Metabolic disorder is a flashing issue in aging group. The controlled medication helps the population to lead life easily but the same way increases a factor as high risk to auditory sensory impairment Aim: To evaluate the impact of metabolic impairment on hearing status. Objective • To find the auditory findings in the metabolic disorders. • To estimate the role of audiologist in the metabolic disorders. Methodology: The subjects with metabolic disorders as diabetic, Febry, Auto immune disease and rheumatoid arthritis were taken for this study and undergone the audological evaluation for the estimation of the hearing threshold. The audiological test battery includes the conventional frequency audiometry, immittance audiometry, otoacoustic emissions. Results: Results show that the audiologial evaluation of the metabolic disorders subjects may have various hearing disorders as Progressive hg loss, sudden sensorineural hearing loss, fluctuating hearing loss, idiopathic sudden senseorineural hearing loss.