Assessment of hearing loss in type II diabetes mellitus individuals
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20261500Keywords:
Type 2 diabetes mellitus, Sensorineural hearing loss, Pure tone audiometry, HbA1cAbstract
Background: Diabetes mellitus is a chronic metabolic disorder associated with multiple microvascular and neuropathic complications. Emerging evidence suggests that diabetes may also affect the auditory system, leading to sensorineural hearing loss. The present study aimed to evaluate the incidence and severity of hearing loss in patients with type 2 diabetes mellitus and to assess its association with disease duration and glycemic control.
Methods: This prospective observational study was conducted in the Department of Otorhinolaryngology at a tertiary care center over a period of 24 months (January 2023–January 2025). A total of 60 subjects were included, comprising 30 patients with type 2 diabetes mellitus of more than five years’ duration and 30 age- and sex-matched non-diabetic controls. All participants underwent detailed clinical evaluation and hearing assessment using pure tone audiometry. Hearing loss was classified according to World Health Organization criteria. Statistical analysis was performed using Student’s t-test and chi-square test, with p<0.05 considered statistically significant.
Results: Hearing loss was more prevalent among diabetic patients compared with controls. High-frequency sensorineural hearing loss was the most common pattern observed. A significant association was found between hearing impairment, longer duration of diabetes, and elevated HbA1c levels.
Conclusions: Type 2 diabetes mellitus is associated with an increased prevalence of sensorineural hearing loss. Longer disease duration and poor glycemic control contribute to greater severity of hearing impairment. Routine audiological screening may facilitate early detection and management.
Metrics
References
American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(1):S81-90. DOI: https://doi.org/10.2337/dc14-S081
Robbins SL, Cotran RS, Kumar V. Pathologic basis of disease. Philadelphia: WB Saunders. 1991.
Myers SF, Ross MD, Jokelainen P, Graham MD, McClatchey KD. Morphological evidence of vestibular pathology in long-term experimental diabetes mellitus. Acta Otolaryngol. 1985;100:351-64. DOI: https://doi.org/10.3109/00016488509126559
Makishima K, Tanaka K. Pathological changes of the inner ear in diabetes. Ann Otol Rhinol Laryngol. 1971;80:218-28. DOI: https://doi.org/10.1177/000348947108000208
Friedman SA, Schulman RH, Weiss S. Hearing and diabetic neuropathy. Arch Intern Med. 1975;135:573-6. DOI: https://doi.org/10.1001/archinte.1975.00330040085014
Kakarlapudi V, Sawyer R, Staecker H. The effect of diabetes on sensorineural hearing loss. Otol Neurotol. 2003;24:382-6. DOI: https://doi.org/10.1097/00129492-200305000-00006
Taylor IG, Irwin J. Some audiological aspects of diabetes mellitus. J Laryngol Otol. 1978;92:99-113. DOI: https://doi.org/10.1017/S0022215100085108
Agrawal Y, Platz EA, Niparko JK. Risk factors for hearing loss in US adults. Otol Neurotol. 2009;30:139-45. DOI: https://doi.org/10.1097/MAO.0b013e318192483c
International Expert Committee. Role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1327-34. DOI: https://doi.org/10.2337/dc09-9033
Helzner EP, Contrera KJ. Type 2 diabetes and hearing impairment. Curr Diabetes Rep. 2016;16:3. DOI: https://doi.org/10.1007/s11892-015-0696-0
Bainbridge KE, Cowie CC, Gonzalez F, Hoffman HJ, Dinces E, Stamler J, et al. Risk factors for hearing impairment among adults with diabetes. J Clin Transl Endocrinol. 2016;6:15-22. DOI: https://doi.org/10.1016/j.jcte.2016.09.001
Gupta S, Eavey RD, Wang M, Curhan SG, Curhan GC. Type 2 diabetes and risk of incident hearing loss. Diabetologia. 2019;62:281-5. DOI: https://doi.org/10.1007/s00125-018-4766-0
Gong R, Hu X, Gong C, Long M, Han R, Zhou L, et al. Hearing loss prevalence among older adults. Int J Audiol. 2018;57:354-9. DOI: https://doi.org/10.1080/14992027.2017.1423404
Mishra A, Poorey VK. Clinical and audiometric assessment of hearing loss in diabetes mellitus. Indian J Otolaryngol Head Neck Surg. 2019;71:1490-4. DOI: https://doi.org/10.1007/s12070-018-1566-2
Kumar P, Mishra SK, Prakash V, Singh A, Gupta R. Correlation between HbA1c and sensorineural hearing loss in diabetics. Int J Res Med Sci. 2023;11:2605-10. DOI: https://doi.org/10.18203/2320-6012.ijrms20232107
Al-Rubeaan K, Al-Momani M, AlGethami AK, Darandari J, Alsalhi A, AlNaqeeb D, et al. Hearing loss among patients with type 2 diabetes mellitus. Ann Saudi Med. 2021;41:171-8. DOI: https://doi.org/10.5144/0256-4947.2021.171
Frisina ST, Mapes F, Kim S, Frisina DR, Frisina RD. Characterization of hearing loss in aged type II diabetics. Hear Res. 2006;211:103-13. DOI: https://doi.org/10.1016/j.heares.2005.09.002
Jyothi AC, Malli MNA. Prevalence of sensorineural hearing loss in type 2 diabetes mellitus. Int J Otorhinolaryngol Head Neck Surg. 2019;5:1227-33. DOI: https://doi.org/10.18203/issn.2454-5929.ijohns20193860