( ( In ( the ( United States ) ) ) ( , ( diabetes ( ( ( ( ( is ( ( a ( leading cause ) ) ( of ( ( ( ( ( ( blindness , ) ( kidney disease ) ) , ) ( heart failure ) ) and ) amputation ) ) ) ) , ) and ) ( ( is ( ( the ( fourth ( leading cause ) ) ) ( of death ) ) ) ( by disease ) ) ) . ) ) ) )
(ROOT (S (PP (IN In) (NP (DT the) (NNP United) (NNPS States))) (, ,) (NP (NNP diabetes)) (VP (VP (VBZ is) (NP (NP (DT a) (VBG leading) (NN cause)) (PP (IN of) (NP (NP (NN blindness)) (, ,) (NP (NN kidney) (NN disease)) (, ,) (NP (NN heart) (NN failure)) (CC and) (NP (NN amputation)))))) (, ,) (CC and) (VP (VBZ is) (NP (NP (DT the) (JJ fourth) (VBG leading) (NN cause)) (PP (IN of) (NP (NN death)))) (PP (IN by) (NP (NN disease))))) (. .)))
In the United States, diabetes is a leading cause of blindness, kidney disease, heart failure and amputation, and is the fourth leading cause of death by disease.
(ROOT (S (NP (NNP Heart) (NN disease)) (VP (VBZ is) (NP (NP (DT the) (VBG leading) (NN cause)) (PP (IN of) (NP (NN death))) (PP (IN in) (NP (DT the) (VBN united) (NNS states))))) (. .)))