Assessment of hearing loss in type II diabetes mellitus individuals

Authors

  • Mishal Fathima Madathumpady Abdussalam Department of Otorhinolaryngology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India
  • Amol Patil Department of Otorhinolaryngology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India
  • Jaini Lodha Bhandari Department of Otorhinolaryngology, Nanavati Max Super Speciality Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20261500

Keywords:

Type 2 diabetes mellitus, Sensorineural hearing loss, Pure tone audiometry, HbA1c

Abstract

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

Metrics Loading ...

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

Downloads

Published

2026-05-25

How to Cite

Abdussalam, M. F. M., Patil, A., & Bhandari, J. L. (2026). Assessment of hearing loss in type II diabetes mellitus individuals . International Journal of Otorhinolaryngology and Head and Neck Surgery, 12(3), 370–374. https://doi.org/10.18203/issn.2454-5929.ijohns20261500

Issue

Section

Original Research Articles