Hearing Loss and Diabetes: What You Need to Know

Oct 30, 2023
Fact Checked
Uncontrolled blood sugar from diabetes can harm your hearing. Read on to find out symptoms and prevention tips for maintaining your hearing health.

Key Takeaways

Diabetes is more prevalent than many people realize and affects roughly 37 million people in the United States [1]Footnote: Diabetes and Hearing Loss. American Diabetes Association. August 12, 2023. Found on the internet at https://diabetes.org/diabetes/diabetes-and-hearing-loss or one in 10 Americans. Of these, one in five is unaware that they have diabetes. Prediabetes is even more prevalent, affecting more than one in three American adults, with eight in 10 unaware. [2]The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention (CDC). April 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html.

Many with diabetes may be familiar with its potential complications, including damage to the nerves (neuropathy), eyes (retinopathy), and kidneys (nephropathy). Although the prevalence of hearing loss is twice as likely for those with diabetes, people may not recognize the symptoms themselves as they happen slowly. [1]Footnote: Diabetes and Hearing Loss. American Diabetes Association. Found on the internet at https://diabetes.org/diabetes/diabetes-and-hearing-loss

Similar to high blood pressure, there is no way a health care provider can see hearing loss. These conditions must be diagnosed through measurement with specific devices and by professionals. While blood pressure is a common measurement obtained when visiting your primary care provider, hearing tests require a specialist, like an audiologist, to determine hearing loss. But a validated hearing screener, who could be an assistant or a nurse, can determine if a hearing test is necessary. If you have diabetes, understanding the potential risk of hearing loss may help you seek treatment earlier.

The science behind diabetes and hearing loss

The American Diabetes Association notes the relationship between diabetes and hearing loss isn’t fully understood. Theories suggest damage may occur to the small blood vessels in the inner ear, which then leads to hearing loss. [1]Footnote: Diabetes and Hearing Loss. American Diabetes Association. Found on the internet at https://diabetes.org/diabetes/diabetes-and-hearing-loss

According to the National Institutes of Health (NIH), hearing loss is twice as likely for people with diabetes. [3]Hearing Loss Is Common in People with Diabetes. National Institutes of Health (NIH). June 16, 2008. Found on the internet at https://www.nih.gov/news-events/news-releases/hearing-loss-common-people-diabetes Losing your hearing is a common problem with aging, and around 36 million people report some degree of hearing loss. The link between hearing loss and diabetes has been studied and debated since the 1960s or earlier. An analysis spanning 13 studies researching hearing loss in people with diabetes concluded there was a higher prevalence of hearing loss among people with diabetes. [4]The Journal of clinical endocrinology and metabolism. Diabetes and risk of hearing impairment in adults: a meta-analysis. January 1, 2013. Found on the internet at https://academic.oup.com/jcem/article/98/1/51/2823051?login=false

This might happen because extended periods of high blood sugar can damage small blood vessels in the inner ear. Over time, low blood sugar can damage the nerves linking the inner ear to the brain. Each of these types of damage can lead to hearing loss. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht

Hypertension, the clinical term for high blood pressure, is a common condition among people with diabetes and can also lead to hearing loss. [2]The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention (CDC). April 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html When blood pressure is elevated, blood travels through vessels much faster and can damage the vessel lining. Fatty plaque can build up on the damaged areas. If this combination of damage and plaque buildup occurs in the blood vessels of the ear, it can lead to hearing loss.

