In the study, independent influencing factors of diabetes-related hearing impairment were successfully identified by multivariate logistic regression analysis, and on this basis, a prediction model in the form of nomogram, which included seven predictive factors: diabetic peripheral neuropathy, course of diabetes mellitus, FBG, 2hPG, lncRNA MALAT1, miR-199b and AGEs, was further constructed. Here, MALAT1 is linked to Hearing impairment.