| Purpose:To study the characteristics of tongue images in overweight/obese patients with T2DM;To explore the correlation between the medical records of different HbA1 c and tongue image in overweight/obese T2 DM patients.Method:The medical records of overweight/obese T2 DM patients whose tongue images were collected from the endocrine outpatient department and inpatient department of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from December2019 to February 2021 were selected.According to the "Expert Consensus on Glycated Hemoglobin Control Targets and Reaching Strategies in Chinese Adult Type 2 Diabetes Patients",it is suggested that the HbA1 c control target of most T2 DM patients is less than 7%,The included patients were divided into A1 group(HbA1 c controlled <7%)and A2 group(HbA1 c uncontrolled ≥7%).Using SPSS26.0 statistical software to analyze the tongue image characteristics in overweight/obese T2 DM patients and the correlation between medical records and tongue image of the two groups of patients.Result:1.The study found that 176 overweight/obese patients with T2 DM had the highest frequency of tongue color appearance with pale red tongue(46.6%),Followed by dark red tongue(42.0%),lilac tongue(6.8%),red tongue(2.8%),Light tongue(1.1%),dark purple tongue(0.6%);Tongue shape: The frequency of dentate tongue is the highest at 59.7%,The highest frequency of fat and thin tongue was the moderate tongue(48.9%),Followed by fat tongue(44.9%),thin tongue(6.3%),The frequency of crack tongue is 45.5%.The highest frequency of moss color was white moss(84.6%),Followed by no moss(8.0%),yellow and white with moss(6.8%),yellow moss(0.6%).Moss: The highest frequency of thick and thin moss was thin moss(51.7%),Followed by thick moss(40.3%),no moss(8.0%),the frequency of greasy rot moss is 28.4%.2.The study found that there was a statistically significant difference in the frequency of light red tongue,fat tongue,thin fur,thick fur,and greasy rotten fur between the A1 group and the A2 group(P<0.05).3.The study found that there was no statistical difference in the tongue characteristics of patients of different ages in the A1 group(P>0.05);Only the frequency of thin tongue,cracked tongue,greasy rotten fur and thick fur was significantly different among different age in A2group(P<0.05).4.The study found that there was a statistically significant difference in the frequency of the appearance of light red tongue among different genders’ patients in the A1 group(P<0.05);There were statistically significant differences in the frequency of greasy rotten moss and white fur among different genders in the A2 group(P<0.05).5.The study found that there was no significant difference in the tongue characteristics of patients with different DM durations in the A1 group(P>0.05);There was only a statistically significant difference in the frequency of red tongue and dark red tongue in patients with different DM durations in the A2 group(P<0.05).6.The study found that there was no statistical difference in the tongue characteristics of patients with different personal history,family history,exercise status in the A1 group and the A2 group(P>0.05).7.The study found that there was no significant difference in the tongue characteristics between patients with and without DM complications in the H1 group(P>0.05);There was only a statistically significant difference in the frequency of dark red tongue and pink tongue in the H2 group with or without DM complications(P<0.05).8.The study found that there was no statistical difference in the tongue characteristics of patients with different BMI in the A1 group(P>0.05);The A2 group patients with different BMI only had statistical differences in the frequency of white fur(P<0.05).9.The study found that there was a correlation between dark red tongue and HDL-C,thick fur and FPG in A1 group(P<0.05);There were correlations between dark red tongue and HDL-C and TC,tongue teeth marks and TG,tongue fat and thinness and FPG in A2group(P<0.05);There was no correlation between other laboratory indexes and tongue characteristics(P>0.05).Conclusion:1.Tongue characteristics of overweight/obese T2 DM patients: darker tongue color,thicker and greasy tongue coating,most prone to tooth marks,suggesting that blood stasis and phlegm-dampness are the most common pathological products of overweight/obese T2 DM.2.Male patients with substandard-controlled HbA1 c are more likely to have greasy and rotten moss,suggesting that the evils of dampness and phlegm are easy to accumulate in the body;Female patients are prone to have a reddish tongue,suggesting that the pathogenic pathogens in the body are relatively shallow.3.Elderly patients with substandard-controlled HbA1 c control are more likely to develop cracked tongue and thick greasy fur,indicating that the pathogenesis is yin deficiency and the internal heat is too high.At the same time,it is prone to damp turbidity,phlegm-drinking,and food accumulation;Young and middle-aged patients are more prone to thin tongue,and its pathogenesis is mainly yin deficiency.4.Patients with substandard-controlled HbA1 c have a longer course of disease,and patients with DM complications are more likely to have dark red tongue,suggesting that the body heat stasis is more severe.5.Obese patients with substandard-controlled HbA1 c are more prone to white fur,suggesting that the body is full of dampness.6.In patients with well-controlled HbA1 c,dark red tongue was negatively correlated with HDL-C,and thick fur was positively correlated with FPG,ark red tongue in patients with substandard-controlled HbA1 c was negatively correlated with HDL-C and positively correlated with TC,Scar tongue was positively correlated with TG,fat tongue was positively correlated with FPG,It is suggested that blood lipids and blood sugar are related to the production of heat stasis,damp turbidity and phlegm. |
PDF Full Text Request