Does gestational diabetes result in cochlear damage?

Selçuk, Adın; Terzi, Hasan; Türkay, Ünal; Kale, Ahmet; Genç, Sinan

doi:10.1017/s0022215114002515

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…Although this study did not ind association between hearing impairment and gestational diabetes, Selcuk, et al [4], found higher frequency of hearing loss in patients with gestational diabetes.…”

Section: Discussioncontrasting

confidence: 73%

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Untitled

2019

Clin J Obstet Gynecol

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Objective: To evaluate whether the occurrence of maternal pathologies, mainly Diabetes Mellitus and Hypertensive Syndromes in the gestational or pre-gestational period may be related to hearing impairment in postpartum women.Methods: Observational, prospective study including 361 puerperal women who had their deliveries at a reference University Hospital for pregnant women with clinical history of risk. Auditory evaluation was performed by Distortion Product Otoaccoustic Emissions (DPOAE) within 14 days after delivery. Measures of central tendency and absolute and relative frequencies were used to describe the sample and the chi-square test and binary logistic regression to assess the correlation among variables. Signifi cance higher than 95% was observed and the study was approved by the Research Ethics Committee. Results:A total of 361 postpartum women were studied and 7.5% had hearing impairment. The frequency of gestational hypertension was 13.9%, that of gestational diabetes was 8.6% and that of pre-pregnancy diabetes mellitus was 5.8%. The presence of hearing impairment was signifi cantly correlated with the occurrence of pre-pregnancy diabetes mellitus (OR: 4.5 -CI: 1.51-1.47), and maternal age greater than 29 years (OR: 3.72 -1, 58-8.76); A correlation was also found between maternal age and the presence of pre-pregnancy diabetes mellitus (OR: 3.84 -CI: 1.45-10.15). Conclusion:In the population of postpartum women evaluated, having Diabetes Mellitus prior to pregnancy and belonging to the age group older than 29 years increases the chance of having hearing loss.Correlation between the presence of maternal gestational or pre-gestational pathologies and hearing impairment in the puerperal period

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Section: Discussioncontrasting

confidence: 73%

“…Recent studies report that the presence of maternal comorbidities may interfere in the occurrence of hearing loss in postpartum women [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

Clin J Obstet Gynecol

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“…One small case-control study of 27 patients with gestational diabetes and 31 nondiabetic pregnant women found significantly elevated high-frequency auditory thresholds (8,000-14,000 Hz) among women with gestational diabetes. 45 Additional work is needed in this area to better understand the possible relationship between gestational diabetes and auditory damage.…”

Section: Gestational Diabetes and Hearing Lossmentioning

confidence: 99%

Epidemiology of Diabetes and Hearing Loss

Baiduc

Helzner

2019

Semin Hear

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Hearing loss is a highly prevalent chronic condition. In addition to age, sex, noise exposure, and genetic predisposition, cardiovascular disease and its antecedents may precipitate hearing loss. Of emerging interest is the connection between diabetes and auditory dysfunction. Cross-sectional studies consistently suggest that prevalence of hearing loss is higher in persons with diabetes compared with those without diabetes, especially among younger persons. Furthermore, longitudinal studies have demonstrated higher incidence of hearing loss in persons with diabetes compared to those without diabetes. These findings seem to hold for both type 1 and type 2 diabetes, although considerably more population-based evidence is available for type 2 diabetes. Data on gestational diabetes and hearing outcomes are limited, as are data relating diabetes to otologic sequelae such as fungal infection. Here, we examine evidence from epidemiologic studies of diabetes and hearing loss and consider clinical and laboratory data where population-based data are lacking.

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“…9 Gestational diabetes mellitus can cause complications in pregnancy similar to those seen in pre-existing diabetes mellitus. 3,14 From the aforesaid account it would be reasonable to assume that cochlear dysfunction might be an outcome of gestational diabetes as the inner ear is sensitive to altered glucose metabolism in GDM. 14,15 Etiopathogenesis of this hearing loss due to DM is attributed physiologically to neuropathy and angiopathy or a combination of both.…”

Section: Introductionmentioning

confidence: 99%

“…3,14 From the aforesaid account it would be reasonable to assume that cochlear dysfunction might be an outcome of gestational diabetes as the inner ear is sensitive to altered glucose metabolism in GDM. 14,15 Etiopathogenesis of this hearing loss due to DM is attributed physiologically to neuropathy and angiopathy or a combination of both. 3,[14][15][16][17][18] The cochlea may also be a The impact of GDM on hearing loss has not been adequately explored, in spite of the involvement of the sense of hearing.…”

Section: Introductionmentioning

confidence: 99%

Does hearing loss relate to gestational diabetes mellitus?

Kwatra

Kumar

Singh

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: This study aims to check if gestational diabetes mellitus leads to changes in hearing.Methods: A prospective hospital based observational study was performed with total 60 subjects in age group of 18-40 years in the Department of Otolaryngology and Head and Neck Surgery and the Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi between November 2016 to March 2018. Subjects were divided in two groups. The first group included 30 pregnant women with diagnosed gestational diabetes mellitus and the second group had 30 pregnant women not having gestational diabetes mellitus. Pure-tone audiometry and impedance audiometry was performed twice in all the subjects, first during the antepartum period and second time during the postpartum period. Results: Significant difference was seen between the average of air conduction threshold values at speech frequencies between the two groups during both antepartum and postpartum period.Conclusions: The alterations in hearing sensitivity in air conduction between the two groups can be attributed to gestational diabetes mellitus.

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Does gestational diabetes result in cochlear damage?

Abstract: An investigation into cochlear damage in gestational diabetic patients showed significant high-frequency hearing loss. Further studies are needed to validate these findings in different ethnic groups and geographical populations.

Cited by 18 publications

References 13 publications

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Epidemiology of Diabetes and Hearing Loss

Does hearing loss relate to gestational diabetes mellitus?

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