Research shows as blood pressure increases, hearing decreases, although this type of hearing loss can be reversed if the blood pressure returns to normal. [6]Agarwal S, et al. Effects of Hypertension on Hearing. Indian Journal of Otolaryngology and Head & Neck Surgery. December 2013. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3889339

Smoking is a known cause of Type 2 diabetes, with 30%–40% of smokers more likely to develop the condition. This happens when nicotine and carbon monoxide constrict the blood vessels of the ear. [7]Smoking and Diabetes. Centers for Disease Control and Prevention (CDC). May 5, 2022. Found on the internet at https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html

Nicotine and smoke also impact hearing by:

quote icon

Diabetes-related hearing loss can affect anyone with diabetes, but it’s observed more commonly in people who have had long-standing diabetes or those who have not adequately managed their blood sugar levels. These people tend to have fluctuating or high blood sugar that can lead to damage in the small blood vessels in the inner ear, which in turn can impact normal hearing function.

Jabe Brown, founder of Australia-based Melbourne Functional Medicine

Research shows 73.6% of people with diabetes have hypertension, which can lead to hearing loss. Additionally, people with diabetes who currently smoke are more likely to experience hearing loss. [8]Naha, Sowjanya, et al. Hypertension in Diabetes. Endotext. Aug. 7, 2021. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK279027 Quitting smoking eliminates the additional constriction of the blood vessels in the ear and may reduce hearing loss.

Past studies have also shown hearing impairment in people with diabetes was more common in those under 60. [4]The Journal of clinical endocrinology and metabolism. Diabetes and risk of hearing impairment in adults: a meta-analysis. January 1, 2013. Found on the internet at https://academic.oup.com/jcem/article/98/1/51/2823051?login=false But in general, people with poorly controlled diabetes may experience hearing loss due to extended high and low blood sugar periods. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht

Why does hearing loss matter?

Hearing loss can have a significant impact on your overall health and quality of life. It can lead to difficulty communicating with others, social isolation, frustration, and falls. [9]Deafness and Hearing Loss. World Health Organization (WHO). Found on the internet at https://www.who.int/health-topics/hearing-loss#tab=tab_1 These impacts are more common among older adults with hearing loss. [10]Bigelow, Robin T., et al. Association of Hearing Loss With Psychological Distress and Utilization of Mental Health Services Among Adults in the United States. Jama Network. July 20, 2020. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372323. The incidence of cognitive impairments, including the development of dementia and Alzheimer’s disease, can also be greater in people with hearing loss, [11]Hearing Loss and Cognitive Impairment: Epidemiology, Common Pathophysiological Findings, and Treatment Considerations. October 17, 2021. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8538578/ while people who experience mental health issues, including depression, may experience worsening symptoms as a result of hearing loss.

quote icon

Hearing loss matters profoundly. It doesn’t just affect an individual’srnability to understand conversations, it also encompasses aspects of balance, alertness to environmental hazards, and the enjoyment of music or the everyday sounds of nature. An impaired hearing can lead to a deficit in these experiences, ultimately compromising the quality of life.

—Jabe Brown

Hearing problems caused by diabetes

People with diabetes may experience multiple hearing complications. Inner ear blood vessel and nerve damage can occur with Type 1 and Type 2 diabetes. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht But the most common hearing loss seen in people with Type 2 diabetes [12]Hearing Loss and Diabetes. American Speech-Language-Hearing Association (ASHA). July 2015. Found on the internet at https://www.asha.org/articles/hearing-loss-and-diabetes/ is presbycusis or age-related hearing loss.

Presbycusis hearing loss

Presbycusis is bilateral (both ears) high frequency and sensorineural hearing loss, [13]Sensorineural Hearing Loss. American Speech-Language-Hearing Association (ASHA). Found on the internet at https://www.asha.org/public/hearing/sensorineural-hearing-loss/ which means your ability to hear higher pitches slowly declines. The loss of hearing is usually permanent with this condition, and it affects roughly one in three people age 65–74 and almost 50% of those 75 and older in the United States. [14]Age-Related Hearing Loss (Presbycusis). National Institute on Deafness and Other Communication Disorders. Updated March 17 2023. Found in the internet at https://www.nidcd.nih.gov/health/age-related-hearing-loss.

