Conduct an immunization status review at diabetes diagnosis and as a routine part of diabetes care.
Provide the following immunizations:
Annual influenza immunization.
Pneumococcal vaccine at diabetes diagnosis; re-immunization if ≥ 65 years, and first dose was given before age 65 and if vaccine was administered > 5 years prior.
Tetanus and diphtheria (Td) every 10 years; tetanus, diphtheria, and acellular pertussis (Tdap) should replace a single dose of Td for persons < 65 years who have not previously received a dose of Tdap.
Hepatitis B vaccination for unvaccinated adults with diabetes:
Adults < 60 years of age: recommended, as soon as feasible after diabetes diagnosis
Adults ≥ 60 years of age: consider, based on patient’s likelihood of acquiring hepatitis B virus infection (e.g., anticipated need for assisted blood-glucose monitoring), the likelihood of experiencing chronic sequelae or other complications if infected, and the decline in immunologic response to hepatitis B vaccine with advancing age.
Zoster vaccine for persons ≥ 60 years as a single dose, regardless of reported history of prior herpes zoster episode.
Human papillomavirus (HPV) vaccine:
Females ≤ 26 years of age
Males aged 11 to 12 years; a catch-up dose for males aged 13 to 21 years; and permissive use of the vaccine in males aged 22 to 26 years.
People with diabetes are at increased risk of contracting several vaccine-preventable infections and/or for experiencing more severe complications. Vaccinations are highly effective at reducing morbidity and mortality from these diseases.