Study On The Relationship Between Type 2 Diabetes Mellitus Mongolian Syndrome Differentiation And Insulin Resistance

Objective: To explore the correlation between different mongolian medicine syndrome differentiation and insulin resistance of type 2 diabetes mellitus,and to provide reference for mongolian medicine diagnosis and treatment of type 2 diabetes mellitus insulin resistance.Methods: From december 2020 to december 2021,120 patients with type 2 diabetes who were treated in the affiliated hospital of Inner mongolia minzu university and met the diagnostic criteria of western medicine and mongolian medicine and who met the inclusion criteria were selected and 120 cases were collected.With the dialectical classification of Mongolian medicine,it is divided into three groups,including Heyi,Qi Su Xila and Badagan,with 40 cases in each group.The name,age,gender,height,weight,course of disease,blood pressure,smoking history and other general information of the selected patients were collected,and the Fasting Blood Glucose(FPG),Fasting insulin(Fins),Total Cholesterol(TC),Triglyceride(TG),Low-Density Lipoprotein(LDL-C),High-density Lipoprotein(HDL-C)and Serum Uric Acid(UA)and other relevant laboratory indicators,and calculated Insulin Sensitivity Index(ISI)and Body Mass and fat mass(BMI).SPSS 22.0 software was used for data processing,measurement data were expressed as mean±standard deviation((?)±s),t test was used,count data between groups was tested by χ~2 test to summarize the data to explore the relationship between Mongolian dialectical classification and insulin resistance and insulin resistance correlation with various experimental indicators.Result:1.There was no significant difference in age,gender,blood pressure,course of disease,smoking history,FPG,and serum uric acid among the groups(P>0.05).2.Comparing the BMI of each group,the BMI of Badagan overweight type was the most significant,and the difference was statistically significant compared with the other two groups(p<0.05).There was no significant difference between Heyi Xila and Qi Su Xila predominant type(P>0.05).3.Comparing the Fins of each group,there is a statistically significant difference between the Fins of the Badagan partial type and the other two groups(p<0.05).There was no significant difference between Heyi Xila and Qi Su Xila predominant type(P>0.05).4.Compared with the ISI of each group,the ISI of the Badagan partial excess type was the lowest,and the difference was statistically significant compared with the other two groups(p<0.05).There was no significant difference between Heyi Xila and Qi Su Xila predominant type(P>0.05).5.Compared with the blood lipids of each group,the levels of TC and HDL-C in the Badagan partial hyperlipidemia were significantly different from those in the other two groups(p<0.05).There was no significant difference between Heyi Xila and Qi Su Xila predominant type(P>0.05).There was no significant difference among the three groups in the comparison of TG and LDL-C levels(P>0.05).6.Insulin resistance has no correlation with age and course of disease(P>0.05),but is negatively correlated with FPG,Fins,BMI,and TC,and positively correlated with HDL-C(p<0.05).Conclusion:1.Insulin resistance exists in the mongolian medical syndrome differentiation of type2 diabetes.compared with the syndrome types in each group,the insulin resistance of the Badagan partial excess type is significant.2.Type 2 diabetes mellitus,mongolian syndrome differentiation,insulin resistance were negatively correlated with FPG,Fins,BMI,TC,and positively correlated with HDL-C.3.There is no correlation between type 2 diabetes mellitus,mongolian medical differentiation and insulin resistance with age and course of disease.