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Rationale of the Week | Which Vaccines Does JL Need?

For our February 2nd Question of the Week, over 75% of respondents chose the best answer!

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer below: Answer Question

Question: JL is 65 years old and has diabetes. JL tells you they had two different pneumonia vaccines in the past, but they are wondering what vaccinations they need this year.

What is the BEST answer?

Answer Choices:

  1. Flu and Pneumonia PPSV23 [Pneumovax]
  2. Hepatitis B and Flu vaccine
  3. Pneumonia PCV13 [Prevnar] and Human Papilloma Virus (HPV)
  4. Zoster and Hepatitis B vaccine

As shown above, the most common choice was option 1, the second most common answer was option 2, then option 4, and finally option 3.

Getting to the Best Answer

If you are thinking about taking the certification exam, the content of this practice test question will set you up for success. We have posted Vaccination Slides below from our Annual Standards of Care 2021 Webinar update.

Answer 1 is correct 75.38% chose this answer. “Flu and Pneumonia PPSV23 [Pneumovax]” The 2021 ADA Standards provide much clearer guidelines on vaccinations. People with diabetes need a flu vaccine yearly and a pneumonia vaccine, PPSV23, after they turned 65 regardless of previous pneumonia vaccine history.

Answer 2 is incorrect 15.04% of you chose this answer. “Hepatitis B and Flu vaccine.” The flu vaccine is correct. For people aged 65 or older, the hepatitis vaccine is only administered if the person is at increased risk of hepatitis and is based on a cost-benefit discussion with their provider.

Answer 3 is incorrect 2.05% of you chose this answer “Pneumonia PCV13 [Prevnar] and Human Papilloma Virus (HPV) vaccine” The ADA no longer recommends that people 65 years and older routinely receive the PCV13 vaccine. The HPV vaccine is recommended for people up to the age of 27 and if indicated up to the age of 45.

Answer 4 is incorrect 7.52% of you chose this answer. “Zoster and Hepatitis B vaccine” Zoster vaccine is recommended for people over the age of 50 with diabetes. However, for people aged 65 or older, the hepatitis vaccine is only administered if the person is at increased risk of hepatitis and is based on a cost-benefit discussion with their provider.

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!


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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*

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.

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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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