Observation study, shows the relation between diabetes, its neurological and optical complication and hearing loss, by asking participants questions about there age,BMI,job,the history of any cataract,diabetes retinopathy or heart attack,hypertension,swollen or tingling legs and take there consent to measure the hearing impairment.

Inclusion Criteria:

• Diabetics who signed consent for the study.
• Diabetics who have filled out the form completely.
• Diabetics who have undergone a pure tone hearing screening test .

Exclusion Criteria:

• Patients with glandular disease causing hearing loss.
• Patients with traumatic ear injury.
• Patients who have recently had a middle or inner ear infection.
• History of acoustic neuroma.
• Patients are under active treatment with medications that have a toxic effect on the auditory cells.
• Patients with diabetic foot.
• The patient's occupation or residence is within a noisy environment.

We collected participants from the clinical of Damascus hospital