Recommendations: Immunization (2)
Recommendations immunization in people with diabetes1 are summarized on two slides Slide 2 of 2 Administer hepatitis B vaccination to unvaccinated adults with diabetes who are aged 19 through 59 years (C) Consider administering hepatitis B vaccination to unvaccinated adults with diabetes who are aged ≥60 years (C) Late in 2012, the Advisory Committee on Immunization Practices of the CDC recommended that all previously unvaccinated adults with diabetes aged 19 through 59 years be vaccinated against hepatitis B virus (HBV) as soon as possible after a diagnosis of diabetes is made and that vaccination be considered for those aged ≥60 years, after assessing risk and likelihood of an adequate immune response (246) At least 29 outbreaks of HBV in long-term care facilities and hospitals have been reported to the CDC, with the majority involving adults with diabetes receiving “assisted blood glucose monitoring,” in which such monitoring is done by a health care professional with responsibility for more than one patient HBV is highly transmissible and stable for long periods of time on surfaces such as lancing devices and blood glucose meters, even when no blood is visible Blood sufficient to transmit the virus has also been found in the reservoirs of insulin pens, resulting in warnings against sharing such devices between patients64References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S28. Centers for Disease Control and Prevention. Use of hepatitis B vaccination for adults with diabetes mellitus: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2012;60:1709-1711.