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Vestibular Function in Children with Type 1 Diabetes: Videonystagmography Testing.
Sherifa A Hamed1, Ali F ElHadad2, Amira M Oseily3
1Department of Neurology and Psychiatry, Assiut University Hospital, Assiut, Egypt.
Audiology & Neuro-Otology
|August 18, 2021
Summary
Vestibular dysfunctions are common in children with type 1 diabetes, linked to longer diabetes duration and poor glycemic control. Early detection and management are crucial for children with T1D.
Area of Science:
- Pediatrics
- Neurology
- Endocrinology
Background:
- The vestibular system is vital for balance and task learning.
- Vestibular dysfunctions (VDs) can impact children's development and daily activities.
Purpose of the Study:
- To investigate the prevalence, types, and predictors of VDs in children with type 1 diabetes (T1D).
- To utilize videonystagmography (VNG) for assessing VDs in this pediatric population.
Main Methods:
- A cohort of 65 children (40 with T1D, 25 controls) underwent VNG testing.
- Data collected included patient demographics, diabetes history, glycemic control (HbA1c), and complication history.
Main Results:
- 70% of children with T1D exhibited VNG abnormalities, with 71.43% having central VDs.
- VDs were significantly associated with longer diabetes duration (>5 years), higher HbA1c (>7%), and frequent hypoglycemic attacks.
- Odds ratios indicated strong correlations between VDs and diabetes duration, HbA1c levels, and hypoglycemia.
Conclusions:
- VDs are prevalent in children with T1D and associated with diabetes severity and glycemic control.
- Optimizing glycemic control and managing diabetic complications are essential for preventing VDs.
- Multidisciplinary care is recommended for early detection and management of VDs in pediatric T1D.
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