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:

  • Flu and Pneumonia PPSV23 [Pneumovax]
  • Hepatitis B and Flu vaccine
  • Pneumonia PCV13 [Prevnar] and Human Papilloma Virus (HPV)
  • 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!


Level 3 | DiabetesEd Specialist Boot Camp | 12+ CEs

Diabetes is complicated! This course starts with a brief introduction to the CDCES Exam content and philosophy. Then we move to discuss the underpinnings of pancreas dysfunction and the different types of diabetes. Insulin resistance is addressed as well as the diagnostic criteria for diabetes.

Intended Audience:  A great course for anyone in the field of diabetes education seeking evidence-based information supporting lifestyle changes.

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

This course is part of our Level 3 – Boot Camp. Enroll in our entire Level 3 – Boot Camp to join us for the following 2021 Live Webinar Updates. All courses air at 11:30 a.m. (PST)

Join us for our 2021 Live Webinar Updates. All courses air at 11:30 a.m. (PST)

  • February 9, 2021 – Class 1 – Diabetes – Not Just Hyperglycemia 1.75 CEs
  • February 11, 2021 – Class 2 – Standards of Care & Hyperglycemia 1.5 CEs
  • February 16, 2021 – Class 3 – Insulin Therapy – From Basal/Bolus to Pattern Management 1.5 CEs
  • February 18, 2021 – Class 4 – Insulin Intensive – Monitoring, Sick Days, Lower Extremities 1.5 CEs
  • February 23, 2021 – Class 5 – Meds for Type 2 – What you need to know 1.5 CEs
  • February 25, 2021 – Class 6 – Exercise and Medical Nutrition Therapy 1.5 CEs
  • March 2, 2021 – Class 7 – Screening, Prevention, and Treatment of Microvascular Complications
  • March 4, 2021 – Class 8 – Coping and Behavior Change 1.5 CEs
  • March 9, 2021 – Class 9 – Test-Taking Coach Session (48 Questions) No CEs

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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.*

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