Clinical Support

Diabetes and Vaccinations

Staying up to date on vaccinations is critical for everyone in protecting against various illnesses, but it is particularly important for people with diabetes. Having an illness while living with diabetes is more likely to lead to worse outcomes than in someone without, increasing their risk for hospitalization. Additionally, the stress-related hormones that are released during illness raise blood glucose levels and weaken the body’s ability to fight the infection. 

Work with the people you see to understand their feelings about vaccinations and help them get the vaccinations they need to shield against or lessen the impact of common illnesses—including seasonal respiratory illnesses such as influenza, COVID-19, and respiratory syncytial virus (RSV).

For Health Care Professionals

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Protect people with Diabetes with the recommended vaccines


Gain expert insights with this infographic, which highlights vaccines that help protect people with diabetes as recommended in the Standards of Care.

Protect People with Diabetes with the Recommended Vaccines

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Vaccination Guidelines for People Living with Diabetes


Vaccines are a powerful tool that help people living with diabetes stay healthy. By protecting against serious infections, vaccines can reduce the chance of hospital visits, make diabetes easier to manage, and help prevent related complications.

Vaccination Guidelines for People Living with Diabetes

Download the PDF

Influenza

Having the flu can be dangerous for anyone. But it is extra risky for people with diabetes or other chronic health problems. People with diabetes have more instances of high blood glucose (blood sugar) than a person without diabetes. High blood glucose hinders the white blood cells’ ability to fight infections.

Beyond people living with diabetes, flu is also extra risky for people with heart disease, smokers and those with chronic lung disease, people who have an impaired immune system (like those going through chemotherapy, or who are organ donation recipients), very young children, and people living in very close quarters, such as college dorms, military barracks, or nursing homes.

In general, every person with diabetes needs a flu shot each year. Talk with the people you treat about having a flu shot. Flu shots do not give 100% protection, but they do make it less likely for you to catch the flu for about six months.

Seasonal Respiratory Illnesses

People with diabetes are vulnerable to adverse health outcomes from seasonal respiratory illnesses, especially those who are not vaccinated.​ The risk of RSV (commonly found in children) heightened in the wake of COVID-19, especially for older individuals and those with underlying health conditions. 

According to the Centers for Disease Control and Prevention (CDC), up to 160,000 older adults are hospitalized due to RSV annually and up to 10,000 die as a result of the virus—with people with diabetes overrepresented in those numbers.

The American Diabetes Association’s Standards of Care in Diabetes (Standards of Care) provides updated recommendations for routine vaccinations for people with diabetes—including influenza, COVID-19, and RSV—to mitigate these risks. By using a person-centered team care approach, health care professionals can support the people they see to help increase their understanding of and access to recommended vaccinations.

The ADA's Diabetes and Vaccination Initiative is supported in part by Moderna, Opella, Pfizer, and Sanofi. 

For People with Diabetes