My older, five-year old daughter has a mild hearing loss that was likely present at birth. My wife had gestitional diabetes during that pregnancy. We had a genetic test done, and that came back normal. She also had an MRI, and there was not structural problem with her hearing organs. The loss is not progressive as she has been tested now three times over the span of one year. My younger, four-year old daughter, who was tested by an audiologist when we learned her sister had the loss, had no hearing loss according to that exam. She was tested nine months ago. The younger one had a check up with her pediatrician the other day, however, and had trouble on the hearing test. How likely is it that the younger one has a hearing loss? She had no problem nine months ago on a complete audiological work up. Other than colds, she has not been sick since her complete work up.