Since I have type 2 diabetes, this is
not news to me, but from discussions I have had with a few type 2
people with diabetes, I know many are not aware of the possibility
of hearing loss. A key to understanding this is this statement from
the study authors, “high blood glucose
levels can damage vessels in the stria vascularis and nerves
diminishing the ability to hear.” Stria vascularis is
the upper portion of the spiral ligament that contains numerous
capillary loops and small blood vessels, and is termed the stria
vascularis. It produces endolymph for the scala media, one of the
three fluid-filled compartments of the cochlea.
Like vision loss, it is the small blood
vessels that are damaged by extended high blood glucose levels;
therefore, hearing loss develops. Yet even this is controversial as
most studies are inconsistent in results, that is, they have faults
in research protocols so that the results are always inconsistent.
It is still believed that over time, high blood glucose levels can
cause damage and diminish the ability to hear. A study by the
University of Japan found that people with diabetes have more than
two times higher prevalence of hearing impairment than those without
diabetes.
One of the strongest critics of the
study states that the study is an observational association and
additional studies are needed to clarify the relationship between
diabetes and hearing loss. When researchers compare diabetics with
non-diabetics, these observational studies cannot prove a
cause-and-effect relationship, only a correlation between diabetes
and hearing problems.
The connection between hearing loss and
diabetes was stronger among people who were 60 years of age or
younger rather than among older adults. The likelihood of having
hearing impairment in this group was 2.6 times higher. Comments
agreed and said this is consistent with the idea of poor blood
glucose management, which damages blood vessels and nerves throughout
the body and not simply old age.
It is important to be proactive in your
care. If you notice any hearing loss, report this to your doctor.
According the American Diabetes Association almost 26 million people
have diabetes. More than 34 million Americans have some type of
hearing loss and this number is rising as the baby boom generation
ages.
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