Abstract
Auditory and vestibular symptoms and signs are common in patients with diabetes mellitus. Although it has been suggested that auditory and vestibular dysfunctions occur in the prediabetic state,as with the retinal and renal changes. The single most important aspect in preventing auditory and vestibular dysfunctions in patients with uraemia is to avoid the use of potential ototoxic drugs. Careful management of electrolytes in patients undergoing chronic renal dialysis will prevent fluctuating auditory and vestibular symptoms. The bilateral sensorineural hearing loss associated with acquired hypothyroidism improves in a small percentage of patients after thyroid hormone replacement.
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