The incidence of hyperinsulinemia in patients with tinnitus and the effect of a diabetic diet on tinnitus

Yıl 2003, Cilt: 10 Sayı: 5, 183 - 187, 18.10.2003

Oğuz Basut Hamdi Hakan Coşkun Levent Erişen İlker Tezel Selçuk Onart İbrahim Hızalan Tuncel Özdilek

Öz

Objectives: We investigated the incidence of hyper­ insulinemia in patients presenting with tinnitus and evaluated the effect of diabetic diet on tinnitus.Patients and Methods: Serum insülin levels were measured and oral glucose tolerance test was performed in 52 patients 26 males, 26 females; mean age 50 years; range 20 to 80 years with idiopathic tinnitus. Those with hyperinsulinemia were given a diabetic diet for four months. A questionnaire was administered to ali the patients and the complaint of tinnitus was assessed according to a rating scale before and after treatment.The results were compared with those of 15 age-and sex-matched Controls.Results: Hyperinsulinemia was detected in 76% and 27% of the patients and the Controls, respectively p<0.05 . Oral glucose tolerance test was nor­mal in 48% of the patients, and in 80% of the Con­ trols p<0.05 . Following a diabetic diet, the severity of tinnitus complaints significantly decreased in patients with hyperinsulinemia p<0.0001 .Conclusion: Hyperinsulinemia may play an etiologic role in tinnitus and a diabetic diet may result in significant improvement in tinnitus complaints in this population.

Anahtar Kelimeler

Blood glucose, diabetes mellitus, non-insulin dependent/complications, diabetic diet, glucose tolerance test, hyperinsulinemia/diagnosis/complications, tinnitus/etiology/ diagnosis/therapy, vertigo/etiology

Tinnituslu hastalarda hiperinsülinemi sıklığı ve diyabet diyetinin tinnitus üzerine etkisi

Öz

Amaç: Tinnitus yakınması ile baflvuran hastalardahiperinsülinemi sıklığı arafltırıldı ve uygulanan diyabet diyetinin tinnitus üzerine etkisi değerlendirildi.Hastalar ve Yöntemler: İdyopatik tinnitusu olan 52hastada 26 erkek, 26 kadın; ort. yafl 50; dağılım 2080 serum insülin düzeyi ve oral glikoz toleransı ölçüldü ve dört ay süreyle uygulanan diyabet diyetsonrasında tinnitus yakınmalarındaki değiflikliklerbelirlendi. Hastalara tedavi öncesinde ve sonrasındatinnitus anketi uygulandı ve flikayetleri sınıflandırıldı.İnsülin düzeyi ve oral glikoz toleransı değerleri, yaflve cinsiyet uyumlu 15 gönüllüden oluflan kontrol grubu değerleriyle karflılafltırıldı.Bulgular: Tinnitusu bulunan hastalarda %76 oranındahiperinsülinemi saptandı; bu oran kontrol grubunda%27 idi p

Anahtar Kelimeler

Kan glikozu, diabetes mellitus, insüline bağımlı olmayan/komplikasyon, diyabet diyeti, glikoztolerans testi, hiperinsülinemi/tanı/komplikasyon, tinnitus/etyoloji/tanı/tedavi, vertigo/etyoloji

Kaynakça

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