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Flu Vaccine Diabetes Type 1

Diabetes And The Flu

Diabetes And The Flu

Diabetes can turn a simple case of the flu into a serious problem. "People who have diabetes are three times more likely to be hospitalized if they get the flu," says Helena Duffy, CDE, a nurse practitioner at Montefiore Medical Center in New York City. Diabetes can weaken your immune system and make it harder for your body to fight off the influenza virus, she says. The flu can affect your blood sugar levels. You're also at higher risk for pneumonia. And if you're not eating well while you're sick, you could be at risk for hypoglycemia. Get a Flu Shot for Prevention The best way to protect yourself is to get a flu shot at the beginning of every flu season. Avoid the nasal flu vaccine, which has not been extensively studied in people with diabetes (PWDs). Ask people living in your house to get a flu vaccine, too. PWDs also should get the pneumococcal vaccine to protect against pneumonia. If you have diabetes, ask your doctor about getting a second shot five to 10 years after the first. When You Have Diabetes and the Flu If you do get sick, ask your doctor about Tamiflu (oseltavimir), a prescription antiviral medication that can ease symptoms and shorten the duration of your illness. For best results, take it as soon as you notice symptoms. It's also important to pay close attention to your blood glucose levels. "Check your blood glucose every two to four hours, and record your readings," Duffy says. "If your blood sugar remains high or gets too low, call your doctor." Duffy says people with type 1 diabetes who feel ill and have a blood glucose reading over 250 mg/dl should test for ketones in the urine. Left untreated, excessive ketones can result in ketoacidosis, a dangerous condition that occurs when fat is burned for energy instead of glucose. If you have the flu, do Continue reading >>

Diabetes And Influenza: A Dangerous Combination

Diabetes And Influenza: A Dangerous Combination

Nov. 14, 2017 is World Diabetes Day, the world’s largest diabetes awareness campaign that aims to unite the global diabetes community to produce a powerful voice to highlight the realities and threats of dealing with this chronic medical condition. Diabetes is a major threat to health globally. In the U.S., diabetes rates have almost doubled in the past two decades, from 5.5 percent in 1994 to 9.3 percent in 2012. An estimated 30.3 million people, or 9.4 percent of the U.S. population, had diabetes in 2015. The CDC projects that one in three adults could have diabetes by 2050. More than one-quarter of seniors (ages 65 and older) has diabetes (25.9 percent, or 11 million seniors). In the European region, about 60 million people have diabetes, or about 10.3 percent of men and 9.6 percent of women aged 25 years and over. In Africa, the rate of diabetes remains low, but the number of people living with diabetes has dramatically increased from 4 million in 1980 to 25 million in 2014. More than 60 percent of those with diabetes live in Asia, with nearly half in China and India combined. The Asia Pacific region has 138 million people with diabetes, and the number may increase to 201 million by 2035. The prevalence of diabetes is increasing mostly due to increases in obesity, unhealthy eating habits and decreased physical inactivity. Globally, diabetes kills about 3.4 million people annually. WHO projects that diabetes deaths will double between 2005 and 2030. Diabetes itself is not a major problem unless the blood glucose is uncontrolled and either rises too high or drops too low. If diabetes is not managed correctly (meaning blood glucose is not properly regulated), sufferers are likely to become progressively sick and debilitated. Over time, diabetes can damage the heart, Continue reading >>