Sensorineural Hearing Loss (SNHL)

SNHL occurs when there is damage to the inner ear. [13]Sensorineural Hearing Loss. American Speech-Language-Hearing Association (ASHA). Found on the internet at https://www.asha.org/public/hearing/sensorineural-hearing-loss/ Poor control of diabetes may result in low blood sugar, which causes damage to the nerves, and high blood sugar causes damage to the blood vessels in the inner ear. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht

Cochlear damage

The ear’s cochlea contains many blood vessels. [15]Effects of Diabetes on Hearing and Cochlear Structures. Journal of Otology. December 2013. Found on the internet at https://www.sciencedirect.com/science/article/pii/S1672293013500171 The damage caused to the blood vessels of the cochlea by high blood sugar may lead to hearing loss. The hearing loss, in this instance, results in a decreased blood supply, leading to improper function of the cochlea.

Auditory Neuropathy

Hearing problems in people with diabetes may be due to the loss of outer and inner hair cells and the loss of neurons in the inner ear that lead to auditory neuropathy. [16]Clinical and Experimental Otorhinolaryngology. Effect of Rutin on Diabetic Auditory Neuropathy in an Experimental Rat Model. August 10, 2020. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373845/ People with auditory neuropathy may experience hearing loss, tinnitus, and dizziness.

Tinnitus

People with diabetes may also experience ringing (or other sounds) in the ears (tinnitus) as a common symptom. Tinnitus may be present with or without hearing loss. [17]Taneja N. Tinnitus, hearing impairment and diabetes: A mini-review. Otolaryngol Open J. 2017. Found on the internet at https://openventio.org/wp-content/uploads/Tinnitus-Hearing-Impairment-and-Diabetes-A-Mini-Review-OTLOJ-SE-5-102.pdf

Ear infections and itchiness

People with diabetes have less acidic earwax making them prone to outer ear infections (including the ear canal). Itchy ears can also be caused by diabetes. [18]Armstrong, Carrie. Diagnosis and Management of Cerumen Impaction. American Family Physician. November 2009. Found on the internet at https://www.aafp.org/pubs/afp/issues/2009/1101/p1011.html

Auditory neuropathy spectrum disorder (ANSD)

People with this hearing problem have difficulty understanding speech but may be able to interpret sounds normally. [19]Auditory Neuropathy. National Institute on Deafness and Other Communication Disorders. Found on the internet at https://www.nidcd.nih.gov/health/auditory-neuropathy The causes of the disorder may be related to problems with the ear’s inner hair cells or auditory neurons. Similar to ANSD, Auditory Processing Disorder (APD) is likely linked to diabetes by the same mechanisms. APD indicates the brain piece of hearing (nerves and blood vessels) is what’s damaged, while ANSD is when the peripheral hearing system (cochlea’s inner hair cells and auditory nerve) is what’s damaged.

What people with diabetes can do about hearing loss

If you feel you are having trouble with your hearing or your friends or family have mentioned this to you, take action. You can try online hearing screens, such as the hearScreenUSA from The Audiology Project. [20]hearScreen USA. The Audiology Project. Found on the internet at https://www.theaudiologyproject.com/hearscreenusa Some hearing aid brands also have online hearing tests, like Eargo and Jabra Enhance. You can consult your provider or contact a local hearing clinic.

Know the symptoms of hearing loss

Hearing loss occurs over time and can be difficult to recognize. Signs of hearing loss may include:

The degrees of hearing loss are mild or slight, moderate, severe, and profound. [21]American Speech-Language-Hearing Association (ASHA). Degree of Hearing Loss. Found on the internet at https://www.asha.org/public/hearing/degree-of-hearing-loss/

Degrees of hearing loss shown against green to red background from normal, slight, moderate, and severe to profound

The degrees of hearing loss are mild or slight, moderate, severe, and profound.

