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[Otoneurologic abnormalities in insulin-dependent diabetes]

K Jáuregui-Renaud1, B Domínguez-Rubio, A Ibarra-Olmos

  • 1Departamento de Audiología y Otoneurologia, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, México DF. kjauren@data.net.mx

Revista De Investigacion Clinica; Organo Del Hospital De Enfermedades De La Nutricion
|July 11, 1998
PubMed
Summary

Diabetes can lead to neuro-otological deterioration, affecting auditory and vestibular function. This study observed declining function in patients with insulin-dependent diabetes mellitus over three years.

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Area of Science:

  • Otolaryngology
  • Endocrinology
  • Neurology

Context:

  • Diabetes mellitus is a complex metabolic disorder with widespread systemic implications.
  • Neuro-otological complications, including auditory and vestibular dysfunction, are increasingly recognized in diabetic patients.
  • Early detection of neuro-otological changes is crucial for managing long-term health outcomes.

Purpose:

  • To evaluate auditory and vestibular function in patients diagnosed with insulin-dependent diabetes mellitus.
  • To identify potential early indicators of neuro-otological deterioration in this patient cohort.
  • To investigate the progression of auditory and vestibular changes over a three-year period.

Summary:

  • Ten patients with insulin-dependent diabetes mellitus (IDDM) and peripheral neuropathy underwent a three-year longitudinal study.

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  • Initially, all patients exhibited normal auditory brainstem responses but showed diminished horizontal vestibulo-ocular responses.
  • Over the study period, one patient developed vertigo and asymmetric vestibulo-ocular responses, another showed similar abnormalities, and a third experienced sensorineural hearing loss.

    • Impact:

    • Suggests that insulin-dependent diabetes mellitus can precipitate neuro-otological deterioration.
    • Highlights the importance of regular audiological and vestibular assessments in diabetic patients.
    • Provides evidence for potential subclinical neuro-otological dysfunction in diabetes, even without retinopathy.