Vaccination Practices For People With Diabetes Aade Practice Synopsis

Vaccination Practices For People With Diabetes Aade Practice Synopsis

Introduction Influenza, pneumococcal, hepatitis B, tetanus, pertussis, and shingles are common preventable infectious diseases with high morbidity and mortality in people with chronic diseases, such as diabetes, renal failure, and in the elderly.1 Observational study of patients with a wide variety of chronic illnesses has shown that these conditions are associated with a higher hospitalization rate and complications compared to persons without chronic health conditions.2,3 Communities with pockets of unvaccinated and undervaccinated populations are at increased risk for outbreaks of vaccine-preventable diseases. 4,5 Background/Rationale and Evidence Annual administration of the influenza vaccine has been shown to decrease diabetes-related hospital admissions for influenza during “flu epidemics†by as much as 79% based on reports of case-controlled series.1 The number of seasonal influenza- associated deaths varies from year to year because of the unpredictability in length and severity. The Centers for Disease Control and Prevention (CDC) estimates flu associated deaths ranged from a low of 3,000 to a high of about 40,000 during flu seasons from 1976-2007.6 While anyone can have influenza related complications and hospitalizations, serious illness and death, the CDC reports that older adults are especially vulnerable. According to the Advisory Committee on Immunization Practices (ACIP), the American College of Physicians, the American Academy of Pediatrics, and the American Academy of Family Physicians, vaccinating individuals at high risk before influenza season each year is the most effective measure for reducing the impact of influenza.7 Individuals with diabetes are six times more likely to be hospitalized and three times more likely to die from complicat Continue reading >>

Juvenile Diabetes And Vaccination: New Evidence For A Connection

Juvenile Diabetes And Vaccination: New Evidence For A Connection

In the fall of 1997, the Centers for Disease Control confirmed that the number of Americans living with diabetes has skyrocketed in the past 40 years with a record sixfold increase in this chronic disease since 1958. It is estimated that nearly 16 million Americans are suffering with diabetes and 5 million more may have it but not know it. Over the past four decades, intensive national mass vaccination campaigns have dramatically increased vaccination rates among American children who now are getting 34 doses of 10 different viral and bacterial vaccines before they enter kindergarten. Recent published data in the medical literature suggest increasing numbers of childhood vaccines may be playing a role in the big jump in the number of cases of juvenile diabetes. The most frequent kind of diabetes is diabetes mellitus, a chronic degenerative disease caused when the pancreas either fails to produce a protein hormone called insulin or the body's cells are resistant to the action of insulin. Without insulin, the body cannot process and use glucose, a blood sugar which is a chief source of energy for living organisms and is found in certain foods like fruit. If the body's cells have become resistant to insulin, glucose cannot be moved from the blood to cells in order to be transformed into energy. There are two types of diabetes mellitus: Type I, called insulin-dependent juvenile diabetes, and Type II, called adult-onset diabetes. Type I Diabetes - Type I diabetes, also called insulin-dependent diabetes mellitus (IDDM), occurs mostly in children and young adults. Five to 10 percent of those diagnosed with diabetes are Type I diabetics. In Type I diabetes, the body cannot produce insulin. This causes glucose to build up in the bloodstream and be secreted from the body in the Continue reading >>

Flu And People With Diabetes

Flu And People With Diabetes

People with diabetes (type 1 or type 2), even when well-managed, are at high risk of serious flu complications, often resulting in hospitalization and sometimes even death. Pneumonia, bronchitis, sinus infections and ear infections are examples of flu-related complications. The flu also can make chronic health problems, like diabetes, worse. This is because diabetes can make the immune system less able to fight infections. In addition, illness can make it harder to control your blood sugar. The illness might raise your sugar but sometimes people don’t feel like eating when they are sick, and this can cause blood sugar levels to fall. So it is important to follow the sick day guidelines for people with diabetes. Vaccination is the Best Protection against Flu CDC recommends that all people who are 6 months and older get a flu vaccine. It is especially important for people with diabetes to get a flu vaccine. Flu shots are approved for use in people with diabetes and other health conditions. The flu shot has a long, established safety record in people with diabetes. People with type 1 or type 2 diabetes are at increased risk of developing pneumococcal pneumonia because of the flu, so being up to date with pneumococcal vaccination is also recommended. Pneumococcal vaccination should be part of a diabetes management plan. Talk to your doctor to find out which pneumococcal vaccines are recommended for you. Cover your nose and mouth with a tissue when coughing or sneezing and throw the tissue away after using it; Wash your hands often with soap and water, especially after coughing or sneezing; Avoid touching your eyes, nose, and mouth (germs are spread that way); and Stay home when you are sick, except to get medical care. If you are sick with flu-like symptoms you should sta Continue reading >>

