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Important Immunization Update for People with Diabetes

To be honest. the vaccination recommendations for diabetes have been shrouded in a veil of mystery for me, until this year.

Thankfully, the 2022 ADA Standards are wonderfully clear in describing the vaccination schedule and types for people living with diabetes. We created this simple chart that you are free to download and share with your colleagues and in your work setting.

What percent of People with Diabetes Get Vaccinated?

Even though these vaccine recommendations are well established, I thought it would be interesting to find out what percentage of people actually get the complete compliment of recommended vaccinations.

According to the CDC data, among those with diagnosed diabetes, the vaccination coverage for influenza, pneumococcal, and shingles was lowest among lower income adults and varied by race and ethnicity. Hepatitis B vaccination coverage was lowest among poor adults, and it decreased with age.

As diabetes specialists, we can have a significant impact on encouraging people with diabetes to receive these important vaccinations. We can work within our health care systems to establish systems and surveillance to monitor vaccine participation. Partnering with community health workers and liaisons can create bridges to increase vaccination rates.

Vaccination Rates for People with Diabetes:

  • Influenza vaccine, about 60% of people with diabetes get their annual shot.
  • Pneumonia vaccine only 53% of people with diabetes have recieved this vaccine.
  • Hepatitis Vaccine Series: Only 33.2% of people with diabetes have received their Hepatitis Vaccines as of 2018.
  • Herpes Zoster Series: Only 27.2% adults 60 and older with diabetes had ever received their Herpes Zoster vaccine.
  • HPV Vaccine: About 59% of people in the U.S. have completed their HPV vaccine series.

Given that most experts predict that severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) and influenza viruses will both be active in the U.S. during the 2021–2022 season, getting the influenza vaccine is especially important.

Most people don’t know that getting the Influenza vaccine decreases risk of death.

New data is revealing that the influenza vaccine doesn’t just lower the risk of getting the flu, it also lowers risk of all cause mortality and cardiovascular events and death. This simple annual intervention is recommended for all individuals with diabetes 6 months and older.

See Table 4.5 in ADA Standard 4, 2022 for complete info


DiabetesEd Boot Camp | Level 3

This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM or the CDCES certification Exam.

  • February 8, 2022 – Class 1 – Diabetes – Not Just Hyperglycemia
  • February 10, 2022 – Class 2 – Standards of Care & Cardiovascular Goals
  • February 15, 2022 – Class 3 – Insulin Therapy – From Basal/Bolus to Pattern Management
  • February 17, 2022 – Class 4 – Insulin Intensive – Monitoring, Sick Days, Lower Extremities
  • February 22, 2022 – Class 5 – Meds for Type 2 – What you need to know
  • February 24, 2022 – Class 6 – Exercise and Medical Nutrition Therapy
  • March 1, 2022 –  Class 7 – Screening, Prevention, and Treatment of Microvascular Complications
  • March 3, 2022 – Class 8 – Coping and Behavior Change 1.5 CEs
  • March 8, 2022 – Class 9 – Test-Taking Coach Session (48 Questions) No CE

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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.