CDC now recommends one-time hepatitis C testing of all adults (18 years and older) and all pregnant women during every pregnancy. CDC continues to recommend people with risk factors, including people who inject drugs, be tested regularly.
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
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