Why I Get The Flu Shot As A Person With Type 1 Diabetes

Why I Get The Flu Shot As A Person With Type 1 Diabetes

Why I Get the Flu Shot as a Person with Type 1 Diabetes The flu-shot, explains Diabetes Educator Will Dubois from DiabetesMine , is just a vial of the dead flu. I didnt get a flu-shot for several years (because I didnt have health insurance and was paying full-price for insulin and test-strips) and I never got the flu. But I was in college surrounded by germs, so my immune system was on its game. After college, I worked at a gym for 5 years, where I was surrounded by peoples sweat, germsbut thankfully not their blood. Regardless, the point is: my immune system was happy and strong because I was surrounded by germsdaily and therefore less susceptible to small symptoms growing into worse symptoms. Did I ever acquire flu-like germs? Sure, probably, but they never exploded into the full-on flu, which I attribute to being surrounded by all those germs! Then, I left my work as a personal trainer and yoga instructor to pursue my bubbling writing career full-time. This pursuit meant that I was working primarily at home by myself (with dogs, of course), and no longer surrounded by other peoples germs all day. (Sure, I still went to the gym for my own workout, but that handful of hours didnt seem to be the same as training people, touching sweaty people, and touching sweaty equipment all day long.) My boyfriend brought it home from his office. His symptoms were mild and went away within a few days. (He never goes to the doctor and is naturally quite healthy despite his lack of interest in health! LOL.) But my symptoms turned into thereal flu for the first time since I was a kid. I spent the next 3 weeks battling moderate ketones even when my blood sugar was 120 mg/dL, and lying in bed because even the slightest effort of activity left me dizzy, nauseas, rapidly rising fever, and Continue reading >>

Can Vaccinations Increase Or Decrease Risk For Type 1 Diabetes?

Can Vaccinations Increase Or Decrease Risk For Type 1 Diabetes?

Home / Specialties / Pediatrics / Can Vaccinations Increase Or Decrease Risk for Type 1 Diabetes? Can Vaccinations Increase Or Decrease Risk for Type 1 Diabetes? Flu shot, Pandemrix, might reduce diabetes risk in children, study found. Type 1 diabetes results from autoimmune destruction of pancreatic islet -cells. Although the cause is unknown, genetic and environmental factors are believed to be involved. Polymorphisms of class II HLA genes encoding DQ and DR, by far, is the strongest predictor of type 1 diabetes risk. Vaccinations are among the environmental factors that have been studied. It has been suspected that childhood vaccinations may alter the immune system, thereby increasing the risk of autoimmune reactions. However, previous studies have not found any evidence to support the association between vaccination and an increased risk of type 1 diabetes. During the influenza A H1N1 pandemic in 2009, mass vaccination with Pandemrix, a vaccine containing the squalene-based adjuvant ASO3, was done for children and adults in Sweden and Finland. A few months after the vaccination, the incidence of new narcolepsy diagnoses increased in both countries, especially in children and young adults. The mechanism of this effects is not fully understood, but it seems that Pandemrix could contribute to the induction of orexin-specific autoimmunity. As such, researchers hypothesized that this vaccine may not only induce autoimmunity to orexin-producing cells but also to islet autoantigens. A recent observational study, the Environmental Determinants of Diabetes in the Young (TEDDY), was done to investigate whether the risk of islet autoimmunity and type 1 diabetes is increased in children who have been vaccinated with Pandemrix. A population of 8,676 children was recruited for t Continue reading >>

Should I Get A Flu Shot If I Have Diabetes?

Should I Get A Flu Shot If I Have Diabetes?

