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Saturday, August 29, 2015

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Standards of Care and Clinical Practice
Recommendations: Type 2 Diabetes

Last updated: 2015

Immunizations

People with diabetes are at increased risk of contracting several vaccine-preventable infections and/or for experiencing more severe complications of the infection.

Clinical Practice Recommendations

Immunizations

recommendations icon Recommendations for Immunizations

Assessment

  • Conduct an immunization status review at diabetes diagnosis and as a routine part of diabetes care.

Provide the following immunizations to patients with diabetes after screening for contraindications:

Immunizations Frequency/Which Patients
Hepatitis B Hepatitis B vaccination for unvaccinated adults, 3-dose series:
  • Administer to adults <60 years of age: as soon as feasible after diabetes diagnosis.
  • Consider administering to adults ≥60 years of age based on patient's likelihood of:
    • Acquiring hepatitis B virus infection (e.g., anticipated need for assisted blood-glucose monitoring)
    • Experiencing chronic sequelae or other complications if infected
    • Declining immunologic response to hepatitis B vaccine with advancing age
Influenza
  • Administer annual influenza immunization to all patients ≥6 months of age.
Pneumococcal The figure is a box illustrating sequential administration and recommended intervals for 13-valent pneumococcal conjugate vaccine (PCV13) and 23-valent pneumococcal polysaccharide vaccine (PPSV23) for adults aged ≥65 years in the United States.

Source: Centers for Disease Control and Prevention

Tetanus and Diphtheria (Td)
  • Provide every 10 years; tetanus, diphtheria, and acellular pertussis (Tdap) should replace a single dose of Td for anyone who has not previously received a dose of Tdap.
Zoster Zoster vaccination for unvaccinated patients:
  • Administer to adults ≥60 years of age as a single dose, regardless of reported history of prior herpes zoster episode.

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Resources

Tools for Clinicians and Educators

Resource Format
 
Immunization Recommendations for Adults Exit Disclaimer: You Are Leaving www.ihs.gov

Source: Centers for Disease Control and Prevention, 2015
Website
Birth-18 Years & "Catch-up" Immunization Schedules Exit Disclaimer: You Are Leaving www.ihs.gov

Source: Centers for Disease Control and Prevention, 2015
Website
Immunization Resources Exit Disclaimer: You Are Leaving www.ihs.gov

Source: Immunization Action Coalition
Website

Patient Education Materials

Resource Format
 
What You Need to Know About Diabetes and Adult Vaccines Exit Disclaimer: You Are Leaving www.ihs.gov [PDF]

Source: Centers for Disease Control and Prevention, 2014
Document
Immunization Schedules for Adults in Easy-to-read Formats Exit Disclaimer: You Are Leaving www.ihs.gov

Source: Centers for Disease Control and Prevention, 2015
Website

Division of Diabetes Treatment and Prevention | Phone: 1-844-IHS-DDTP (1-844-447-3387) | diabetesprogram@ihs.gov