Background: Several Research has tried to study the link between sensorineural hearing loss (SNHL) and diabetes mellitus. Diabetes-related hearing loss has a typical presentation. The hearing loss is usually bilateral, with a gradual start that affects higher frequencies. The goal of this study is to determine the prevalence of SNHL in people with diabetes, as well as its relationship to age, gender, DM duration, and DM management and complications. Methods: Based on the inclusion and exclusion criteria n=60 cases were selected for the study. The cases were subjected to ENT, Systemic, Audiometric, and Laboratory assessments. The Ear examination included the pinna, preauricular and post auricular areas, mastoid, external auditory canal, and tympanic membrane. Pure tone audiometry: Audiometric assessment was conducted in the soundproof room delivering pure tone stimuli to one ear at a time in frequencies of 250 Hz, 500 Hz, 1000 Hz, 2000 Hz, 4000 Hz, and 8000 Hz at various selected intensities