[ Diabetes Type 2 ]

DIABETES AND HEARING LOSS Reporter: 樊樂遠 Supervisor: VS 廖文輝.

Patients with diabetes have a significantly higher prevalence of hearing impairment than patients without diabetes, according to a recent study accepted for publication in The Endocrine Society`s Journal of Clinical Endocrinology & Metabolism (JCEM). With aging, risk of presbycusis and diabetes increases. However, further research is needed to confirm this connection, said the team at the State University of New York Downstate Medical Center in New York City. Impaired insulin secretion is a typical finding. So what exactly is the link between diabetes and hearing loss? Click on “Click Here To View The Search Form” at the top of the results page and the search form will open. Pathological changes of the inner ear and central auditory pathway in diabetics.

While diabetes can be to blame for many health problems, such as heart disease and vision loss, many doctors still neglect hearing tests as part of a full exam for diabetics. These results suggest that diabetic patients 60 years old or younger may show early high-frequency hearing loss similar to early presbycusis. The meta-analysis, which looked at 13 studies, found that people with diabetes were 2.15 times more likely to have hearing loss. The old saying never fails- “Better to be safe than sorry.” Try to be more aware of any changes in your hearing and be mindful of any symptoms of hearing loss. Since the major aim of House Bill 656 is to improve coverage and access to supplies for diabetics, it seems appropriate that the coverage for orthotics be limited to orthotics related to the treatment of diabetes. Archives of Otolaryngology—Head & Neck Surgery, 132, 934–938. How about when someone whispers to you or talks to you from across a room?

The rechargeable units are easier to use for many people with neuropathy or other issues that limit dexterity and manipulation of small objects such as hearing aid batteries. Effects of type 2 diabetes mellitus on cochlear structure in humans. Hearing threshold in pure-tone audiometry (mean ± SD) in diabetic and control subjects Abnormalities in PTA were found even in children, adolescents and young adults with type 1 diabetes, and with relatively short duration of the disease. A 45-year-old male patient was admitted to the hospital as an emergency case after suffering from a first syncopation. For publication consideration in the newspaper, send comments to letters@usatoday.com. The relation of hearing in the elderly to the presence of cardiovascular disease and cardiovascular risk factors. But to find out more about the connection between the two conditions, more research is required.

When you have trouble keeping track of conversations, can’t pick up on the voices of small children or women, or put the volume on the TV or radio up high, get a full exam by audiologist, especially if you’re a diabetic. If insulin production and secretion are altered by disease, blood glucose dynamics will also change. Diabetes and hearing impairment in Mexican American adults: A population-based study. The Journal of Laryngology and Otology, 112, 835–839. 12  Epidemiology of Hearing Loss Study, a community- based investigation conducted in Beaver Dam, Wisconsin  defined impairment as the pure-tone average above 500, 1000, 2000, and 4000 Hz > 25 dB HL in the worse ear  a modestly increased occurrence of hearing impairment among adults with diabetes compared to those without diabetes Dalton, D., Cruickshanks, K., Klein, R., Klein, B., & Wiley, T. (1998). Association of NIDDM and hearing loss.

Diabetes Care, 21, 1540–1544. 13  National Health and Nutrition Examination Study  investigators evaluated hearing impairment using high-frequency (3000-, 4000-, 6000-, and 8000- Hz) as well as low- or middle-frequency (500-, 1000-, and 2000-Hz)  at two levels of severity (>25 and >40 dB HL)  in both the worse and better ear Bainbridge, K., Hoffman, H., & Cowie, C. (2008). Based on these estimates, the education/nutrition benefits proposed under House Bill 656 will cost approximately $28.5 million annually. (2011). 14  The prevalence of hearing impairment depends on how the condition is defined  a greater prevalence of hearing impairment was observed among adults with diagnosed diabetes than without, regardless of the definition used. 18  Persons with diabetes may experience hearing loss at earlier ages.

 In the younger group, people with diabetes had a 2.6 times higher likelihood of impaired hearing. 19  Audiologists seeing middle-aged patients with unexplained hearing loss may wish to inquire about history of diabetes and family history of diabetes.  Patients with diabetes should be encouraged in their efforts to maintain good blood glucose control in accordance with guidelines from the American Diabetes Association (2010). 21  The higher risk of hearing loss in people with diabetes did not seem to be related to other common causes of hearing loss.  younger diabetics were at even higher risk than older adults, though they could not explain why. 22 Type 1 or type 2 DM?  In 2008, researchers from the U.S.

National Institutes of Health (NIH) saw similar patterns in a sample of more than 11,000 people, with people with diabetes twice as likely to have hearing loss as those without. 23  Another limit of the analysis, Zonszein said, is that many studies did not differentiate between people with type 1 and type 2 diabetes.  Type 2 diabetes, which often is related to aging and obesity, is far more common than type 1, which is an immune-system disease that usually arises at a young age. 25  Data were obtained from 13 eligible studies (20,194 participants). Age and race were obtained from the biennial questionnaires. 26  Horikawa’s team found that diabetics were 2.15 times as likely as people without the disease to have hearing loss.  But when the results were broken down by age, people under 60 had 2.61 times the risk while people over 60 hand 1.58 times higher risk.

While some of the diabetes related hearing impairment can be prevented, these data suggest that all diabetics should have their hearing screened to determine if their disease affects their hearing is compromised by the disorder.

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