Olfactory function in diabetes mellitus

Diabetes mellitus (DM) is an increasingly common disease in both children and adults. In addition to neuronal and/or vascular disorders, it can cause chemosensory abnormalities including olfactory deterioration. The purpose of this article is to summarize current knowledge on olfactory function in D...

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Main Authors: Beata Sienkiewicz-Oleszkiewicz, Thomas Hummel
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Journal of Clinical & Translational Endocrinology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214623724000139
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author Beata Sienkiewicz-Oleszkiewicz
Thomas Hummel
author_facet Beata Sienkiewicz-Oleszkiewicz
Thomas Hummel
author_sort Beata Sienkiewicz-Oleszkiewicz
collection DOAJ
description Diabetes mellitus (DM) is an increasingly common disease in both children and adults. In addition to neuronal and/or vascular disorders, it can cause chemosensory abnormalities including olfactory deterioration. The purpose of this article is to summarize current knowledge on olfactory function in DM, highlighting the impact of co-morbidities, especially obesity, thyroid dysfunction, chronic kidney disease and COVID-19 on olfactory outcomes. Research to date mostly shows that olfactory impairment is more common in people with diabetes than in the general population. In addition, the presence of concomitant diseases is a factor increasing olfactory impairment. Such a correlation was shown for type 1 diabetes, type 2 diabetes and gestational diabetes. At the same time, not only chronic diseases, but also DM in acute conditions such as COVID-19 leads to a higher prevalence of olfactory disorders during infection. Analyzing the existing literature, it is important to be aware of the limitations of published studies. These include the small number of patients studied, the lack of uniformity in the methods used to assess the sense of smell, frequently relying on rated olfactory function only, and the simultaneous analysis of patients with different types of diabetes, often without a clear indication of diabetes type. In addition, the number of available publications is small. Certainly, further research in this area is needed. From a practical point of view decreased olfactory performance may be an indicator for central neuropathy and an indication for assessing the patient's nutritional status, examining cognitive function, especially in older patients and performing additional diagnostic tests, such as checking thyroid function, because all those changes were correlated with smell deterioration.
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spelling doaj.art-6ed1ccebe29f470999c204d6b3107ba72024-06-21T07:37:39ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372024-06-0136100342Olfactory function in diabetes mellitusBeata Sienkiewicz-Oleszkiewicz0Thomas Hummel1Department of Clinical Pharmacology, Faculty of Pharmacy, Wroclaw Medical University, ul. Borowska 211a, 50-556 Wrocław, Poland; Smell and Taste Clinic, Department of Otorhinolaryngology, Technical University Dresden, Fetscherstr. 74, 01307 Dresden, Germany; Corresponding author at: Department of Clinical Pharmacology, Faculty of Pharmacy, Wroclaw Medical University, ul. Borowska 211a, 50-556 Wrocław, Poland.Smell and Taste Clinic, Department of Otorhinolaryngology, Technical University Dresden, Fetscherstr. 74, 01307 Dresden, GermanyDiabetes mellitus (DM) is an increasingly common disease in both children and adults. In addition to neuronal and/or vascular disorders, it can cause chemosensory abnormalities including olfactory deterioration. The purpose of this article is to summarize current knowledge on olfactory function in DM, highlighting the impact of co-morbidities, especially obesity, thyroid dysfunction, chronic kidney disease and COVID-19 on olfactory outcomes. Research to date mostly shows that olfactory impairment is more common in people with diabetes than in the general population. In addition, the presence of concomitant diseases is a factor increasing olfactory impairment. Such a correlation was shown for type 1 diabetes, type 2 diabetes and gestational diabetes. At the same time, not only chronic diseases, but also DM in acute conditions such as COVID-19 leads to a higher prevalence of olfactory disorders during infection. Analyzing the existing literature, it is important to be aware of the limitations of published studies. These include the small number of patients studied, the lack of uniformity in the methods used to assess the sense of smell, frequently relying on rated olfactory function only, and the simultaneous analysis of patients with different types of diabetes, often without a clear indication of diabetes type. In addition, the number of available publications is small. Certainly, further research in this area is needed. From a practical point of view decreased olfactory performance may be an indicator for central neuropathy and an indication for assessing the patient's nutritional status, examining cognitive function, especially in older patients and performing additional diagnostic tests, such as checking thyroid function, because all those changes were correlated with smell deterioration.http://www.sciencedirect.com/science/article/pii/S2214623724000139Diabetes mellitusOlfactionThyroid functionCOVID-19Obesity
spellingShingle Beata Sienkiewicz-Oleszkiewicz
Thomas Hummel
Olfactory function in diabetes mellitus
Journal of Clinical & Translational Endocrinology
Diabetes mellitus
Olfaction
Thyroid function
COVID-19
Obesity
title Olfactory function in diabetes mellitus
title_full Olfactory function in diabetes mellitus
title_fullStr Olfactory function in diabetes mellitus
title_full_unstemmed Olfactory function in diabetes mellitus
title_short Olfactory function in diabetes mellitus
title_sort olfactory function in diabetes mellitus
topic Diabetes mellitus
Olfaction
Thyroid function
COVID-19
Obesity
url http://www.sciencedirect.com/science/article/pii/S2214623724000139
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