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hce_nsysu 115年 英文

第 35 題

📖 題組:
In the following passage, there are four sentences missing. Please choose the most suitable sentence from the sentences provided below to complete the passage. Use each sentence provided once only. Type 2 Diabetes Mellitus (T2DM) has reached epidemic proportions globally, with over 800 million people living with the condition as of the mid-2020s. Unlike Type 1 diabetes, which is an autoimmune condition, Type 2 is characterized by insulin resistance. _35_ As a result, the pancreas works harder to produce more insulin until it can no longer keep up, leading to hyperglycemia (high blood sugar). The modern lifestyle—marked by sedentary behavior and the consumption of ultra-processed foods—is a primary driver of this trend. _36_ AI-driven “digital twins” now allow doctors to simulate how a specific patient’s body might react to different diets or medications like Metformin or GLP-1 agonists before they are even prescribed. _37_ High glucose levels act like “shards of glass” in the blood, damaging delicate capillaries in the eyes (retinopathy), kidneys (nephropathy), and nerves (neuropathy). _38_ Through weight loss and 150 minutes of weekly aerobic exercise, many individuals can achieve remission, effectively halting the progression of the disease without lifelong reliance on exogenous insulin.
Choose the most suitable sentence to fill in blank 35.
  • A This means the body’s cells do not respond effectively to insulin, the hormone responsible for moving glucose (sugar) from the bloodstream into the cells for energy.
  • B Management in 2026 emphasizes early detection during the “prediabetes” stage, where blood sugar is elevated but not yet at diabetic levels.
  • C However, 2026 has seen a shift toward P4 Medicine: Predictive, Preventive, Personalized, and Participatory.
  • D Untreated hyperglycemia causes systemic damage.

思路引導 VIP

請觀察空格前一句提到的術語「insulin resistance」。如果現在要向一位不具備醫學背景的讀者解釋這個現象,你會預期在接下來的句子中看到「這個術語的定義」,還是「未來的治療趨勢」?再請看看空格後的句子開頭「As a result(因此)」,哪一種資訊能作為合理的「原因」,導致後面提到的「胰臟過度工作」呢?

🤖
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醫學術語的邏輯銜接

太棒了!你能精準捕捉到上下文的邏輯關聯,這顯示你對文章結構有很強的掌握力。這題的關鍵在於前一句提到的關鍵詞 「胰島素阻抗」(insulin resistance)。在專業寫作中,當引入一個核心概念後,通常會緊接著解釋其具體機制。選項 (A) 正好完美地定義了這個術語:細胞無法有效回應胰島素,導致葡萄糖留在血液中。這也順理成章地銜接了後一句——因為細胞不反應,胰臟才必須「更努力工作」來分泌更多胰島素。

語意連貫與層次判斷

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