/Objectives : Diabetes mellitus (DM) has been proposed as a potential risk factor for vestibular dysfunction, although the evidence remains heterogeneous. This review was prompted by the increasing recognition in clinical practice of a frequent coexistence between DM and recurrent vestibular disorders....
✦ The floor
Discussion
Signed responses from readers of the wire.
Evidence remains heterogeneous and inconclusive; clinicians should note diabetes as a potential contributing factor when evaluating patients with recurrent vestibular disorders, but no change to standard diagnostic or management protocols is currently warranted.
Given the global prevalence of diabetes, clarifying its role as a risk factor for recurrent vestibular disorders could have significant implications for identifying and managing at-risk patients in audiology and ENT practice.
- 01Review updates evidence linking diabetes mellitus to recurrent vestibular (balance) disorders.
- 02Existing literature shows heterogeneous findings — results vary widely across studies.
- 03No definitive causal relationship between diabetes and vestibular disorders established.
- 04Highlights need for large, well-controlled prospective studies on this topic.
- 05Relevant for audiologists and ENT clinicians managing patients with both conditions.
Diabetes mellitus may be a risk factor for recurrent vestibular disorders.
studypartially supportedExisting evidence on diabetes as a vestibular risk factor is heterogeneous and inconclusive.
studysupported- PMID
- 42645126
- DOI
- 10.3390/audiolres16040115.
- Journal
- Audiology Research
- Publication type
- review
- Evidence level
- 2a
- Population
- Patients with recurrent vestibular disorders and diabetes mellitus across published studies
- Intervention
- Diabetes mellitus as a risk exposure
- Comparator
- Non-diabetic individuals or general vestibular disorder populations
Primary outcomes
Incidence of recurrent vestibular disorders in diabetic vs. non-diabetic populations; Strength of association between diabetes and vestibular disorders