Association of Glycosylated Hemoglobin A1c Level With Sudden Sensorineural Hearing Loss: A Prospective Study

Front Endocrinol (Lausanne). 2021 Nov 18:12:763021. doi: 10.3389/fendo.2021.763021. eCollection 2021.

Abstract

Glycosylated hemoglobin A1c (HbA1c) level has strong relevance to microvascular disorders, which are also thought to be the current main aspect of sudden sensorineural hearing loss (SSNHL), so we aim to elucidate the association of the HbA1c level with the severity, types, and prognosis of SSNHL. In this study, comparative analyses based on propensity score matching of the severity, types, and prognosis of SSNHL with the HbA1c level in 116 patients diagnosed as SSNHL were conducted, where they were divided into diabetes mellitus (DM) group and non-DM group. We finally found that, among patients with SSNHL, diabetic patients had a higher HbA1c level, more severe hearing loss, and poorer prognosis than non-diabetic patients. The HbA1c level was found to be significantly correlated with the severity and types of SSNHL, while no strong relevance was found between the higher HbA1c level and the poorer prognosis of SSNHL.

Keywords: diabetes mellitus; glycosylated hemoglobin A1c; microvascular disorders; propensity score matching; sudden sensorineural hearing loss.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus / blood*
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / epidemiology*
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin / metabolism*
  • Hearing Loss, Sensorineural / blood*
  • Hearing Loss, Sensorineural / diagnosis
  • Hearing Loss, Sensorineural / epidemiology*
  • Hearing Loss, Sudden / blood
  • Hearing Loss, Sudden / diagnosis
  • Hearing Loss, Sudden / epidemiology
  • Hearing Tests / methods
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Young Adult

Substances

  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human