López-Ornelas L, Bollain-Goytia IS, Macías-Valle LF, Morales-Cadena M, Rivas-Mercado A

Language: Spanish
References: 18
Page: 103-108
PDF size: 296.85 Kb.

ABSTRACT

Background: Until now, dysphagia in diabetes mellitus 2 is described as a silent process, but its early detection by screening methods is important to assess better the existence of diabetic polyneuropathy.
Objective: To determine the association between swallowing disorders in oral and pharyngeal phase and diabetes mellitus 2 in asymptomatic adults assisted at Hospital Español de México.
Material and method: A cohort, prospective, controlled study was done including patients older than 18 years, assisted at Otorhinolaryngology Service of Hospital Español de México from October to December 2013, with previous diagnosis of diabetes mellitus 2. Patients without diabetes mellitus type 2 integrated control group. A dynamic test of swallowing with nasofibrolaryngoscopy was performed to both groups, cases of aspiration-not aspiration and sensitivity of epiglottis were detected. Time of evolution of diabetes mellitus type 2 was assessed in each patient as well as the control of glycemia by quantification of serum HbA1c.
Results: 25 patients with diabetes mellitus type 2 and 25 subjects without diabetes mellitus type 2 were included. We found data of food aspiration towards airway as swallowing disorder in elderly patients with diabetes mellitus 2 (n=3, p=0.0424). In patients with diabetes mellitus and glycemic descontrol (based on HbA1c › 6.6%) we found an important number of patients with laryngeal sensitivity disorder (n=9, p=0.0492).
Conclusions: There is association between diabetes and laryngeal sensitivity disorders. As regard its relation with swallowing disorders, cases communicated were also old, thus, there is doubt if these swallowing disorders are more related to age than to diabetes mellitus.

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