INS and sarcopenia: In the insulin subgroup, patients without sarcopenia had higher handgrip strength (P = 0.013) and muscle mass (P < 0.001) in the higher-insulin group than in the lower-insulin group, but in the sarcopenia cohort, no difference was found in handgrip strength (P = 0.534), but sarcopenia with high insulin had higher muscle mass than low insulsin (P=0.001).