Having type 1 or type 2 diabetes puts you at increased risk of illness because elevated blood sugar weakens the immune system. Getting an annual flu shot is the best way to protect yourself. Fall is here, and that means that along with pumpkins and hay rides, it’s influenza (flu) season—which can last until May. For those with diabetes, flu isn’t just a drag: It can result in hospitalization, and occasionally even death. Fortunately, a vaccine can slash your risk of the illness by an estimated 40-60%, according to the Centers for Disease Control and Prevention (CDC). The flu shot also lowers your chances of hospitalization, which is most common in flu patients with chronic conditions like diabetes. The vaccine can also “prevent major respiratory infections during the flu season,” says Kavita Seetharaman, MD, staff physician at Joslin Diabetes Center, a Boston-based non-profit affiliated with Harvard Medical School. Why Is the Flu So Dangerous for People with Diabetes? “As with any other infection, the flu virus can cause inflammation, congestion, and mucus production in the respiratory tract,” as well as cough, fever, and even breathing difficulties, Dr. Seetharaman says. But for diabetes patients, there’s another risk. “When patients with diabetes are not feeling well,” due to illness, infection, or injury, “they can become more insulin resistant. Blood sugar rises [even if patients aren’t eating], and ketones can develop,” she explains. Ketones are chemicals that are produced when there’s not enough glucose (sugar) to fuel the metabolism; the presence of ketones (which can be detected with over-the-counter test strips) indicate that the body is using fat for energy. Patients with diabetes can accumulate ketones in the blood, which can make Continue reading >>

Children With Diabetes - Flu Shots

Children With Diabetes - Flu Shots

Many people overlook the need for a flu shots, especially for their children. This doesn't mean that all children should get flu shots, but since children with diabetes are in one of the high risk groups, you should seriously consider flu vaccination. While flu symptoms are usually mild to moderate in most people, it can be more severe in the elderly or very young children. Like any illness, the flu can seriously disturb diabetes control, not uncommonly leading to prolonged hyperglycemia and DKA [diabetic ketoacidosis]. Conversely, uncontrolled diabetes can make the immune system more vulnerable to severe cases of "the flu" (influenza). Everybody with diabetes, of any age, should get this cheap and easy protection. Sometimes, a few days after the vaccine, you can develop some mild flu-like symptoms that don't lead to the serious complications seen with a full-blown flu infection when no vaccine is given. Thes mild symptoms, however, may increase blood sugars and may temporarily increase insulin requirements slightly for a few days. This year, flu vaccine is recommended for children over the age of six months. The first time they are vaccinated, children under the age of nine need two doses, at least a month apart in order to get a good response. Older and previously vaccinated only need a single annual injection. The vaccine itself is an inactivated or killed vaccine and is changed each year to keep up with the most common strains of the influenza virus that are circulating and most likely to cause infections. Side effects are usually mild, usually only last for 1-2 days, and the 'split virus' vaccine is associated with fewer side effects than the 'whole virus' variety. Flu vaccines are available at little or no cost at doctors' offices, clinics, pharmacies, grocery st Continue reading >>

Why You Should Get A Flu Shot

Why You Should Get A Flu Shot

As fall comes around I hear people debating, “Should I get the flu shot?”, “Should I vaccinate my kids?”. I’m always surprised to hear just how hesitant people are to vaccinate. The flu is a highly infectious and serious viral respiratory infection. Many viruses can give you the sniffles, but allow you to continue working or going to school. The flu, however, actually knocks you out, and flu symptoms can be quite severe and prolonged. In addition, bacterial infections (superinfections) can occur on top of the flu infection– those are situations which can truly overwhelm the lungs. Such a situation is especially dangerous for the elderly and the very young. It can even cause death. People’s main concern with the influenza vaccine tends to be that the injection will actually give them the flu. This is not true. While the vaccine can cause soreness or redness at the site of the shot, pains in the joints, and even mild fever, it is nothing like the flu itself. A good excuse not to get vaccinated is if you have an egg allergy, in which case the vaccine is contraindicated, since the vaccine is developed in eggs. Many people don’t get the flu vaccine, and they are okay. People with diabetes, however, shouldn’t take a chance. Most people with diabetes are not aware that for them, the flu can pose a much bigger threat than it does for people without diabetes. When blood sugar levels are elevated, especially above 200mg/dL, the immune cells do not work as efficiently and therefore patients with diabetes may have abnormalities in immune function. Studies have shown that diabetics are sick longer with the flu, have a higher chance of ending up in the hospital, and even an increased risk of death. This is particularly true for patients who have diabetes complicatio Continue reading >>

