Too often, the disease hits the poorest especially hard, leading to heart attacks, strokes, blindness, limb amputations, kidney failure and premature death.

该疾病往往对最贫穷的人打击尤为严重，导致心脏病、中风、失明、截肢、肾功能衰竭和过早死亡。

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Diabetes can lead to severely debilitating or fatal complications, such as heart disease, blindness, kidney disease, and amputations. It is the fifth leading cause of death by disease in the U. s.

糖尿病可以导致严重的虚弱或致命性并发症，如心脏病，失明，肾病和截肢，在美国由于疾病一起的死亡中糖尿病是第5大主要病因。

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He said that all of these injuries would have been sore, with the amputations and burns possibly leading to infections and further discomfort if they were not cleaned or dressed properly.

BBC: Lynda Spence trial: Alleged injuries would be 'painful'