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Diabetes and Auditory-Vestibular Pathology
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In: ETSU Faculty Works (2019)
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Putting It All Together: A Roundtable Featuring the ETSU Cochlear Implant Team
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In: ETSU Faculty Works (2017)
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Diabetes Mellitus and the Effects on Auditory Processing
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In: ETSU Faculty Works (2017)
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Abstract:
Diabetes mellitus (DM) is a systemic disease that affects a number of sensory systems and is a major public health concern. A common, but under-recognized complication of DM is hearing difficulty. However, research on DM-related auditory deficits is relatively sparse. Recent data shows over a two-fold higher prevalence of hearing impairment in diabetic patients compared to non-diabetic individuals, further solidifying this strong association between diabetes and hearing loss. However, the nature of these hearing difficulties has not been clearly elucidated. In the present study, the auditory processing abilities of a group of adults (N = 9; mean age = 53.3) with type 2 DM was compared to an age matched control group (N = 9; mean age= 47.6). In addition, visual processing abilities of the participants were examined to determine if the hearing difficulties associated with DM were a function of a more global sensory deficit. The selection criteria for the DM group included age, duration of diabetes (> 5 years), and recent measures of diabetic control (hemoglobin A1C and blood sugar). Further, all participants in the test and control groups had a comprehensive hearing evaluation and had hearing (measured with pure tones 250-4000 Hz) within normal limits bilaterally. The following test measures were recorded. The Michigan Neuropathy Screening Instrument (MNSI) was administered to screen each subject for peripheral neuropathy symptoms. The Speech, Spatial & Qualities (SSQ12) questionnaire was administered to attain a measure of each individuals subjective hearing complaints. Subtle deficits in the peripheral auditory system were examined using (a) Extended high frequency audiometry, that assessed ultra high frequencies from 9000-16000 Hz bilaterally, (b) The Threshold Equalizing Noise (TEN) test, to assess for potential dead regions within the cochlea, and (c) Distortion product otoacoustic emissions (DPOAE) were collected bilaterally to assess frequency specific cochlear outer hair cell function. Higher-order auditory processing was examined with the Quick Speech in Noise Test (QuickSIN), the Listening in Spatial Noise test-Sentences (LiSN-S) and the Random gap detection, to measure temporal processing abilities. Further, the Text Reception Threshold Test (TRT) was employed to examine visual processing abilities. The results revealed that individuals with DM had significantly (a) Elevated high frequency (> 4 kHz) pure tone thresholds; (b) Increased self-reported hearing difficulties based on SSQ12 scores (c) Poorer spatial listening in noise skills based on LiSN results, (d) Lower DPOAE amplitudes for higher frequencies, and (e) Poorer temporal processing skills based on the average gap detection thresholds, when compared to the age-matched controls. These findings not only support the strong association between diabetes and hearing loss, they suggest that that even individuals with controlled diabetes potentially suffer with subclinical auditory processing deficits that may affect their quality of life. These findings have implications in the management of DM in the future. Further research is needed in order to determine clinically feasible means of evaluating DM subjects.
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Keyword:
and Metabolism; APD; audiology; Audiology and Speech-Language Pathology; auditory processing; Diabetes; diabetes mellitus; Endocrinology; Speech Pathology and Audiology
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URL: https://dc.etsu.edu/etsu-works/1572
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Musical Training Influences Auditory Temporal Processing
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In: ETSU Faculty Works (2016)
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Preadolescent Musical Training Influences Spatial Listening and Temporal Processing
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In: ETSU Faculty Works (2016)
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Pediatric Cochlear Implants: "Putting it All Togther"
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In: ETSU Faculty Works (2016)
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(Central) Auditory Processing Disorders: A Hearing Loss of the Brain
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In: ETSU Faculty Works (2016)
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In Vivo Simulation Compared to Video Simulation Training: Identifying Clinical Distress Makers when Feeding Preterm Infants.
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In: ETSU Faculty Works (2016)
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Investigation of Auditory Processing Deficits in Patients with Diabetes Mellitus
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In: ETSU Faculty Works (2015)
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Pediatric Audiological Evaluation
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In: ETSU Faculty Works (2015)
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Prevalence Of Infant Hearing Impairment: International Multicenter
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In: ETSU Faculty Works (2014)
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Investigation of Auditory Processing Deficits in Patients With Type II Diabetes Mellitus (DM)
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In: ETSU Faculty Works (2014)
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Auditory Processing Disorders in Children
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In: ETSU Faculty Works (2013)
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The Occurrence of Hearing Impairment in Brazilian Children : A Systematic Review
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In: ETSU Faculty Works (2013)
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Hearing Loss in the Dental Office: The Effects of High Speed Dental Drills on Dentists' Hearing
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In: ETSU Faculty Works (2013)
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Auditory Processing Disorders in School-aged Children
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In: ETSU Faculty Works (2013)
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Cochlear Implantation: Candidacy, Outcomes and Possibilities
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In: ETSU Faculty Works (2012)
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Auditory Temporal Processing of Speech and Non-speech Contrasts in Specialized Listeners
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In: ETSU Faculty Works (2012)
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Temporal Processing in Low-Frequency Channels: Effects of Age and Hearing Loss in Middle-Aged Listeners
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In: ETSU Faculty Works (2011)
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A Cross-Linguistic Examination of Cortical Auditory Evoked Potentials for a Categorical Voicing Contrast
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In: ETSU Faculty Works (2011)
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