio. He says the BMI does not show how a is to for .

"BMI is not a fair ... of who be ," he said.

added that the rules for who gets need to be .

"The who doesn't get the , we know very well that their will , their will be if they don't get ," he said.

The as a , that . If it is not , can lead to heart , and . early is for both and .

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"No one asks with or heart to ‘just do it ...' but there's also being to those at the same time," he said.

Since he had to the size of his , Shaun has lost a lot of . His is also under . no needs oral . And he has cut down on the use of , going from 500 units a day down to about 10.

"It's my life so much," he said, "I would tell do it."

is a issue . More than 400 have the . That one in 11 . The World that will rise in the near .

If with have early on, their can be cured. For those who have had the for 10 years or more, and need , will not cure their . But as Stacy notes, it can their .

I'm Susan Shand.

重点解析

1.lose 减肥

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After all, I want to lose not my .

毕竟我要减肥可不是要失去我的健康JbfS)5)#Yv.,I。

2.at the same time 同时

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It's to get at the same time.

让所有人同时聚在一起是不可能的%jzu)j~x4V;f]P5=FRgL。

3.cut down 削减

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We cut down .

我们应该削减开支zj2i,xh||b!fKb6#]D*N。

4.rise 急剧上升

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The price is to rise as a .

碳的价格为此可能会有很大的提高。

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5.His is also under .

under 得到控制

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said they had the blaze under .

消防队员说他们已经控制住了火势%[。

Army said the was under .

陆军军官称局面已经得到了控制l+jr1T+)ji。

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6.The World that will rise in the near .

in the near 不久的将来

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The will visit China in the near .

总统将在近期内访华o[qJ0L[cWU3B。

The C is to be in the near .

关于维生素C的争议短期内不可能平息|Un;#m!SG.[^)。

参考译文

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减肥手术能避免严重肥胖？

减肥手术能帮助那些严重超重的人v.@lbF|e|_aR。手术可以帮助他们减肥，恢复健康82y%VW|!FiIe。

医生切除了一部分胃，所以病人食欲会大减H6Kxn=*fm。这是一项有难度且能改变人生的手术+-i9T~。然而，一些医生认为，在病人变得严重肥胖之前，应该更经常地做该手术09K^QRS&+N4Os=。

肖恩·罗杰斯（Shaun ）在与糖尿病作斗争的同时，已经为控制体重努力了20多年5O|,*5RNi]。

“只是通过节食和继续注射胰岛素，我永远无法减掉需要减掉体重，无法改变并且让糖尿病得到很好的控制，”他说|V|@PJ^k_。

糖尿病患者注射胰岛素将血糖或葡萄糖输入细胞m|vi=inN&FENfL=w6x。然而，胰岛素会使人感到饥饿，使减肥更加困难aUS^,7yh2。

高昂的治疗费用

减肥手术费用高昂~zp]a;X。在美国，保险公司并不总是为这类手术买单xe;T[7W)ca7e!L@kM_。他们要求病人的身体质量指数（BMI）至少为35，即使病人的糖尿病是无法控制的#Nuwu#Wl+T,U8。BMI是根据一个人的身高和体重来衡量身体脂肪的指标S!5YD+]O16v。

XW[62G*#(WF,

史黛西·柏思德（Stacy ）是俄亥俄州哥伦布市俄亥俄州立大学韦克斯纳医学中心的外科医生(Qe~,;.7~,。他说，身体质量指数并不总能反映出病人对糖尿病治疗的反应*.Y_Z。

“BMI并不能作为衡量谁应该接受治疗的标准，”他说[06k*hr&n8%5=;DKd。

柏思德补充说，减肥手术适用对象的规定需要作出改变SoWuz*Dd&h6L-|V1h。

他说:“那些没有接受手术的病人，我们非常清楚，如果得不到有效的治疗，他们的病情将会恶化，他们的寿命将会缩短%P。”

美国医学协会认为肥胖是一种复杂的慢性疾病，需要医疗护理[oT^lu^C。如果不治疗，肥胖会导致心脏病、癌症和糖尿病|[。柏思德认为早期治疗对肥胖和糖尿病都是必要的)R+]。

双重标准？

“没有人要求癌症或心脏病患者接受‘早期治疗’……但是同时也为这些患者提供了有效的治疗，”他说O_[dKtn%.Cg=swHR。

自从做了缩胃手术后，肖恩·罗杰斯的体重减轻了很多dh^4(ZhfDQ[&。他的糖尿病也得到了控制Ya&YM3U-yh。罗杰斯不再需要口服药物gv@2yR~P&kmXp#h,。他还减少了胰岛素的使用量，从每天近500个单位降至约10个单位M%lr-87Ga~BI。

“这一手术极大地改善了我的生活，”他说，“我想建议其他人试试4Zt&!!DIxq#(]。”

糖尿病是一个世界性的健康问题f^7msg3#Z.*^IE。超过4亿人患有这一疾病hIXV#%yRVx*GE0)V。该数据表明，每11个成年人中就有一名糖尿病患者SAcG|。世界卫生组织估计，不久的将来人数还会急剧上升**]。

如果糖尿病患者在早期进行减肥手术，他们的糖尿病是可以治愈的Vyx%n9||#x)。对于那些患有糖尿病10年或10年以上并需要胰岛素治疗的人来说，减肥手术并不能治愈他们的糖尿病@l()A6un;n,wV#T。但正如柏思德指出的，这一手术可以极大地改善他们的健康~Qt)0)D!OW#x0S)_+Y。

苏珊·尚德为您播报t%bR!zQdaA*-。