Flu Shot & Diabetes | Joslin Diabetes Center

Flu Shot & Diabetes | Joslin Diabetes Center

Each year people with diabetes are offered flu vaccinations. Should you get an annual flu shot if you have diabetes? Everyone with diabetes over the age of six months. People who are allergic to eggs (they are used in the production of the vaccine). A yearly flu shot is highly recommended if you have diabetes, according to M. Donna Younger, MD, at Joslin Diabetes Center. Diabetes puts you at a higher risk of getting the flu, particularly if your diabetes is not well controlled. Having the flu also makes it more difficult to manage diabetes. Its important to get a flu shot when you have diabetes, so you can reduce the risk. The flu vaccine is 70-90 percent effective and takes two weeks after the shot for your immunity to build up. Its a triple vaccine against three types of influenza strains that public health officials predict are most likely to strike in a given flu season. The flu shot is effective for about six months. Cases of flu usually peak in January or February, but you can still get infected any time up until May. Although it is recommended you get the vaccine as soon as it is available in the fall, even January is not too late. Should you get the flu when you have diabetesbefore you get thevaccine or despite it, Younger recommends that you contact your primary care provider right away. There are also other treatments for the flu, but they arent as effective as getting the vaccine. Tamiflu, for example, has to be taken in first 48 hours and continued for a week. In order to be prepared, you should also have a sick day plan made with your health care team. We also encourage others in your family over six months years old to get the vaccine as well, so the flu is not passed around the house, Younger says. Prepare yourself for theflu season and get your vaccine Continue reading >>

Flu Shot Key For People With Diabetes

Flu Shot Key For People With Diabetes

(HealthDay)—With predictions calling for a potentially bad flu season this year, doctors are urging people—particularly those with diabetes—to get vaccinated. Many people with diabetes don't get a seasonal flu shot each year, according to the American Association of Diabetes Educators (AADE). Some people with the blood sugar disease don't realize they're at risk for flu-related complications. Others have misguided fears that the shot will trigger an adverse reaction, the group explained. However, people with diabetes are more likely to develop serious flu-related health problems if they get the virus, the AADE cautioned. The group said the flu shot is a safe and effective way to prevent or reduce the severity of these complications. "Reducing risks is one of the AADE's seven key self-care behaviors for managing diabetes, and getting the flu shot every fall is an excellent way of reducing the risk of getting sick," certified diabetes educator Evan Sisson said in an AADE news release. "It's widely available, it takes just a few minutes and it can make a real difference in your health." Good hand hygiene is another important way to stay healthy and hopefully avoid the flu, the diabetes experts noted. There are several ways a seasonal flu shot can benefit people with diabetes, according to the AADE. They include: Better disease management. The flu and other infections can raise blood sugar levels and disrupt a healthy diet plan. Avoiding the flu can help people with diabetes stay on track and manage the condition. Complication prevention. People with diabetes are more likely to be hospitalized for flu-related complications, such as pneumonia. They are also more likely to die from the flu. Immune system boost. As people age, their immune system weakens. The flu can tax Continue reading >>

