DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20214896

Association of sensorineural hearing loss in type 2 diabetes mellitus patients: an analytical cross sectional study

Jeevan Jyoti, Ihsan Ali, Syed Waseem Abbas

Abstract


Background: The association of sensorineural hearing loss in diabetes mellitus patients is known since decades, yet there is no clear consensus among previous studies, with respect to the prevalence of SNHL in type 2 diabetes patients and the effect of duration and control of diabetes on hearing acuity. Hence the objectives of this study are to find the prevalence of SNHL in type 2 diabetes patients and to find the effect of duration and control of diabetes on hearing loss.

Methods: The present study was conducted on 100 type 2 diabetes patients and age and gender matched 100 non- diabetic controls in the age group of <50 years, selected based on inclusion and exclusion criteria. After detailed history taking and clinical examination, all subjects underwent FBS, PPBS estimation and HbA1c evaluation was done for diabetic patients. All underwent pure tone audiometry, DPOAE and BERA and the findings were recorded and analyzed.

Results: Diabetes patients had insidious onset, gradually progressive, bilaterally symmetrical SNHL. SNHL is prevalent in 73% of type 2 diabetes patients compared to 16% of controls. It is aggravated with the increasing age and duration of diabetes. Poor control of diabetes showed increased prevalence of SNHL compared to good control of diabetes.

Conclusions: There is increased prevalence of SNHL in type 2 diabetes patients and it is more evident in patients with long duration of diabetes and more pronounced in patients with poor diabetic control.


Keywords


Sensorineural hearing loss, Diabetes mellitus, PTA, DPOAE, BERA

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References


Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R, et al. The need for obtaining accurate nationwide estimates of diabetes prevalence in India ‑ Rationale for a national study on diabetes. Indian J Med Res. 2011;133:369‑80.

Diabetes blue circle symbol. International Diabetes Federation. Available at: https://www.idf.org/who-we-are/about-idf/logo.html. Accessed on 20 October 2021.

Causes of diabetes. National Institute of Diabetes and Digestive and Kidney Diseases. Available at: https://www.niddk.nih.gov/health-information/ diabetes/overview/symptoms-causes. Accessed on 20 October 2021.

Melmed S, Polonsky KS, Larsen P. Williams textbook of endocrinology. 12th ed. Philadelphia: Elsevier/Saunders; 2005:1371-35.

Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1545-602.

Vijan S. In the clinic. Type 2 diabetes. Ann Internal Med. 2010;152(5):ITC31-15.

Jorgensen MB. The inner ear in diabetes mellitus. Arch Otolaryngol. 1961;74:373-81.

Zahnert, T. The differential diagnosis of hearing loss. Deutsches Ärzteblatt Int. 2011;108(25):433-44.

Newman CW, Weinstein BE, Jacobson GP, Hug GA. Test-retest reliability of the hearing handicap inventory for adults. Ear Hearing. 1991;12 (5):355-7.

Audiology Pure-Tone Testing at eMedicine. Available at: https://emedicine.medscape.com/article/ 1822962-overview. Accessed on 20 October 2021.

Roeser RJ. Roeser's audiology desk reference. 2nd ed. New York: Thieme; 2005;415-9.

Sindhusake D, Mitchell P, Smith W, Golding M, Newall P, Hartley D, et al. Validation of self-reported hearing loss. Int J Epidemiol. 2001;30:1371-78.

Joshi KD, Galagali JR, Kanzhuly MK, Singh ID. A comparative study on effects of diabetes on auditory functions as measured by BERA and DPOAE. Int J Otorhinol Head Neck Surg. 2017;3(2):15-9.

Akinpelu OV, Mujica-Mota M, Daniel SJ. Is type 2 diabetes mellitus associated with alterations in hearing? A systematic review and meta-analysis. The Laryngoscope 2014;124:767-76.

Virtanierni J, Laakso M, Nuutinen J, Karjalainens. Scott Brown’s otolaryngology. 6th ed. London: Butterworths; 1997:3;145-9.

Rajendran S, Anandhalakshmi, Mythili B, Viswanatha R. Evaluation of the incidence of sensorineural hearing loss in patients with type 2 diabetes mellitus. Int J Biol Med Res. 2011;2(4):982-7.

Lerman-Garber I, Cuevas-Ramos D, Valdés S, Enríquez L, Lobato M, Osornio M. Sensorineural hearing loss a common finding in early-onset type 2 diabetes mellitus. Endocr Pract. 2012;18(4):549-57.

Sunkum AJK, Pingile S. A clinical study of audiological profile in diabetes mellitus patients. Eur Arch Otorhinolaryngol. 2013;270(3):875-9.

Dadhich S, Jha SG, Sinha V, Samanth TU. A prospective, observational study of incidence of sensory neural hearing loss in diabetes mellitus patients. Indian J Otol. 2018;24(2):80-2.

Tiwari A, Mudhol RS. Prevalence of sensorineural hearing loss among type-II diabetes mellitus patients attending KLES Dr. Prabhakar Kore Hospital and MRC: A cross-sectional study. Indian J Health Sci Biomed Res. 2018;11:165-9.

Ferreira JM, Fontenele-e-Silva Câmara M, César de Almeida P, Brandão Neto J, Antonio Bruno da Silva C. Audiologic characteristics of patients with diabetes mellitus type 2. Rev. 2016;18:5.

Prabhu P, Shanthala SP. Efferent Auditory System Functioning and Speech Perception in Noise in Individuals with Type II Diabetes Mellitus. J Phonet Audiol. 2016;2:1-5.

Joshi KD, Galagali JR, Kanzhuly MK, Singh ID. A comparative study on effects of diabetes on auditory functions as measured by BERA and DPOAE. Int J Otorhinolaryngol Head Neck Surg. 2017;3:347-53.

Batham C, Choudhary AK, Yousuf PS. Brainstem auditory evoked responses with duration of type-II diabetes mellitus. Ann Med Health Sci Res. 2017;7:40-5.

Suresh S, Ramlan S, Somayaji G, Sequeira N. Brainstem auditory responses in type-2 diabetes mellitus. Int J Oto Head Neck Surg. 2018;4(2):45-9.

Singh V, Agrawal U, Chaudhary AK, Ranjan M. Study of variation and latency of wave v of brain stem evoked response audiometry in north central India. Indian J Otolaryngol Head Neck Surg. 2019; 71(2): 1408-11.