Protect your ears

People with diabetes should focus on blood sugar control to help prevent hearing loss from diabetes. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht The CDC provides some tips to prevent hearing loss from loud noise. These include:

Manage your diabetes

Taking control of your diabetes by following your providers’ recommendations is crucial to your overall health. Work to keep your blood sugar within the target range, and follow your diabetes care schedule to stay on track to meet your goals. [23]Your Diabetes Care Schedule. Centers for Disease Control and Prevention (CDC). April 19, 2023. Found on the internet at https://www.cdc.gov/diabetes/managing/care-schedule.html Maintaining your target blood sugar level will help decrease your risk of hearing loss. You can also attend a diabetes education course in your area. The Association of Diabetes Care & Education Specialists (ADCES) has a locator tool on its website to help you find an education program near you. [25]Association of Diabetes Care & Education Specialists (ADCES). Find an Accredited Diabetes Self-Management Education and Support Program in Your Area. Found on the internet at https://nf01.diabeteseducator.org/eweb/DynamicPage.aspx?Site=aade&WebCode=DEAPFindApprovedProgram

Try prevention strategies

You can also try proven strategies to cut your diabetes risk. 

The Mayo Clinic recommends you follow these five tips to prevent diabetes:

  1. Lose extra weight
  2. Be more physically active
  3. Eat healthy plant foods
  4. Eat healthy fats
  5. Skip fad diets and make healthier choices

These lifestyle changes can help prevent the onset of type 2 diabetes, which is the most common form of the disease.

NCOA also recommends you use a program from the Self-Management Resource Center called Diabetes Self-Management. This program is free and helps participants address everyday activities like exercise, nutrition, and symptom management.

Get your hearing checked regularly

People with diabetes have more risk factors for hearing loss. It’s important to include hearing checkups as a part of your diabetes care schedule. [23]Your Diabetes Care Schedule. Centers for Disease Control and Prevention (CDC). April 19, 2023. Found on the internet at https://www.cdc.gov/diabetes/managing/care-schedule.html You should have your hearing tested by an audiologist when first diagnosed with diabetes for a baseline measurement. [5]Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.ht Here are some questions to ask your provider about hearing loss:

Talk to your health care provider about risk factors for hearing loss comorbidities

You can help prevent hearing loss by addressing some common risk factors:

Be sure to speak with your provider about your options for quitting smoking and maintaining your blood pressure and cholesterol levels. A statin medication may be an option, which has been shown to decrease the hearing loss risk from high cholesterol. [27]Bamini, Gopinath, et al. Dietary Intake of Cholesterol is Positively Associated and Use of Cholesterol-Lowering Medication is Negatively Associated with Prevalent Age-Related Hearing Loss. July 2011. Found on the internet at https://jn.nutrition.org/article/S0022-3166(22)03001-2/fulltext

Accessing hearing support for people with diabetes

Caring for your diabetes is expensive. The cost of medications, blood sugar monitoring devices, and other supplies can add up quickly. [28]The Cost of Diabetes. American Diabetes Association. Found on the internet at https://diabetes.org/about-us/statistics/cost-diabetes#:~:text=People%20with%20diagnosed%20diabetes%20incur,%249%2C601%20is%20attributed%20to%20diabetes. Managing hearing loss associated with diabetes can require expensive hearing aids or other assistive devices. Hearing aids or personal sound amplification products (PSAPs) are usually the first line of assistance for people with hearing loss. [29]Hearing Aids and Personal Sound Amplification Products: What to Know. U.S. Food & Drug Administration (FDA). May 4, 2023. Found on the internet at https://www.fda.gov/consumers/consumer-updates/hearing-aids-and-personal-sound-amplification-products-what-know Hearing aids are designed to help impaired hearing, while PSAPs are useful if you have normal hearing but are having difficulty with sound in certain situations, like watching TV.

OTC hearing aids and PSAPs

Assistive devices for hearing loss are no longer limited to prescription hearing aids. Over-the-counter (OTC) hearing aids and PSAPs can be effective lower-cost alternatives.

