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DIABETES & ITS EFFECTS ON OUR HEARING & BALANCE

November 2, 2021

DIABETES & ITS EFFECTS ON OUR HEARING & BALANCE

If you’ve read any of my previous blogs and posts, you know that hearing loss not only compromises communication, but it makes those with hearing loss more susceptible to social isolation, fatigue, anxiety, and depression. Hearing loss also increases our risk of falls, cognitive decline/dementia, and hospitalization.

 

Since November is National Diabetes Month, I wanted to discuss how diabetes can affect our hearing and balance. Diabetes can lead to nerve damage that affects many parts of the body. Most of us know that diabetes can affect your hands, feet, eyes, and kidneys – but many do not know that it also affects your ears. The same microvascular changes which lead to nephropathy and retinopathy in diabetic patients most likely lead to damage in the microstructure of the cochlea (article by Erin Piker & colleagues). 


The Audiology Project (TAP), an organization founded to raise awareness of the link between chronic disease and hearing and balance disorders, prompted the Centers for Disease Control (CDC) to consider recommendation for hearing testing to be included in the patient guide, Take Charge of Your Diabetes in 2016. Last year, the American Diabetes Association (ADA) recognized hearing loss in its referral criteria for initial diabetes care management in its Standards of Medical Care in Diabetes-2021. 


Here are some facts you need to know:

Hearing loss is twice as common in persons with diabetes and can present itself earlier in life compared to those without diabetes. 

Prediabetes (blood sugar levels higher than normal but not high enough yet to have type 2 diabetes) increases your risk of hearing loss by 30% compared to people with normal blood sugar levels.

Other comorbidities (cardiovascular disease, hypertension, neuropathies, etc.) can increase the risk of hearing loss even more. 

Diabetes also affects our balance and doubles our chance of falling. 


Recommendations: 

The CDC now recommends a comprehensive audiological evaluation for all patients upon diagnosis of diabetes with retests annually. 

This allows us to establish a baseline, and with periodic monitoring, it enables early identification so that Audiologists can provide education, prevention, and treatment/management strategies. 


Ask yourself the following questions. If you answer “yes” to question 1 or 2 or “no” to questions 3 through 6, it is recommended you schedule a diagnostic audiological evaluation with an audiologist. 

1. Do you or your family perceive any change in your hearing? 

2. Do you have hearing difficulty in quiet or noise? 

3. Have you had your hearing tested in the past 2 years? 

4. Do you know how diabetes can affect your hearing? 

5. Do you know what to do if you perceive a change in hearing? 

6. Do you know how to reduce your risk for hearing loss?


If you are experiencing balance problems, report this to your doctor or call an audiologist for dizziness/balance testing. If you are a physician, a simple dizziness screening questionnaire can help in determining which diabetic patients need referrals for these types of evaluations. 


What to do next:

Call 4 Bridges Audiology at (423) 521-3277 today and schedule your appointment to have your hearing evaluated if you have any of these symptoms, have diabetes, or prediabetes. 


References and Links for More Information:

https://www.theaudiologyproject.com/latest-news/2021/10/10/the-cdc-and-ada-officially-recognize-diabetes-amp-hearing-loss

https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.html

https://static1.squarespace.com/static/5b7deefb1aef1dc9d406b2e8/t/5f52eede5ff56448e951280b/1599270634638/What+you+need+to+know+ADCES+9.2020.pdf

https://www.youtube.com/watch?v=jubm14tqBKU


February 12, 2025
In the last five years, 4 Bridges Audiology owner, Dr. Courtney Guthrie, has continued to add services to become the most comprehensive audiology practice in the Chattanooga area. “The addition of evaluations for dizziness, balance issues, and vertigo has been the most beneficial to our patients. Prior to us starting this two years ago, patients had to drive to Knoxville or Nashville to get this type of test. It is a service that Chattanooga has needed for a long time,” said Dr. Guthrie. Dr. Dana Notaro joined 4 Bridges Audiology in May as the practice’s Vestibular Audiologist, focusing on helping patients find the relief they need from dizziness or vertigo and preventing fall related injuries.
By Dr. Notaro October 9, 2024
Dana Notaro, Au.D., CCC-A, F-AAA As we celebrate Audiology Awareness Month, it's essential to focus not only on hearing health but also on the often-overlooked aspect of balance: the vestibular system. Many people are unaware that dizziness can be related to issues in this system, which is crucial for maintaining our balance and spatial orientation. Let’s dive into what vestibular testing involves and why awareness of dizziness is so important for your overall health. What Is the Vestibular System? The vestibular system, located in the inner ear, plays a vital role in helping us maintain our balance and navigate our environment. It works closely with our visual and proprioceptive systems to keep us oriented. When this system is functioning properly, we can move around confidently. However, issues in the vestibular system can lead to dizziness, vertigo, and balance problems. Common Causes of Dizziness Dizziness can arise from various factors, including: Vestibular Disorders: Conditions like Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, and vestibular neuritis. Inner Ear Infections: These can disrupt balance and cause feelings of dizziness. Medication Side Effects: Certain medications can impact your balance and cause dizziness. Neurological Disorders: Conditions such as migraines or multiple sclerosis can also affect the vestibular system. Why Is Dizziness Awareness Important? Being aware of dizziness is crucial for several reasons: Quality of Life: Chronic dizziness can severely impact your daily activities, work, and social interactions. Safety: Dizziness can increase the risk of falls, particularly in older adults. Recognizing and addressing these symptoms can help prevent injuries. Underlying Conditions: Dizziness can be a symptom of underlying health issues that may require treatment. Early detection can lead to better management. What to Expect During Vestibular Testing If you're experiencing dizziness, your audiologist may recommend vestibular testing to evaluate your balance system. Here’s what you can expect: Comprehensive Assessment: Your audiologist will take a detailed history of your symptoms, including when they occur and their severity. Balance Tests: You may undergo various tests, such as: Electrophysiology Testing: This involves measuring the electrical activity in the vestibular system to assess how well each pathway is functioning, helping to identify any abnormalities. Videonystagmography (VNG): This test measures eye movements to assess the vestibular system's function in different scenarios. Rotary Chair Testing: This evaluates how your vestibular system responds to rotational movements, providing insight into how well your balance system is functioning. Caloric Testing: This test uses warm and cold air in your ears to see how well your vestibular system is working in each ear separately. Vestibular Head Impulse Test (vHIT): This checks how well your eyes and head work together during quick movements by isolating each of your 6 semicircular canals. Results and Recommendations: Based on the tests, your audiologist will discuss the results and develop a tailored plan to address your symptoms. This may include vestibular rehabilitation therapy, lifestyle changes, or referral to a specialist. Tips for Managing Dizziness If you’re experiencing dizziness, here are a few tips to help manage it: Stay Hydrated: Dehydration can exacerbate dizziness, so drink plenty of water. Limit Sudden Movements: Stand up slowly and avoid rapid head movements to minimize dizziness. Practice Balance Exercises: Simple exercises can strengthen your balance and coordination. Seek Support: Don’t hesitate to reach out to your audiologist if you have concerns about dizziness. This Audiology Awareness Month let’s not overlook the significance of our vestibular system. Awareness of dizziness and understanding the importance of vestibular testing can empower you to take control of your balance and overall health. If you or someone you know is experiencing dizziness, schedule an appointment with your audiologist to discuss your symptoms and explore your options. Together, we can work towards a safer, more balanced future!
March 12, 2024
Are you planning to take a vacation soon? Traveling with hearing aids can present a few unique challenges, but with proper preparation and a few handy tips from me, your favorite audiologist, you’ll have no problem enjoying your trip to the fullest.
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