Hearing loss in people with diabetes: what’s the connection?

Those with diabetes often pay close attention to blood sugar levels, nutrition and medication. But there is one body part that is still sometimes overlooked: the ear. Yet more and more research shows that people with diabetes have an increased risk of hearing loss. What exactly is this about? And what can you do to keep your hearing healthy for as long as possible?

In this blog, we dive into the link between diabetes and hearing loss. What does the science say? What do you notice about it in practice? And most importantly, how can you take action yourself?

Hearing loss more common in people with diabetes

It may not be a well-known fact, but several studies show that people with diabetes have hearing loss twice as often as those without diabetes. And it’s not just the elderly: younger people with diabetes are also at increased risk.

Symptoms vary. Some people notice difficulty with high-pitched sounds or conversations in a crowded room. Others hear less well in one ear, or experience a constant beep or noise(tinnitus). In many cases, it begins insidiously – sometimes taking years for a person to realize that something is really wrong.

How can diabetes affect your hearing?

The link between diabetes and hearing loss is complex, but there are some clear indications from research:

1. Damage to blood vessels

The capillaries in your inner ear are very small and fragile. In people with diabetes, these capillaries can be damaged by fluctuations in blood sugar levels or long-term high blood sugars. As a result, blood flow becomes less good and the cilia in the inner ear do not get enough oxygen – resulting in hearing damage.

2. Nerve damage (neuropathy).

Just as diabetes can cause nerve damage in the hands and feet (neuropathy), the nerves in your ear can also be affected. Those nerves are important for transmitting sound signals from the ear to the brain. When those signals don’t get through properly, you hear less – even if your ear seems to be functioning “fine.

3. Inflammation and metabolism

Chronic inflammation and disruptions in metabolism – which are more common in diabetes – can affect the entire body, including the hearing system. Consider inflammatory reactions that affect the inner ear structure or processes that reduce the elasticity of the eardrum.

What are signs of hearing loss?

Hearing loss rarely comes suddenly – often it is a gradual process. Note the following signs:

  • You ask others to repeat something more often
  • Conversations in company are tiring or difficult to follow
  • The TV or radio is louder and louder
  • You hear squeaks, murmurs or hisses that are not there (tinnitus)
  • High notes – such as birds, bells or children’s voices – drop out

Do you recognize this in yourself or someone close to you? Then it’s time for action.

Why timely recognition is important

Hearing loss has more impact than just being less able to listen. It can lead to social isolation, fatigue, stress or even feelings of depression. Especially if you also have diabetes, it is extra important to stay alert: Your body already has enough to endure.

In addition, hearing loss can affect your safety (think traffic or fire alarms), your self-confidence and even your medication intake (for example, if you don’t hear instructions well).

What can you do if you have diabetes?

The good news: there are plenty of steps you can take to keep your hearing healthy – or to prevent aggravation.

1. Get your hearing tested regularly

If you have diabetes, an annual hearing test is definitely recommended. Many audiologists – including us, of course – offer a no-obligation test, but you can also visit your doctor or an audiology center. The earlier you notice any damage, the better you can make adjustments.

2. Keep your blood sugar stable

Good glucose regulation is important not only for your heart, eyes and kidneys – but also for your ears. Try to avoid large fluctuations and follow your doctor’s treatment plan to the best of your ability.

3. Avoid exposure to noise

People with diabetes are more susceptible to hearing damage from noise. Going to a concert, party or other loud environment? Then use earplugs with a music filter. You can also pay attention to the volume of your TV or earbuds at home.

4. Watch for signs of tinnitus

A squeak or noise in your ear is often the first sign that something is wrong. Give your ears a rest, avoid loud noises and discuss it with your doctor if it persists. Sometimes simple measures can provide great relief.

5. Discuss with your health care provider

Bring up hearing problems during your checkup with your doctor, nurse practitioner or diabetes nurse. Not everyone thinks to bring up the subject, but it does belong there.

And if you already have hearing loss?

Don’t panic. There are great solutions to support your hearing – from modern hearing aids to apps and listening aids. Many hearing aids today are small, stylish and smart, with features tailored specifically for people with other conditions such as diabetes.

A properly adjusted hearing aid can make the difference between “being present” or “letting it pass you by. You hear conversations better, are less likely to tire and can participate fully again.

Your ears deserve attention

If you have diabetes, you’re probably already used to paying close attention to your body. In doing so, don’t forget your ears. Your hearing is a subtle but important link in your daily functioning – AND it’s under pressure when your blood sugar is not properly regulated.

By getting your hearing tested regularly, taking good care of yourself and avoiding noise, you can prevent or reduce hearing problems. And if it does go wrong? Then fortunately there are plenty of ways to support your hearing.


Are you looking for hearing protection or aids to help keep your ears healthy? In our webshop you will find a wide selection of hearing protection and other aids – also suitable for people with an increased risk of hearing loss.

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