To Evaluate the Impact of Uncontrolled HbA1C Levels on Hearing in Patients of Type 1 Diabetes Mellitus.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-11 DOI:10.1007/s12070-025-05326-6

Garima Katewa, Tarun Ojha, Priyanshi Gupta, Atul Kumar Nimawat, Jyoti Kumawat, Sayed Sazeed Khan, Kritika Arora

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Abstract

To study the prevalence of SNHL in type 1 diabetes mellitus with uncontrolled HbA1c. Prospective study. 72 patients in the age group < 18 yrs were taken for study, who were diagnosed with type 1 diabetes mellitus in department of medicine, paediatrics and endocrinology and willing to undergo ENT examination. The patients with type 2 diabetes mellitus, a history of ear disease, head or ear trauma, history of use of ototoxic drugs, with family history of congenital deafness or previously operated ear and exposure to excessive noise were excluded. A complete ENT examination was done. Written consent was taken from the parents. A note was made of the HbA1c values of the patient of last 1 year in order to classify them as controlled diabetics with regular insulin therapy and uncontrolled diabetics with irregular insulin therapy. The cut off value of HbA1c was taken as 7%. On the basis is glycemic control, the patients were divided in 2 categories, controlled (HbA1C less than 7%) and uncontrolled (HbA1C greater than 7%). The type, degree and frequency of hearing impairement were determined by pure tone audiometry (PTA) (at 500, 1000, 2000 and 4000 Hz).The degree of hearing impairement was classified according to the WHO classification. 72 patients who had type 1 diabetes mellitus were evaluated using pure tone audiometry for hearing assessment. The factors taken into consideration for studying the impact on hearing loss was gender of the patients and HbA1c value. A P value of > 0.05 was seen in case of gender of the patients and a P value of < 0.05 was seen in regard to HbA1c value. Type 1 diabetes mellitus patients with deranged HbA1c and uncontrolled diabetes have higher incidence of hearing loss as compared to the Type 1 diabetes mellitus patients with controlled disease. Therefore if patients have a controlled sugar levels with regular HbA1C monitoring, this can have a preventive action on the SNHL as compared to the patients with uncontrolled HbA1C.

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.