scholarly journals Correlation of hearing function findings in regard to other, subsequent complication of diabetes mellitus type 1

2009 ◽  
Vol 62 (11-12) ◽  
pp. 517-521
Author(s):  
Goran Pudar ◽  
Liljana Vlaski ◽  
Danka Filipovic ◽  
Ilija Tanackov

Introduction. Hearing loss is considered to be a subsequent complication of diabetes. Material and methods. Auditory function was analyzed in 50 patients suffering from diabetes mellitus type I, and through results of pure-tone audiometry and brainstem auditory evoked potentials in regard to the existence of subsequent complications of the disease, diabetic neuropathy (n = 20) and retinopathy (n = 13). Results and discussion. The results were correlated with the ones in those having a disease, but without these complications and the control group of 30 healthy examinees of the adequate gender and age. Patients suffering from this disease for over 10 years (83.33%), were found to have high frequency of diabetic neuropathy, increased average sensorineural hearing loss (73.04%). The average age was significantly higher (35.5 ? (3SD = 5.3) in accordance with 23.2? (3 SD = 6.3), and the disease lasted much longer (17.5 years towards 5.7 years) in those suffering from neuropathy. In the presence of diabetic retinopathy it was found that the average sensorineural hearing loss was increased for 50.43%, in comparison to those without signs of retinopathy. The average sensorineural hearing loss was found to be higher for 62.58% to 76.81% in patients with retinopathy preproliferance and retinopathy profilerance than in those with established retinopathy nonproliferance. In the presence of diabetic retinopathy, a significant difference was observed in latencies of III and IV waves from the right, and latencies of I, IV and V waves from the left ear, this is, interwaves latencies of I-III on the right ear and III-V and I-V on the left ear. Conclusion.. Subsequent complications of diabetes mellitus type 1 (neuropathy and retinopathy) have positive correlation with the significant level of sensorineural hearing loss, particulary expressed in function of patients' age, and latencies extention of brainstem auditory evoked potentials.

2010 ◽  
Vol 63 (5-6) ◽  
pp. 318-323
Author(s):  
Goran Pudar ◽  
Ljiljana Vlaski ◽  
Danka Filipovic ◽  
Ilija Tanackov

Introduction. Problems of hearing disturbances in persons suffering from diabetes have been attracting great attention for many decades. Material and methods. In this study we examined the auditory function of 50 patients suffering from diabetes mellitus type 1 of different duration by analyzing results of pure-tone audiometry and brainstem audi?tory evoked potentials. The obtained results of measuring were compared to 30 healthy subjects from the corresponding age and gender group. The group of diabetic patients was divided according to the disease duration (I group 0-5 years; II group 6-10 years, III group over 10 years). Results and discussion. A statistically significant increase of sensorineural hearing loss was found in the diabetics according to the duration of their disease (I group = 14.09%, II group = 21.39%, III group = 104.89%). The results of the brain stem auditory evoked potentials, the significance threshold being p=0.05 between the controls and the diabetics at all levels of absolute latency of right and left sides, did not show significant differences in the mean values. In the case of interwave latencies, the diabetic patients were found to have a significant qualitative difference of intervals I-III and I-V on both ears in the sense of internal distribution of response. In cases of sensorineural hearing loss we found a significant connection with prolonged latencies of I wave on the right ear and of I and V waves on the left ear. In all probability, the cause of these results could be found in distinctive individuality of the organism reactions to the consequences of this disease (disturbance in the distal part of n. cochlearis). Conclusion. The results of research have shown the existence of a significant sensorineural hearing loss in the patients with diabetes mellitus type 1 in accordance to the disease duration. We also found qualitative changes of brainstem auditory evoked potentials in the diabetic patients in comparison to the controls as well as significant quantitative changes in regard to the presence of sensorineural hearing loss of the patients.


2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Gazzaz ZJ ◽  
Makhdom MN ◽  
Dhafar KO ◽  
Maimini O ◽  
Farooq MU ◽  
...  

Objective: To find out the prevalence of otorhinolaryngological disorders in patients with diabetes mellitus who presented to Ear, Nose and Throat (ENT) clinic at Al-Noor specialist hospital, Makkah, Saudi Arabia. Materials & Methods: This observational retrospective study was carried out over a period of one year, from July 15, 2004 to July 20, 2005 by the collaboration of ENT Department and Health Research Center of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. Patients’ information was collected such as the demography, types and durations of diabetes, types of diabetic treatments, and fi nal ENT diagnosis. Subjects’ random blood sugar and hemoglobin A1c (HbA1c) levels were collected on the fi rst visit to the ENT-Outpatient Department. Results: One hundred patients met the inclusion criteria; with mean age of 51.5 years (age range 14-86 years). Thirty-nine percent of the patients were at the age of 45-54 years old. Males (52%) slightly out-numbered the females. Majority had diabetes mellitus type 2 and 78% patients had high HbA1c levels indicating poor glycemic controls. The most common ENT disorder was rhinitis (19%), followed by sensorineural hearing loss (12%) and malignant otitis externa (8%). Conclusion: The most common ENT disorder in patients with diabetes mellitus type 2 was rhinitis, followed by sensorineural hearing loss. Majority of these patients had poor glycemic control, hence can explain the predominance of certain disorders over others.


2015 ◽  
Author(s):  
Anzhalika Solntsava ◽  
Olga Zagrebaeva ◽  
Nadeya Peskavaya ◽  
Viktoryia Kozel ◽  
Hanna Mikhno

2002 ◽  
Vol 58 (23) ◽  
pp. 1589-1598
Author(s):  
ENZLIN P ◽  
MATHIEU C ◽  
VAN DEN BRUEL A ◽  
BOSTEELS J ◽  
VANDERSCHUEREN D ◽  
...  

2011 ◽  
Vol 39 (2) ◽  
pp. 377-381 ◽  
Author(s):  
HEINI POHJANKOSKI ◽  
HANNU KAUTIAINEN ◽  
MATTI KORPPI ◽  
ANNELI SAVOLAINEN

Objective.To describe the occurrence and main clinical and laboratory findings of patients having both juvenile idiopathic arthritis (JIA) and diabetes mellitus type 1 (DM-1) in a period of 30 years.Methods.Eighty-two patients having simultaneous JIA and DM-1 were identified in the reimbursement registers of the Finnish National Institute of Insurance during the period 1976–2005. Data on their clinical histories were collected from patient files.Results.Occurrence of simultaneous JIA and DM-1 increased 4.5-fold between the first (1976-85) and the last (1996–2005) decade. Prevalence of uveitis was 7%, of rheumatoid factor seropositivity 15%; 22% of patients had a third autoimmune disease [autoimmune disease (AID)], and 16% had serious psychiatric problems.Conclusion.The occurrence of patients with the 2 diseases, JIA and DM-1, increased over 3 decades. The prevalence of uveitis was low, the number of seropositive patients was high, and further cases of AID were frequent. Patients had multiple additional problems necessitating multiprofessional care.


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