Several additional costs are associated with prescription hearing aids, including medical exams, audiologist fittings, and purchases from licensed sellers. OTC hearing aids do not require medical exams, prescriptions, audiologist fittings, or licensed sellers.

It’s important to remember OTC hearing aids are only available for adults 18 and over with perceived mild to moderate hearing loss. People of any age can use prescription hearing aids for mild, moderate, or severe hearing loss.

While prescription and OTC hearing aids are medical devices and must comply with FDA requirements, PSAPs are electronic products and are not considered medical devices. These devices are used to amplify sounds for people with normal hearing, who have perceived hearing difficulties. [29]Hearing Aids and Personal Sound Amplification Products: What to Know. U.S. Food & Drug Administration (FDA). May 4, 2023. Found on the internet at https://www.fda.gov/consumers/consumer-updates/hearing-aids-and-personal-sound-amplification-products-what-know

Getting help paying for hearing aids

When you decide the time is right to address hearing loss, you may be able to get financial assistance for hearing aids. Assistance may be available through your private insurance company, Medicare Advantage (Medicare Part C), and Medicaid, but plans vary, so check with your health care provider for specific coverage. Community-specific hearing aid resources are also available through organizations like the U.S. Department of Veterans Affairs (VA), federal employee programs, state vocational rehabilitation plans, and employee benefits programs.

Offsetting diabetes costs

You may also be eligible for financial assistance to help with the cost of treating diabetes and its complications, including hearing loss. Some states, like Washington, offer property tax discounts to older adults with health conditions, including diabetes and hearing loss. [30]Property Tax Exemption for Senior Citizens and People with Disabilities. Washington State Department of Revenue. July 31, 2023. Found on the internet at https://dor.wa.gov/sites/default/files/2022-02/PTDeferral_SeniorsDisabilities.pdf?uid=64d66c10e11d6 You can also consult your tax advisor to determine eligibility for income tax breaks on diabetes expenses. [31]Tax Deductions for Diabetes. Intuit. February 15, 2023. Found on the internet at https://turbotax.intuit.com/tax-tips/health-care/tax-deductions-for-diabetes/L2GQqVIqJ

How to navigate hearing loss

Problems with your hearing can significantly impact your life. Speak with your provider about hearing tests and other resources available to you. Talking with your friends and family about your hearing problems can help you cope with hearing loss. [32]Hearing Loss: A Common Problem for Older Adults. National Institutes of Health (NIH). January 19, 2023. Found on the internet at https://www.nia.nih.gov/health/hearing-and-hearing-loss/hearing-loss-common-problem-older-adults Explain how they can help you hear better by facing you and speaking louder and more clearly. You can also monitor their facial expressions and gestures to help you understand what they communicate, and ask them to clarify anything you didn’t understand.

Adapt your activity

Changes to your hearing and/or inner ears can lead to problems with balance and increase the risk of falling. [33]Increased Risk of Falling. American Academy of Audiology. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/increased-risk-of-falling/ Choose exercises that will assist your balance in some way, like holding the handrails on the treadmill or sitting on an exercise bike. Some people with hearing loss have found virtual exercise programs work better than in-person options. [34]Han, Chul, et al. Effects of Long-Term Exercise on Age-Related Hearing Loss in Mice. Journal of Neuroscience. Nov 2, 2016 . Found on the internet at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5148246/#%3A~%3Atext=Because+the+EP+is+generated%2CEP+and+causing+hearing+loss.%2F Focusing one-on-one with a virtual trainer makes hearing the instructions easier than in a large in-person class. Wear your hearing devices when exercising to maintain effective communication. Changing exercise options may be necessary to maintain your safety. Consult your provider or other health care professionals to develop a personalized exercise program.

