Diabetes and Hepatitis B
Key Facts about Diabetes and Hepatitis B
- People living with type 1 or type 2 diabetes mellitus have higher rates of hepatitis B than the general population.
- People living with diabetes are at increased risk for hepatitis B if they share blood glucose meters, fingerstick devices or other diabetes-care equipment such as syringes or insulin pens.
- Transmission of hepatitis B has occurred among people with diabetes who reside in assisted living facilities when several people received glucose monitoring in close succession.
Hepatitis B Vaccine Recommendation 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.
- Hepatitis B vaccination occur at the discretion of the health care provider for unvaccinated adults with diabetes who are 60 years and older.
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
Scientific Guidelines and Recommendations
Use of Hepatitis B Vaccination for Adults with Diabetes Mellitus: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
Healthcare Provider Resources
Resource Page: Hepatitis B Tools and Resources