A Clinical Study To Evaluate The Association Of Hba1c Titres In Type 2 Diabetes Mellitus And Severity Of Sensorineural Hearing Loss

Abstract

Diabetes Mellitus is the single most important metabolic newlinedisease which can affect nearly every organ system in the body (1 ,2 ) newline. newlineAccording to the International Diabetes Federation, the prevalence of newlinediabetes mellitus in India is estimated to be 77 million (8.9%) and is newlineestimated to reach 134.2 million by the year 2045. It occurs because newlineof partial or complete reduction of insulin levels which results in newlineincreased levels of blood glucose in association with long term newlinecomplications which may be vascular or neurological (3 ). In addition, newlineit affects metabolism of lipids and proteins. Among the metabolic newlinedisorders of glucose, diabetes is found commonly related to auditory newlinedisorders newlineHemoglobin A1c (HbA1c) is formed by the non -enzymatic and newlineslow glycolysis of hemoglobin in the blood; it is used to assess long - newlineterm glycemic control in diabetic patients and for diagnosis in non - newlinediabetic patients. It indicates the risk of complications in diabetes newlineand reflect the quality of follow-up control of patients. Although newlineHbA1c is below 6% in individuals without diabetes, it may also newlineexceed 10% in individuals who have uncontrolled diabetes (1 0 ) newline. newlineThis study is being done to understand the correlation between newlineHbA1c and hearing loss by comparing the audiometric parameters. newlineWith this study we aim to bring awareness to the clinicians and newlinegeneral public, the need for evaluating hearing loss in diabetic newlinepatients for prevention, early detection and control of hearing loss newline