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The development of this disorder involves intricate pathophysiological processes, with contributions from multiple mechanisms: insulin resistance, ongoing inflammatory responses, oxidative damage, buildup of advanced glycation end products (AGEs), compromised mitochondrial function, and alterations in gut microbial composition. The present review comprehensively analyzes the epidemiological patterns and pathological processes associated with diabetic sarcopenia, with special attention to the therapeutic benefits and mechanistic insights of traditional Chinese medicine (TCM). Rooted in substantial clinical experience, TCM implements multitargeted therapeutic approaches using both classical compound formulas (e.g., Sijunzi decoction, Buzhong Yiqi decoction, Bazhen decoction, and Shenling Baizhu powder) and purified bioactive constituents from individual herbs (including astragalus polysaccharide, puerarin,\n                    <jats:italic>Lycium barbarum<\/jats:italic>\n                    extract, and magnesium tanshinate). The therapeutic effects encompass optimization of glucose metabolism, stimulation of muscle protein synthesis, inhibition of proteolysis, and reduction of inflammatory and oxidative damage\u2014demonstrating the holistic TCM advantage of \u201cco\u2010treatment of glucose metabolism and muscle function.\u201d This work provides scientific rationale and clinical evidence to support TCM\u2010based strategies for preventing and treating diabetic sarcopenia.\n                  <\/jats:p>","DOI":"10.1155\/jdr\/6655697","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:09:32Z","timestamp":1782907772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Traditional Chinese Medicine for Diabetic Sarcopenia: A Review and Its Related 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