Essay Example on Hearing loss Among Type 2 Diabetes Patients









Hearing loss Among Type 2 Diabetes Patients Attending a Tertiary Care Hospital a Cross sectional Study INTRODUCTION Diabetes is now a global phenomenon with increasing trends due to various factors like increase in prevalence of obesity decrease in physical activity The population suffering from diabetes is increasing day by day due to the rapid population growth urbanization and change in dietary habits This increase in trend has no exclusion in India It is predicted that India will have highest number of people suffering from Diabetes by 2030 1 Diabetes is recognized as group of disorders due to effects of hyperglycemia and glucose intolerance Along with increase in prevalence of diabetes the amount of complications with this global disease is also increasing 2 Hearing impairment is one of the most troublesome chronic health condition and it may lead to decreased communication followed by poor psychosocial outcomes 3 Diabetes due to its pathological process leads to many microvascular complications Sensorineural hearing loss is one of such predicted complication of diabetes 4 5 6 Many studies showed that pattern of hearing loss in diabetes as moderately severe in magnitude progressive in nature and bilateral in occurrence and may be irreversible 7 

The prevalence of hearing loss in diabetics in Indian population has not been studied extensively 8 4 It is important to know the determinants of hearing loss among diabetes ad it may negatively affect the quality of life So this study was undertaken to describe the pattern of hearing loss in T2DM patients and trends in hearing loss with various aspects of diabetes 7 OBJECTIVES To study the occurrence of hearing loss among people suffering from type 2 diabetes To estimate the variation of hearing loss according to glycemic control among type 2 diabetics To observe the levels of hearing loss in accordance with duration of diabetes METHODOLOGY Study type Cross sectional study observing hearing thresholds among type 2 diabetics Study design This is a clinic based study design At first study participants will be given an interview schedule to get preliminary information consisting of demographic information duration of diabetes and present glycemic control Then they will be subjected to clinical assessment by an E N T surgeon and audiological evaluation using pure tone audiometry Study duration The study will be conducted during the months of May and June of 2018 Study population Patients already diagnosed and undergoing treatment for Type 2 Diabetes in tertiary care hospital Sample size and selection criteria 

According to the document state of hearing and ear care in SEAR countries by WHO prevalence of hearing loss in India is estimated to be 6 3 9 Considering this prevalence might be there for diabetics also sample size is calculated using the formula n Z 2 X pX 1 p d 2 n sample size 95 Z2 4 1 96 2 rounded off p prevalence of hearing loss 6 3 d absolute error 5 The minimum sample size for the study is estimated to be 100 Exclusion Criteria In the preliminary screening individuals with any ear problems like secretions pain tenderness and congenital abnormalities leading to hearing impairment will be excluded from the study Individuals who are exposed to loud noises will be excluded from the study assuming they may end up having hearing problems Data collection procedures and instruments Preliminary information about demographic information and diabetic history will be collected using interview schedule Evaluation of hearing abnormalities will be done using Pure Tone Audiometry In this audiological evaluation both air conduction and bone conduction testing will be done with and without masking Audiometric equipments like audiometer transducers and headphones will be used

The testing environment is a closed cubicle called as audiometry testing room 10 From the audiometry average hearing threshold levels of each individual will be noted and categorized into groups no hearing impairment 25dBor better slight hearing impairment 26 40 dB moderate hearing impairment 41 60 dB Severe hearing impairment 61 80 dB profound hearing impairment 81 dB or greater 9 Proposed intervention The main idea of this project is to find type 2 diabetes as one of risk factor for adult onset hearing loss Quality control Quality of the process will be thoroughly maintained Recommended British standard audiometry steps will be strictly followed 10 Aseptic conditions will be maintained to ensure the procedure is free of nosocomial infections Confidentiality Individual results will not be released to the public and will be maintained confidentiality Only the summary of all results will be revealed Statistical tools The data collected from both questionnaire and audiograms categorized data from hearing thresholds will be processed with suitable statistical software Using this software mean median standard deviation and distribution of the individuals having hearing impairment will be assessed Chi square test checks the significance of effects of duration of diabetes and glycemic control on hearing The results will be correlated to the proposed intervention and objectives of the study for discussion and conclusion

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