Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

How frequently should most patients with diabetes receive a pneumonia vaccination to reduce risks associated with pneumonia?

1. Once for those aged 19-64, then a one-time revaccination for those 65 or older at least 5 years after prior vaccination

2. Every year

3. Every 5 years, unless the person has had pneumonia, and then vaccination is unnecessary

4. Every 10 years until age 80 at which time revaccination is not recommended

The correct answer is: Once for those aged 19-64, then a one-time revaccination for those 65 or older at least 5 years after prior vaccination

The recommendation for pneumonia vaccination for patients with diabetes is shaped by their increased risk for complications from pneumonia due to potential underlying comorbidities. For individuals aged 19-64, a single dose of the pneumococcal polysaccharide vaccine (PPSV23) is typically sufficient. For those who are 65 years or older, it is generally advised to receive another dose of the vaccine at least five years after the first vaccination. This strategy aims to boost the immune response and provide adequate protection as immunity can wane over time. This vaccination schedule is particularly pertinent for individuals with diabetes because they are at a higher risk of serious pneumonia-related complications, making vaccination crucial for their health. The timing and frequency of the vaccinations are designed to ensure that at-risk populations like those with diabetes maintain an adequate level of protection against pneumococcal disease as they grow older.