Prevalence of Sensorineural Hearing Loss and its Association with Glycemic Control in Filipino Patients with Diabetes at the Philippine General Hospital

Gutierrez, Jerico; Jimeno, Cecilia; Labra, Patrick John; Grullo, Precious Eunice R.; Cruz, Teresa Luisa

doi:10.15605/jafes.031.02.09

Cited by 3 publications

(8 citation statements)

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“…Of the n=310 diabetics enrolled in this study to determine the prevalence of SNHL in DM, a high prevalence of 46.1% (n=143) was noted. Similarly, a comparable prevalence of 43.6% has been reported by Pemmaiah & Srinivas [5], 45% by Mozaffari M et al in an Iranian study [9], and 45.31% by Gutierrez J et al [10] A much higher prevalence of 67.5% has been reported by Ren H et al [11] and 51.3% by Rajamani S et al [12] Horikawa et al [13], and Meena R et al [14] also reported a higher prevalence of HL in DM. A very low prevalence of 14.3% was reported by Trevi˜no-González et al [15] Kim et al reported in a cohort study that the incidence rate of HL in sample population with normal glucose levels and those with DM were 1.8 and 9.2 per 1000 person-years, respectively [16].…”

Section: Discussionsupporting

confidence: 76%

“…In current study prevalence of HL in males was 65.03% while in females it was 34.97% with a male to female ratio of 1.86:1, while Gutierrez J et al found no significant in SNHL gender wise with 48.94% males and 43.21% females [10]. The higher prevalence in males in this study could be due to the fact that only a small minority of female go out for work, compared to males resulting in lesser stress and HTN in females.…”

Section: Discussioncontrasting

confidence: 55%

“…In the current study results revealed that HL had significant relation to variables including age, complication of diabetes, medication dosage, duration of medication and family history of hearing loss, with p-value is less than 0.05. Similarly, a number of studies reported that age of onset [9,10,18], duration of DM [5,9,15], female gender [12], higher HbA1C level [12], diabetes control by insulin [18], DM with complications [18,19,20], disease severity [21], diabetic neuropathy [11], were associated with SNHL. Pemmaiah and Srinivas, found that in cases who had diabetes for more than 10 years, 61.7% showed at least mild HL and duration of DM and sensorineural hearing loss at 2000Hz and 4000Hz showed statistically significant correlation [5].…”

Section: Discussionmentioning

confidence: 99%

“…[19]. Also, Gutierrez J et al reported that at age 60 years and below, retinopathy was significantly associated with SNHL [10].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan

Majeed

Mumtaz

Saqulain

2019

JSTMU

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Background: Diabetes Mellitus (DM) is a common metabolic disorder with a prevalence of 11.77%. Studies report that DM can result in Sensorineural hearing loss (SNHL). A high prevalence of Hearing loss (HL) (43.6%) in diabetics was noted in an Indian study. In absence of local studies and a high expected prevalence, with no screening recommendations, this study was carried out to determine the prevalence of Sensorineural Hearing Loss (SNHL) in Diabetes Mellitus DM in Southern Punjab. Methodology: In this cross-sectional study, a sample of 310 diabetics, hailing from southern Punjab and fulfilling selection criteria were recruited. Samples were collected using probability sampling technique from September 2016 to December 2016. Following detailed history and examination, cases were subjected to pure tone audiometry (PTA) at 0.5 to 6 KHz to obtain hearing thresholds to determine the prevalence. Data was analyzed by SPSS 20. Results: Sample included N=310 diabetics with Mean age of 35.00 + 6.93 years with 58.39% males and 41.61% females. The prevalence of HL was 46.1%. Gender wise of the male population with HL, 27.97% and 28.67% had mild and moderate HL respectively with severe HL in 8.39% cases, while moderate HL was prevalent in females 20.98%, followed by mild HL in 9.97% and severe HL in 4.20%. There was significant correlation between Diabetes and SNHL with p-value < 0.05. Conclusion: There is a high prevalence of sensorineural hearing loss in Diabetes mellitus.

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Section: Discussionsupporting

confidence: 76%

Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

“…[19]. Also, Gutierrez J et al reported that at age 60 years and below, retinopathy was significantly associated with SNHL [10].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan

Majeed

Mumtaz

Saqulain

2019

JSTMU

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“…Although the findings of studies focusing on the relationship between hearing acuity and the degree of hyperglycemia by diabetes type are conflicting, 5 several risk factors have been identified as being associated with hearing loss in diabetes patients. 6 This study aimed to assess the prevalence of hearing loss and its severity among patients with type 2 diabetes in a tertiary diabetes center. The second aim of this study was to evaluate the factors associated with hearing loss.…”

Section: Introductionmentioning

confidence: 99%

Hearing loss among patients with type 2 diabetes mellitus: a cross-sectional study

