Diabetes and Hepatitis B

Hepatitis B Vaccine Recommended for People with Diabetes

CDC and ACIP recommend hepatitis B vaccination for all unvaccinated adults with diabetes who are younger than 60 years of age.

    • Vaccination should occur as soon as possible after diagnosis of diabetes;
    • Vaccination should also be given to adults diagnosed with diabetes in the past.

ACIP recommends hepatitis B vaccination occur at the discretion of the health care provider for unvaccinated adults with diabetes who are 60 years and older.

Scientific Guidelines and Recommendations


Use of Hepatitis B Vaccination for Adults with Diabetes Mellitus: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR 2011;60(50);1709-1711 pdf icon[PDF – 32 pages]

Rationale for the Recommendation

CDC has investigated numerous hepatitis B outbreaks in people with diabetes in assisted living, long-term care facilities and nursing homes. Modes of transmission are believed to have occurred from:

  • Use of blood glucose meter for more than one resident without cleaning and disinfection between uses
  • Failure to consistently wear gloves and perform hand hygiene between fingerstick procedures
  • Use of the same fingerstick devices for more than one resident
  • Cross-contamination of clean supplies with contaminated blood glucose monitoring equipment used by home health agencies
  • Use of the same injection equipment such as a syringe or insulin pen for more than one person
  • Failure to maintain separation of clean and contaminated podiatry equipment
  • Improper sterilization of contaminated podiatry equipment
  • Failure to perform environmental cleaning and disinfection between podiatry patients


Fact Sheet: Diabetes and Hepatitis B Vaccination – Information for Diabetes Educators pdf icon[PDF – 2 pages]

Fact Sheet: Hepatitis B – General Information pdf icon[PDF- 2 pages]

CDC’s Division of Diabetes Prevention and Control