Did The Flu Shot Cause My Daughter's Diabetes? | Ask D'mine

Did The Flu Shot Cause My Daughter's Diabetes? | Ask D'mine

We're sorry, an error occurred. We are unable to collect your feedback at this time. However, your feedback is important to us. Please try again later. Got questions about life with diabetes? So do we! That's why we offer our weekly diabetes advice column, Ask D'Mine, hosted by veteran type 1 peep W il Dubois , a diabetes author with many years' experience as an educator in a New Mexico clinic. This week, Wil is taking on one of those questions about whether vaccines -- the flu shot specifically -- might have led to diabetes. Well, we guess in this day and age of anti-vaccine scares, it's worth addressing this particularly long question head-on. {Got your own questions? Email us at [email protected] } Gerry, D-mom from California, writes: My9-year-old daughter Ruby has been newly diagnosed with type 1 diabetes. Thisdiagnosis has come completely out of the blue to us. We are a healthy family, one that doesnt eat junk food or ready meals, doesn't drink lots of sugary drinks,and there is no family history on either of the parents sides. We dont takeunnecessary medications, preferring a more holistic approach. Our consultant told us that the medicalprofession doesnt really know why T1 can suddenly start in juveniles, exceptto say that they think it is virus-related. I have a suspicion, though, whichis shared by my ex-husband.My daughters school was taking part in aprogram of vaccinating children under 11 against the flu virus toward the endof last year in November, and my daughter was given the fluvaccine via a nose spray. She didnt immediately appear to have a cold ortemperature but then shortly after began to complain of the occasional headacheor tummy ache. In the new year she had an increasedthirst and was weeing a lot more than usual, and saying she had a sore Continue reading >>

Does The Flu Shot Affect Blood Sugar?

Does The Flu Shot Affect Blood Sugar?

While most physicians will tell you that your blood glucose will not be impacted by a flu shot, anecdotally there are reports of increased blood sugar levels immediately post- injection. Does this mean you shouldn’t get a flu shot? Absolutely not. Your risk from contracting the flu is far greater than a brief period of elevated blood glucose. The Flu Shot Doctors say that diabetics should not take the nasal form of the flu vaccination, only the injection. The vaccine is made of killed flu viruses, and cannot give you the flu. The vaccine is between 70% and 90% effective, and takes about two weeks to provide full immunity. It is generally available sometime during September, and physicians urge diabetics to get it as early as possible so they have complete immunity when the season begins. Some people report higher-than-normal blood glucose readings immediately after their vaccination and for a week or two. Generally, these levels are not high enough to signify an emergency situation, i.e. hyperglycemia and all of its ramifications. There is no real explanation for this increase, other than a possible small bump to the metabolism as the body processes the vaccine. Being aware of the possibility, and adjusting insulin and diet to address the higher readings should be sufficient. If after a couple of weeks glucose levels don’t return to normal, consult your physician. Why Getting a Flu Shot is Critical for Diabetics According to the CDC, diabetics are three times more likely to be hospitalized for the flu and the complications it causes than the rest of the population. Diabetes weakens the immune system, making diabetics more susceptible to the flu, and more likely to develop complications. Doctors not only urge diabetics to get vaccinated, but also strongly recommend t Continue reading >>

Diabetes Health Type 1 Diabetes: Diabetes Self Management In Flu Season

Diabetes Health Type 1 Diabetes: Diabetes Self Management In Flu Season

The crowd in the small Boston theater laughed and clapped. The comedy show was a good one, and I was enjoying it from a cramped seat in the balcony. It was October 29, a Friday, and while it was brisk outside, winter hadn’t yet clamped down. But the date was more important than I thought. The viruses that attack during the winter flu season had already begun to circulate, and some of them were in that very theater. During the show, dozens of people coughed and sneezed. And at some point during my two hours in the theater, I breathed in a tiny bit of evil. You might call it a germ. But for me it was the beginning of more than two weeks of coughing, sore throat, visits to the doctor, and challenging diabetic control–all from one evening’s light entertainment. Prevent, if possible The ordeal was partly my fault. According to the Centers for Disease Control and Prevention, the most important thing an individual can do to protect against the flu is get a flu shot. And as a diabetic, I’m at greater risk for developing complications from the flu. (I’m type 1, but type 2s are also considered at risk.) Guess who wasn’t vaccinated? Sure, I wind up getting a shot every year, but it’s usually in November or December. I had an appointment scheduled for the next week, and I was expecting that my doctor, as usual, would suggest the shot. But it was too late. The other thing I failed to do, according to diabetes educator and author Constance Brown-Riggs, was prepare a sick day plan. I should have decided on the medical professionals with whom I needed to check (doctor and insulin pump coach, for example), made sure I had sick time ready at work, had food and drink at hand, and generally been ready for the vilest of viruses. “A plan prepared in advance can make getting a Continue reading >>

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