Al‐Rubeaan¹,

Al-momani

AlGethami

et al. 2021

Ann Saudi Med

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BACKGROUND: Hearing loss is an underestimated comorbid condition in type 2 diabetes. OBJECTIVES: Investigate hearing loss as a comorbidity associated with type 2 diabetes mellitus and evaluate the factors associated with hearing loss. DESIGN: Cross-sectional. SETTING: Tertiary care center, diabetes clinic. PATIENTS AND METHODS: Patients with type 2 diabetes, aged 30 to 60 years, were randomly selected to participate. All patients underwent clinical ear examinations and were referred for full audiological evaluation. Otoacoustic emission was used to assess inner function, tympanometry to assess middle-ear function, and pure tone air/bone audiometry to assess hearing sensitivity. Risk factors for hearing loss were assessed by multivariate logistic regression. MAIN OUTCOME MEASURE: Frequency, severity and risk factors for hearing loss. SAMPLE SIZE: 157 RESULTS: Of the 157 patients, 77 had hearing loss in both ears (49.0%), 13 in the right ear only (8.3%), 14 in the left ear only (8.9%), and 53 (33.8%) had normal hearing. In the 181 ears with sensorineural hearing loss, 90 had mild loss (49.7%), 69 moderate loss (38.2%), 16 severe loss (8.8%) and 6 had profound loss (3.3%). Disabling hearing loss was observed in 46 (29%) patients. A higher frequency of hearing loss was present in patients with glycated hemoglobin levels ≥8%. In the multivariate logistic regression analysis, the most important factors associated with hearing loss were longer diabetes duration, poor glycemic control and the presence of hypertension. CONCLUSIONS: Hearing loss is an underestimated comorbid condition in type 2 diabetes that warrants frequent hearing assessments and management. Strict glycemic and hypertension control is essential for the minimization of the effects of diabetes on hearing sensitivity. LIMITATIONS: Small sample size, limited age window (30-60 years), which was chosen to eliminate the natural aging effect on hearing. Cross-sectional nature was not ideal for the assessment of causality. CONFLICT OF INTEREST: None.

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Association of Glycemic Index Using HbA1c and Sensorineural Hearing Loss in Diabetes Mellitus Type 2 Patients: A Systematic Review and Meta-Analysis

Quines,

Gloria

2023

Philipp J Otolaryngol Head Neck Surg

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ABSTRACT Objective: To systematically review the available evidence on the association of HBA1c levels and development of sensorineural hearing loss and to quantitatively analyze the available data on HBA1c levels in patients with type 2 diabetes mellitus and sensorineural hearing loss to determine an HbA1c level that may be associated with the risk of having sensorineural hearing loss. Methods: Design: Systematic Review and Meta-analysis Eligibility Criteria: Cross-sectional studies, or cohort studies which were limited to English language that investigated the correlation of glycemic index using HBA1c and sensorineural hearing loss among adult type 2 diabetic patients which were done from January 2010 to December 2021. Studies with no published outcome, incomplete data or that were ongoing as of August 1, 2022 were also excluded. Information Sources: MEDLINE (through PubMed), Cochrane Library, Scopus, Embase (through OVID@journal), Directory of Open Access Journals (DOAJ), Google Scholar and HERDIN Plus Risk of Bias: Risk of Bias was assessed using the Guidelines for Cochrane Collaboration Synthesis of Results: Results were presented using forest plots for representation.Results: A total of 8 studies were reviewed with 2,103 participants in all. Six articles compared hearing loss incidence between diabetic and non-diabetic patients. Overall, there were a total of 881 diabetic patients and 1222 non-diabetic patients. There was a significantly lower incidence of sensorineural hearing loss in non-diabetic patients with a risk ratio of 1.89, 95% CI [1.65, 2.16]. Three articles compared the HbA1c levels of diabetic patients with or without sensorineural hearing loss. Diabetic patients without sensorineural hearing loss had significantly lower HbA1c levels compared to those with sensorineural hearing loss with mean difference of 1.04, 95%CI [0.82, 1.25].Conclusion: In conclusion, this meta-analysis showed a higher prevalence rate of sensorineural hearing loss among patients with diabetes mellitus compared to non-diabetic patients. Moreover, poor glycemic control among diabetic patients with a glycemic index based on HbA1c of more than 8.3 (6.97-9.6) is associated with sensorineural hearing loss.

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Prevalence of Sensorineural Hearing Loss and its Association with Glycemic Control in Filipino Patients with Diabetes at the Philippine General Hospital

Abstract: Background. Sensorineural hearing loss (SNHL) is a form of diabetic neuropathy. Its prevalence rate varies from 21.7-73.3% among different populations. The association of this complication with long-term glycemic control has not been described extensively.

Cited by 3 publications

References 0 publications

Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan

Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan

Hearing loss among patients with type 2 diabetes mellitus: a cross-sectional study

Association of Glycemic Index Using HbA1c and Sensorineural Hearing Loss in Diabetes Mellitus Type 2 Patients: A Systematic Review and Meta-Analysis

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