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Hearing threshold in patients with diabetes mellitus
M Kurien1, K Thomas, T S Bhanu
1Department of Otorhinolaryngology, Christian Medical College Hospital, Tamil Nadu.
The Journal of Laryngology and Otology
|February 1, 1989
Summary
Diabetic patients exhibit poorer hearing thresholds, particularly high-frequency hearing loss, compared to non-diabetics. Poorly controlled or complicated diabetes significantly worsens this hearing impairment.
Area of Science:
- Otolaryngology
- Endocrinology
- Audiology
Background:
- Diabetes mellitus is a systemic disease with potential microvascular complications.
- Hearing impairment is an emerging complication of diabetes, affecting various frequencies.
- Early detection of hearing loss in diabetic individuals is crucial for management.
Purpose of the Study:
- To investigate and compare hearing thresholds between diabetic patients and healthy controls.
- To analyze the impact of diabetes duration, control, and complications on hearing loss.
- To identify specific patterns of hearing impairment in diabetic populations.
Main Methods:
- Pure tone audiometry was used to assess hearing thresholds in 30 diabetic patients and 30 healthy controls under 50 years old.
- Diabetic patients were stratified by age, disease duration, complications, and glycemic control.
- Exclusion criteria included otological and other metabolic diseases to ensure study focus.
Main Results:
- Diabetic patients demonstrated significantly poorer hearing thresholds than non-diabetic controls.
- All age groups with diabetes exhibited significant high-frequency hearing loss compared to controls.
- Poorly controlled and complicated diabetes correlated with significant high-frequency hearing loss.
Conclusions:
- Diabetes is associated with a higher prevalence of hearing loss, especially in high frequencies.
- Glycemic control and diabetes complications are critical factors influencing hearing impairment.
- The duration of diabetes did not show a direct relationship with the severity of hearing loss.