Skip to main content

Advertisement

SpringerLink
Log in

Clinical Study to Evaluate the Association Between Sensorineural Hearing Loss and Diabetes Mellitus in Poorly Controlled Patients Whose HbA1c >8

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The relationship between sensorineural hearing loss (SNHL) and Diabetes mellitus has been known since more than 150 years. The pathophysiology of diabetes related hearing loss is speculative. Hearing loss is usually, bilateral, gradual onset, affecting higher frequencies. This study aims at knowing the prevalence of SNHL in DM and its relation to age, sex, duration of DM and control of DM. A total of 50 type 2 diabetics of age group 30–65 years were involved in the study. FBS, PPBS, HbA1c of all the subjects were done and later subjected to PTA. The type and severity of hearing loss was noted. Occurrence of SNHL was later compared with age, sex, duration, and control of DM. Sensorineural hearing loss was found in 66 % of type II diabetic patients and 34 % were found normal. Out of 50 diabetes mellitus patients, 33 patients had SNHL. All cases of SNHL detected were of gradual in onset and no one had hearing loss of sudden onset. Normal hearing was found in 34 % of patients, whereas 54 % of patients had mild hearing loss and 12 % of patients had moderate hearing loss. Association of hearing loss of DM patients with sex of the patient is insignificant. However there is significant association between older age group, longer duration and uncontrolled DM with that of SNHL. In subjects with HbA1c more than 8 and duration of diabetes mellitus more than 10 years prevalence of SNHL is more than 85 %, which is statistically significant. Sensorineural hearing loss in diabetes mellitus is gradually progressive involving high frequency thresholds. Hearing threshold increases with increasing age duration of diabetes and also high level of HbA1c greater than 8 %.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Huizinga MM, Rothman RL (2006) Addressing the diabetes pandemic: a comprehensive approach. Indian J Med Res 124:481–484

    PubMed  Google Scholar 

  2. Wild S, Roglic G, Green A, Sicree R, King H (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27:1047–1053

    Article  PubMed  Google Scholar 

  3. Sosale A, Prasanna Kumar KM, Sadikot SM, Nigam A, Bajaj S, Zargar AH, Singh SK (2014) Chronic complications in newly diagnosed patients with Type 2 diabetes mellitus in India. Indian J Endocrinol Metab 18(3):355–360

    Article  PubMed  PubMed Central  Google Scholar 

  4. Kazmierczak H, Doroszewska G (2001) Metabolic disorders in vertigo, tinnitus, and hearing loss. Int sTinnitus J 7:54–58

    CAS  Google Scholar 

  5. Aggarwal MK, Jha AK, Singh SK (1998) Otorhinolaryngological studies in diabetics. Indian J Otolaryngol Head Neck Surg 50(2):116–121

    Article  Google Scholar 

  6. Friedman SA, Schulman RH, Weiss S (1975) Hearing and diabetic neuropathy. Arch Intern Med 135:573–576

    Article  CAS  PubMed  Google Scholar 

  7. Pemmaiah KD, Srinivas DR (2011) Hearing loss in diabetes mellitus. Int J Collab Res Intern Med Public Health 3(10):725–731

    Google Scholar 

  8. Rajendran S, Anandhalakshmi MB, Viswanatha R (2011) Evaluation of the incidence of sensorineural hearing loss in patients with Type 2 diabetes mellitus. Int J Biol Med Res 2(4):982–987

    Google Scholar 

  9. Bhaskar KN, Chalihadan S, Vaswani R, Abdul Rehaman CP (2014) Clinical and audiometric assessment of hearing loss in diabetes mellitus. Int J Sci Study 2(4):1–14

    Google Scholar 

  10. Swain SK, Sahu MC, Samal R, Rabindra N (2014) Incidence of hearing loss, tinnitus and vertigo among diabetes patients. Siriraj Med J 66:179–184

    Google Scholar 

  11. Krishnappa S, Naseeruddin K (2014) A clinical study of age related hearing loss among diabetes patients. Indian J Otol 20(4):160–165

    Article  Google Scholar 

  12. Kurien M, Thomas K, Bhanu TS (1989) Hearing threshold in patients with diabetes mellitus. J Laryngol Otol 103(2):164

    Article  CAS  PubMed  Google Scholar 

  13. Cullen R, Cinnamond NJ (1993) Hearing loss in diabetes. J Laryngol Otol 107:179–182

    Article  CAS  PubMed  Google Scholar 

  14. Rust KR, Prozama JIV, Pillsbury HC (1972) Inner ear damage secondary to diabetes mellitus. Arch Otorhinol Head Neck Surg 118:397–400

    Article  Google Scholar 

  15. Virteniemi J, Laakso M, Nuutinen J, Karjalainen S, Vartiainen E (1994) Hearing thresholds in Insulin dependent diabetes mellitus. J Laryngol Otol 108:837–841

    Google Scholar 

  16. Fangcha MA, Gómez-Marín O, Lee DJ, Balkany T (1998) Diabetes and hearing impairment in Mexican American adults: a population-based study. J Laryngol Otol 112:835–839

    Google Scholar 

  17. Zewoski J, Ozdowska A (2010) Could glycated hemoglobin be used as a diagnostic tool in diabetes mellitus. Pol Arch Med Wewn 120:109–114

    Google Scholar 

  18. Bayındır T, Erdem T, Uzer E, Toplu Y, Sarı R, Ozturan O (2010) Evaluation of the auditory effects in controlled and uncontrolled type 2 diabetes mellitus using otoacoustic emissions. J Inonu Univ Med Fac 17(4):337–341

    Google Scholar 

  19. Panchu P (2008) Auditory acuity in type 2 diabetes mellitus. Int J Diabetes Dev Ctries 28(4):114–120

    Article  PubMed  PubMed Central  Google Scholar 

  20. Sumathi K, Prakash M, Menezes GS (2012) Significance of HbA1c in deafness in type-2 diabetes mellitus. J Pharm Biomed Sci 24(24):59–61

    Google Scholar 

  21. Thimmasettaiah N, Shankar R, Ravi GC, Reddy S (2012) A one year prospective study of hearing loss in diabetes in general population. Transl Biomed 3:2

    Google Scholar 

Download references

Acknowledgments

The results obtained in this study support the existence of a relationship between SNHL and DM. Hence, the auditory status of DM patients should be thoroughly screened so that complications arising out of uncontrolled diabetes mellitus can be prevented.

Author information

Authors and Affiliations

  1. Department of ENT, Dr.B.R. Ambedkar Medical College and Hospital, Bangalore, Karnataka, India

    C. V. Srinivas & V. Shyamala

  2. Department of General Medicine, Dr.B.R. Ambedkar Medical College and Hospital, Bangalore, Karnataka, India

    B. R. Shiva Kumar

Authors
  1. C. V. Srinivas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Shyamala
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. R. Shiva Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. V. Srinivas.

Ethics declarations

Conflict of interest

Dr. C. V. Srinivas declares that he has no conflict of interest. Dr. Shyamala. V. declares that she has no conflict of interest. Dr. Shivakumar. B. R. declares that he has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Srinivas, C.V., Shyamala, V. & Shiva Kumar, B.R. Clinical Study to Evaluate the Association Between Sensorineural Hearing Loss and Diabetes Mellitus in Poorly Controlled Patients Whose HbA1c >8. Indian J Otolaryngol Head Neck Surg 68, 191–195 (2016). https://doi.org/10.1007/s12070-016-0973-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-016-0973-5

Keywords

Search

Navigation