Care for your mental health

Untreated hearing loss can lead to feelings of isolation and depression, which can result in an overall poorer quality of life. Treating depression is important for maintaining your overall mental health. Psychotherapy and medications are commonly used to treat depression. But if left untreated, depression can lead to cognitive decline and worsen your diabetes symptoms. [35]American Academy of Audiology. Depression and Hearing Loss. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/depression-and-hearing-loss/

If you decide to pursue therapy as a treatment option, several resources are available to help you choose the right therapist in addition to asking your primary care provider for a recommendation. These include finding your local Mental Health America affiliate [36]Find An Affiliate. Mental Health America. Found on the internet at https://arc.mhanational.org/find-affiliate or using an online therapy directory. [37]Online Therapy Listings. International Therapist Directory. Found on the internet at https://internationaltherapistdirectory.com/online-listings/ Hearing support groups [38]Support Services for Adults. American Speech-Language-Hearing Association (ASHA). Found on the internet at https://www.asha.org/public/hearing/support-services-for-adults/ can connect you with others experiencing hearing loss. National support groups include the Hearing Loss Association of America and the Association of Late-Deafened Adults.

The Audiology Project aims to educate consumers and health professionals about the prevalence of health conditions associated with hearing loss. The project provides information on multiple hearing-related topics related to diabetes.

Stay sharp

Unfortunately, your risk of developing dementia increases with untreated hearing loss. [39]Dementia and Hearing Loss. American Academy of Audiology. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/dementia-and-hearing-loss/ Higher demands on cognitive resources from hearing loss may reduce resources available for memory and thinking. This can lead to a faster rate of cognitive decline. Physical changes in the brain result from hearing loss and can also impact cognitive function. You may be able to decrease the rate of cognitive decline through regular physical activity, a healthy diet, social activity, and intellectual stimulation. [40]Caring for Older Patients With Cognitive Impairment. National Institute on Aging. March 15, 2023. Found on the internet at https://www.nia.nih.gov/health/caring-older-patients-cognitive-impairment.

Brown noted, “Coping with hearing loss is a process that integrates specific lifestyle changes, hearing aids, and regular check-ups. Becoming educated about the relationship between diabetes and hearing loss can significantly help. As part of a holistic approach, staying proactive about maintaining controlled blood sugar levels, having regular hearing assessments, and maintaining a healthy lifestyle can all contribute to better hearing health.”

Bottom line

Thirty-seven million Americans have diabetes and are twice as likely [3]Hearing Loss Is Common in People with Diabetes. National Institutes of Health (NIH). June 16, 2008. Found on the internet at https://www.nih.gov/news-events/news-releases/hearing-loss-common-people-diabetes to develop hearing loss than those without. [1]Footnote: Diabetes and Hearing Loss. American Diabetes Association. Found on the internet at https://diabetes.org/diabetes/diabetes-and-hearing-loss Hearing loss in people with diabetes is caused by damage to the blood vessels and nerves of the inner ear, which happens when there are prolonged periods of high and low blood sugar. [2]The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention (CDC). April 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html. Smoking, high blood pressure, and high cholesterol contribute to the risk of hearing loss. Quitting smoking and maintaining normal blood pressure and cholesterol levels can help decrease this risk. Managing diabetes is expensive, and treating hearing loss adds to this cost.

Fortunately, there may be financial assistance programs available to help you. While hearing problems can lead to difficulty with physical activity, mental health, and overall cognitive function, you can reduce your overall risks through prevention and treatment, and minimize the impact of hearing loss on your quality of life.

Have questions about this review? Email us at reviewsteam@ncoa.org.

