For a long time, when we talk about diabetic complications, we often think of cardiovascular diseases, kidney diseases, retinopathy...

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But you might not know, there is a complication that occurs silently but may affect 1 in every 4 diabetic patients.

It’s not just about being "thin"—it’s about the loss of strength. This is "sarcopenic diabetes."

What is "Sarcopenic Diabetes"?

Simply put, it is a condition where diabetes and muscle loss (sarcopenia) occur simultaneously and worsen each other.

It not only means the limbs gradually become thinner and weaker, but also signifies:

A significantly increased risk of falls and fractures

Metabolic capacity further declines (muscles are the main force in consuming blood sugar)

Quality of life is severely impaired, and even the ability to live independently may be lost

A recent study titled "Sarcopenic Diabetes: An Underestimated and Unmet Clinical Priority" published in the Journal of Clinical Nutrition warns: This complication is serious and insufficiently recognized.

❗ Why are people with diabetes more prone to muscle loss?

Metabolic Disorders and Inflammation

Persistent hyperglycemia and insulin resistance trigger chronic inflammation in the body, disrupting the balance between muscle protein synthesis and breakdown, leading to the gradual "depletion" of muscle mass.

The "Double Whammy" of Abnormal Fat

Approximately 90% of individuals with type 2 diabetes are overweight, obese, or have excess visceral fat. Fat accumulation not only exacerbates insulin resistance but also infiltrates muscle tissue, leading to "fatty muscle," which reduces muscle mass and impairs its function.

A new risk worthy of caution: Certain glucose-lowering/weight loss medications

The research specifically points out that weight loss drugs like semaglutide, which can significantly reduce weight, may lead to muscle loss while shedding fat. If nutrition and resistance exercise are neglected during medication use, muscle loss can occur more rapidly.

Preventing muscle loss is key to preventing severe complications!

Muscles are the body’s "sugar metabolism reservoir" and "strength savings." Preserving muscle is as important as saving money for retirement.

✅ Action Guide: Start "Muscle Saving" Today

Make "Muscle Building" a Goal for Blood Sugar Control

In addition to monitoring blood sugar and HbA1c, regularly pay attention to changes in your body weight, limb circumference, grip strength, etc. If you notice weight loss accompanied by significant fatigue, be alert for muscle loss.

Nutrition is the Foundation of Muscle

Adequate high-quality protein: Evenly distribute eggs, milk, fish and shrimp, soy products, and lean meat across three meals.

Don’t forget vitamin D: Get plenty of sun or take supplements as prescribed by a doctor—it is crucial for muscle function.

Exercise: Aerobic + resistance training, both are essential

Aerobic exercise (brisk walking, cycling) helps control blood sugar.

Resistance training (using small dumbbells, resistance bands, squats, and glute bridges) is the key to stimulating muscle growth! Aim for at least twice a week.

Actively protecting muscles is especially important during medication use.

If using weight loss-promoting diabetes medications, be sure to increase protein intake and adhere to resistance training under your doctor's guidance to avoid excessive muscle loss.

Muscle is the final and most critical line of defense for metabolic health.

It's not just about strength, but also about the quality of life and the dignity of independence.

Controlling blood sugar is not merely about "lowering the numbers" but more importantly about "preserving the body's fundamental resources."

Starting today, please care for your muscles as attentively as you care for your blood sugar levels.

Note: This article is intended for health education purposes only. For specific medication use and exercise plans, please consult your primary physician or a specialist nutritionist.