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Easy diagnosis of sarcopenia in elderly patients with type 2 diabetes mellitus (T2DM) requires the establishment of a novel skeletal muscle index, designated as a-SMI. The cross-sectional study involving inpatients with T2DM included a total of 223 participants; 100 were male (aged 60-89) and 123 were female (aged 60-87). To diagnose sarcopenia, the