Assessment of olfactory functions in diabetes mellitus

Preethi B L, A. Hasan, P. Kalra, A. Kumar M
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Abstract

The prevalence of Type 2 Diabetes Mellitus (T2DM) is increasing all over the world and is a major public health problem in India. Studies have been done on diabetes and associated complications like, retinopathy, nephropathy, neuropathy etc, but there is a paucity of research on olfactory functions in T2DM.: Assessment of olfactory functions in T2DM. This was a cross-sectional study done on 105 subjects; 35 T2DM patients ≤ 5 years disease duration and 35 T2DM patients > 5 years disease duration, and 35 controls. Ethical clearance was obtained from the Institute’s Ethics Committee, and a written informed consent was obtained from all the subjects. Assessment of olfactory functions was done by olfactory evoked potentials (OEP). The study showed that the latencies of the OEP waves in T2DM patients showed a trend towards significance both with increased duration of the disease, and higher HbA1c levels. This can be interpreted as deviation from the normal pattern of OEP, seen in normal individuals. This opens opportunities for further research in this field.: Changes in the central processing of the olfactory functions with increasing duration of T2DM and greater HbA1c levels may occur. Early detection smell impairment and meticulous control of blood sugar levels are required to prevent complications of T2DM affecting the olfactory sensation.
糖尿病患者嗅觉功能的评估
2型糖尿病(T2DM)的患病率在世界各地都在增加,是印度的一个主要公共卫生问题。已经对糖尿病和相关并发症如视网膜病变、肾病、神经病变等进行了研究,但对T2DM嗅觉功能的研究很少T2DM嗅觉功能评估。这是一项针对105名受试者的横断面研究;35名T2DM患者≤5年病程,35名T2糖尿病患者>5年病程和35名对照组。获得了研究所伦理委员会的伦理许可,并获得了所有受试者的书面知情同意书。嗅觉功能评估采用嗅觉诱发电位(OEP)。研究表明,随着疾病持续时间的延长和HbA1c水平的升高,T2DM患者的OEP波潜伏期呈显著趋势。这可以解释为偏离正常个体的OEP正常模式。这为该领域的进一步研究提供了机会随着T2DM持续时间的增加和HbA1c水平的升高,嗅觉功能的中央处理可能发生变化。需要早期发现嗅觉障碍并仔细控制血糖水平,以防止影响嗅觉的T2DM并发症。
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