卡瓦斯基说大部分人都没意识到日常糖尿病护理的负担。
Kowalski said most people don't realize the burden of daily diabetes management.
大小和以证据为基础的复杂性，以及糖尿病护理本身的复杂性。
Reasons include the size and complexity of the evidence-base, and the complexity of diabetes care itself.
例如，在某些国家，单是糖尿病护理的支出就占据高达15%的国家卫生保健预算。
In some countries, for example, care for diabetes alone consumes as much as 15% of the national health care budget.
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