Sources

  1. Diabetes and Hearing Loss. American Diabetes Association. Found on the internet at https://diabetes.org/diabetes/diabetes-and-hearing-loss
  2. The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention (CDC). April 4, 2023. Found on the internet at https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html
  3. Hearing Loss Is Common in People with Diabetes. National Institutes of Health (NIH). June 16, 2008. Found on the internet at https://www.nih.gov/news-events/news-releases/hearing-loss-common-people-diabetes
  4. Horikawa, Chika, et al. Diabetes and Risk of Hearing Impairment in Adults: a Meta-Analysis.The Journal of Clinical Endocrinology and Metabolism. Jan. 1, 2013. Found on the internet at https://academic.oup.com/jcem/article/98/1/51/2823051?login=false
  5. Diabetes and Hearing Loss. Centers for Disease Control and Prevention (CDC). May 27, 2022. Found on the internet at https://www.cdc.gov/diabetes/managing/diabetes-hearing-loss.html
  6. Agarwal, Saurabh, et al. Effects of Hypertension on Hearing. Indian Journal of Otolaryngology and Head & Neck Surgery. December 2013. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3889339
  7. Smoking and Diabetes. Centers for Disease Control and Prevention (CDC). May 5, 2022. Found on the internet at https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html
  8. Naha, Sojanya, et al. Hypertension in Diabetes. Endotext. Aug. 7, 2021. Found on the internet at https://www.ncbi.nlm.nih.gov/books/NBK279027
  9. Deafness and Hearing Loss. World Health Organization (WHO). Found on the internet at https://www.who.int/health-topics/hearing-loss#tab=tab_1
  10. Bigelow, Robin T, et al. Association of Hearing Loss With Psychological Distress and Utilization of Mental Health Services Among Adults in the United States. Jama Network. July 20, 2020. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7372323
  11. Bisogno, Antonella, et al. Hearing Loss and Cognitive Impairment: Epidemiology, Common Pathophysiological Findings, and Treatment Considerations. Life (Basel). Oct. 17, 2021. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8538578
  12. Hearing Loss and Diabetes. American Speech-Language-Hearing Association (ASHA). July 2015. Found on the internet at https://www.asha.org/articles/hearing-loss-and-diabetes
  13. American Speech-Language-Hearing Association (ASHA).Sensorineural Hearing Loss. Found on the internet at https://www.asha.org/public/hearing/sensorineural-hearing-loss/
  14. Age-Related Hearing Loss (Presbycusis). National Institute on Deafness and Other Communication Disorders. Updated March 17 2023. Found in the internet at https://www.nidcd.nih.gov/health/age-related-hearing-loss.
  15. Xipeng, Li, et al. Effects of Diabetes on Hearing and Cochlear Structures. Journal of Otology. December 2013. Found on the internet at https://www.sciencedirect.com/science/article/pii/S1672293013500171
  16. Doostkam, Aida, et al. Effect of Rutin on Diabetic Auditory Neuropathy in an Experimental Rat Model. Clinical and Experimental Otorhinolaryngology. Aug. 10, 2020. Found on the internet at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373845/
  17. Taneja, Neha. Tinnitus, Hearing Impairment and Diabetes: A Mini-Review. Otolaryngology Open Journal. 2017. Found on the internet at https://openventio.org/wp-content/uploads/Tinnitus-Hearing-Impairment-and-Diabetes-A-Mini-Review-OTLOJ-SE-5-102.pdf
  18. Armstrong, Carrie. Diagnosis and Management of Cerumen Impaction. American Family Physician. November 2009. Found on the internet at https://www.aafp.org/pubs/afp/issues/2009/1101/p1011.html
  19. Auditory Neuropathy. National Institute on Deafness and Other Communication Disorders. Found on the internet at https://www.nidcd.nih.gov/health/auditory-neuropathy
  20. The Audiology Project. hearScreen USA. Found on the internet at https://www.theaudiologyproject.com/hearscreenusa
  21. Degree of Hearing Loss. American Speech-Language-Hearing Association (ASHA). Found on the internet at https://www.asha.org/public/hearing/degree-of-hearing-loss
