The Study On Syndrome Differentiation Of TCM Of T2DM In The Elderly、IR And The Associativity Of Macrovascular Complications

Type 2 Diadetes Mellitus (T2DM) in elderly is familiar in clinic.And its incidence isrising suddenly. More and more researches showed IR is the main clue and basiccharacteristic of T2DM.Objective: To study the relationship among the syndrome differentiation of traditionalChinese medicinal (TCM)of T2DM in the elderly, IR and macrovascular complications, tostudy the relationship between chronic vascular complications and Overweigth/Obesity、IR、anomalous lipid metabolism.Materials and methods:78 patients of T2DM in elderly were selected as researchsubjects.According to differentiation standards of T2DM of TCM,33 patients belonged toheat-blood stagnation syndrome;26 patients belonged to deficiency syndrome of Qi andYin;10 patients belonged to deficiency syndrome of Yin and Yang;9 patients belonged todeficiency of Yin and excess of heat syndrome.All patients measured FPG、Fins、ISI、BMI、Fib、lipid metabolism.Differences between the groups were analyed by One-WayANOVA、T-test.Results:(1)The ISI of heat-blood stagnation syndrome was significantly higher than thedeficiency syndrome of Yin and excess of heat syndrome, deficiency syndrome of Qi andYin, deficiency syndrome of Yin and Yang (p＜0.05).(2)BMI、TG、TC、Fib of heat-bloodstagnation syndrome patients were also higher than other groups;(3)There was negativecorrelation in comparing ISI with BMI、TG、TC, there was not positive correlation incomparing ISI with HDL-C.(4)The macrovascular complications of heat-blood stagnationsyndrome were more than other groups;The ISI、BMI、TG、TC are closely associated withthe chronic macrovascular complications.