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Auditory neuropathy in individuals with Type 1 diabetes

机译：1型糖尿病患者的听觉神经病

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摘要

Peripheral neuropathy is a major consequence of diabetes mellitus with up to 50 % of patients showing clinically significant neural injury during the disease course. Hearing loss (as defined by impaired sound detection thresholds) is a recognized symptom of DM, but the possibility of auditory neuropathy (AN) has not been explored in this population. This pilot study investigated peripheral auditory function, auditory processing and speech perception in individuals with Type 1 diabetes mellitus (T1DM) and compared the findings with measures of vestibular function, ocular pathology/visual acuity and overall neurologic profile. Ten adults with T1DM and ten matched controls underwent a battery of tests which included: audiometry, otoacoustic emissions, auditory brainstem responses, temporal processing measures and speech perception. Six of the ten T1DM participants showed electrophysiologic evidence of AN and impaired functional hearing. Furthermore, auditory capacity was correlated with both visual acuity and degree of somatic peripheral neuropathy. This pilot investigation revealed functional-hearing deficits severe enough to impact upon everyday communication. Should the findings be confirmed by larger studies, auditory evaluation may form an important part of the management regimen for individuals with T1DM. This may be especially important for those with DM-related eye conditions, as deficits across multiple sensory modalities can have multiplicative detrimental effects on quality-of-life.
机译：周围神经病变是糖尿病的主要后果，多达50％的患者在病程中显示出临床上明显的神经损伤。听力损失（由受损的声音检测阈值定义）是DM的公认症状，但是尚未在该人群中探讨听觉神经病（AN）的可能性。这项前瞻性研究调查了1型糖尿病（T1DM）患者的外周听觉功能，听觉处理和言语感知能力，并将这些发现与前庭功能，眼病理/视敏度和总体神经系统状况进行了比较。十名患有T1DM的成年人和十名匹配的对照组接受了一系列测试，其中包括：听力测定，耳声发射，听觉脑干反应，颞叶处理措施和语音感知。十名T1DM参与者中有六名表现出AN的电生理学证据和功能性听力受损。此外，听觉能力与视敏度和躯体周围神经病变程度相关。这项初步调查显示，功能性听力缺陷严重到足以影响日常交流。如果较大的研究证实了这些发现，则听觉评估可能会成为T1DM患者管理方案的重要组成部分。这对于患有与DM相关的眼部疾病的人尤其重要，因为多种感觉方式的缺陷可能对生活质量产生成倍增加的有害影响。

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