  22. How Do I Prevent Hearing Loss from Loud Noise? Centers for Disease Control and Prevention (CDC).Oct. 31, 2022. Found on the internet at https://www.cdc.gov/nceh/hearing_loss/how_do_i_prevent_hearing_loss.html
  23. Your Diabetes Care Schedule. Centers for Disease Control and Prevention (CDC). April 19, 2023. Found on the internet at https://www.cdc.gov/diabetes/managing/care-schedule.html
  24. Kim, Minjin, et al. A Multicenter Cohort Study on the Association between Metformin Use and Hearing Loss in Patients with Type 2 Diabetes Mellitus Using a Common Data Model. Journal of Clinical Medicine. April 27, 2023. Found on the internet at https://pubmed.ncbi.nlm.nih.gov/37176586/
  25. Find an Accredited Diabetes Self-Management Education and Support Program in Your Area. Association of Diabetes Care & Education Specialists (ADCES). Found on the internet at https://nf01.diabeteseducator.org/eweb/DynamicPage.aspx?Site=aade&WebCode=DEAPFindApprovedProgram
  26. Cruickshanks, Karen J. et al. Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study. JAMA. 1998. Found on the internet at https://jamanetwork.com/journals/jama/fullarticle/187596
  27. Bamini, Gopinath, et al. Dietary Intake of Cholesterol is Positively Associated, and Use of Cholesterol-Lowering Medication is Negatively Associated with Prevalent Age-Related Hearing Loss. JN The Journal of Nutrition. July 2011. Found on the internet at https://jn.nutrition.org/article/S0022-3166(22)03001-2/fulltext
  28. The Cost of Diabetes. American Diabetes Association. Found on the internet at https://diabetes.org/about-us/statistics/cost-diabetes
  29. Hearing Aids and Personal Sound Amplification Products: What to Know. U.S. Food & Drug Administration (FDA). May 4, 2023. Found on the internet at https://www.fda.gov/consumers/consumer-updates/hearing-aids-and-personal-sound-amplification-products-what-know
  30. Property Tax Deferral for Senior Citizens and People with Disabilities. Washington State Department of Revenue. July 31, 2023. Found on the internet at https://dor.wa.gov/sites/default/files/2022-02/PTDeferral_SeniorsDisabilities.pdf?uid=64d66c10e11d6
  31. Intuit. Tax Deductions for Diabetes. Feb. 15, 2023. Found on the internet at https://turbotax.intuit.com/tax-tips/health-care/tax-deductions-for-diabetes/L2GQqVIqJ
  32. Hearing Loss: A Common Problem for Older Adults. National Institute on Aging (NIA) Jan. 19, 2023. Found on the internet at https://www.nia.nih.gov/health/hearing-and-hearing-loss/hearing-loss-common-problem-older-adults
  33. Increased Risk of Falling. American Academy of Audiology. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/increased-risk-of-falling/
  34. Chul Han, et al. Effects of Long-Term Exercise on Age-Related Hearing Loss in Mice. Journal of Neuroscience. Nov. 2, 2016. Found on the internet at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5148246/
  35. Depression and Hearing Loss. American Academy of Audiology. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/depression-and-hearing-loss/
  36. Mental Health America. Find An Affiliate.Found on the internet at https://arc.mhanational.org/find-affiliate
  37. International Therapist Directory. Online Therapy Listings. Found on the internet at https://internationaltherapistdirectory.com/online-listings/
  38. Support Services for Adults. American Speech-Language-Hearing Association (ASHA). Aug. 13, 2023. Found on the internet at https://www.asha.org/public/hearing/support-services-for-adults
  39. Dementia and Hearing Loss. American Academy of Audiology. Found on the internet at https://www.audiology.org/consumers-and-patients/hearing-and-balance/dementia-and-hearing-loss
  40. Caring for Older Patients With Cognitive Impairment. National Institute on Aging (NIA). March 15, 2023. Found on the internet at https://www.nia.nih.gov/health/caring-older-patients-cognitive-impairment
  41. The Audiology Project. Education Materials. Found on the internet at https://www.theaudiologyproject.com/education-materials
Was this helpful?
Thank you for your feedback!