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Hearing and diabetes

R de España1, O Biurrun, J Lorente

  • 1Department of Otolaryngology, University of Barcelona, Spain.

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|November 1, 1995
PubMed
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Hearing loss is uncommon in early type I diabetics but affects 30% of chronic type I diabetics. This hearing impairment in diabetic patients correlates with age and diabetes duration, not microangiopathy.

Area of Science:

  • Audiology
  • Endocrinology
  • Otolaryngology

Background:

  • Diabetes mellitus is a complex metabolic disorder.
  • Audiological complications in diabetic patients are not fully understood.
  • Type I diabetes presents with varying durations and potential systemic effects.

Purpose of the Study:

  • To evaluate audiological function in patients with type I diabetes.
  • To compare hearing abilities between early and chronic diabetic groups.
  • To identify correlations between hearing loss and diabetes characteristics.

Main Methods:

  • Puretone audiometry, high-frequency audiometry, and auditory brainstem response were performed.
  • Patients were categorized into early (Group A) and chronic (Group B) type I diabetes.

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  • A control group of 30 healthy subjects was included for comparison.

    • Main Results:

    • All early diabetics (Group A) exhibited normal audiological assessments.
    • Hearing loss was detected in 30% of chronic diabetics (Group B).
    • Hearing loss in chronic diabetics significantly correlated with age (p=0.0019) and diabetes duration (p=0.0143), but not microangiopathy (p=0.1506).

    Conclusions:

    • Hearing loss is not a typical finding in type I diabetic patients.
    • When present, hearing loss in diabetics may be linked to age-related inner ear changes exacerbated by diabetes.
    • The precise pathogenic mechanisms linking diabetes and hearing loss require further investigation.