CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(02): e281-e288
DOI: 10.1055/s-0041-1726041
Systematic Review

Auditory and Vestibular Functioning in Individuals with Type-2 Diabetes Mellitus: A Systematic Review

1   Department of Audiology, All India Institute of Speech and Hearing, Mysuru, Karnataka, India
1   Department of Audiology, All India Institute of Speech and Hearing, Mysuru, Karnataka, India
2   Department of Audiology, JSS Institute of Speech and Hearing, Mysuru, Karnataka, India
2   Department of Audiology, JSS Institute of Speech and Hearing, Mysuru, Karnataka, India
2   Department of Audiology, JSS Institute of Speech and Hearing, Mysuru, Karnataka, India
Bhanu Kumar Muthaiah
3   Department of Medicine, JSS Medical College, Mysuru, Karnataka, India
› Author Affiliations


Introduction Diabetes mellitus is a metabolic disease associated with a rise in the level of blood glucose. Individuals with diabetes mellitus are more likely to develop hearing loss, tinnitus, and dizziness due to macro- and microvascular complications. The extent to which auditory and vestibular functions are impaired in individuals with type-2 diabetes mellitus is still under debate.

Objective To systematically review studies focusing on auditory and vestibular functions in individuals with type-2 diabetes mellitus.

Data Synthesis A search was conducted in the PubMed, MedlinePlus, Ingenta Connect and Google Scholar databases for articles published until June 2019. A total of 15,980 articles were primarily retrieved, 33 of which were shortlisted based on the inclusion criteria set by the investigators for the systematic review. Out of 33 full-length articles, 26 evaluated the functioning of the auditory system, while 7 evaluated the functioning of the vestibular system. Most studies related to auditory functioning reported a significant effect of type-2 diabetes mellitus on the peripheral auditory system, whereas studies on vestibular functioning reported no significant effect of diabetes mellitus on the functioning of the peripheral vestibular end-organ.

Conclusion Overall, the results of various audiological and peripheral vestibular tests reveal distinctive peripheral and/or central auditory and vestibular end-organ impairments in individuals with type-2 diabetes mellitus.

Publication History

Received: 23 April 2020

Accepted: 24 November 2020

Article published online:
20 July 2021

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