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UNDERSTAND THE IMPORTANCE OF VACCINATION FOR PEOPLE WITH DIABETES

    Vaccination is an important measure used for disease prevention . Undoubtedly, immunization programs contribute to reducing the incidence of infections and also reduce the resulting mortality.

    Much question is ask about the correct indication for each vaccine, either considering the age group or the person’s health status. Some vaccines are contraindicated in pregnancy and others are not recommended for immunosuppressed patients.

    But what do you know about vaccination for people with diabetes? Would there be any contraindications? Or would the vaccine even be able to prevent its evolution? Keep reading!

    Does vaccination to prevent and cure diabetes exist?

    First of all, it is necessary to clarify the first relationship, or rather, the non-association of the vaccine with the prevention or cure of diabetes. Some people believe that immunization can be instrumental in preventing the condition or even curing it. Unfortunately, a cure for diabetes is not yet know. But the best form of prevention is to take care of health as the medical team recommends.

    In fact, vaccines are prevention tools. However, they only prevent infectious diseases, that is, those caused by microorganisms, such as viruses and bacteria. It is worth emphasizing that, even in these diseases, the aim is not to cure, but to reduce the risk of contracting the infection.

    On the other hand, diabetes can be an autoimmune disease or a metabolic disorder, in which the insulin-producing cells of the pancreas lose their ability to generate the hormone. The cause itself will determine which type of diabetes you have, but whatever it is, it has nothing to do with infections or microorganisms.

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    Importance of immunization

    So, since vaccines have nothing to do with preventing or curing diabetes, that means people with the condition don’t have to worry about getting the vaccine, right? Wrong!!!

    Infectious diseases affect all age groups, each one subject to greater or lesser risks of complications. For the prevention of such pathologies, there are two fundamental measures that must be followe by all pollution: hygiene and immunization.

    Given such importance, the National Immunization Program (NIP) was created, which establishes which vaccines should be taken and the ideal age for each dose. In fact, SUS provides some vaccines. Some private network also provides some vaccines too, in order to increase the immunization status.

    It is worth mentioning that the success of NIP can be observe with the eradication and elimination of several diseases. However, if the population fails to immunize, there is a risk of new cases, as has happened in recent months with measles, for example.

    Vaccination for people with diabetes

    Returning to people with diabetes, we reiterate that they must follow the established vaccination schedule. From childhood to old age, there are important vaccines, which should be recommended considering each case.

    Although an analysis of health as a whole is necessary to recommend or contraindicate a vaccine, two aspects must be clear: diabetes mellitus is not inadvisable for any vaccine and there is no minimum or maximum glycemic level for immunization.

    So, check out some essential vaccines for people with diabetes below!

    Pneumococcal

    Healthy lifestyle concept with fruits , vegetables and sport equipments.

    Streptococcus pneumoniae is a bacterium that causes respiratory tract infections. Its complications include major diseases such as pneumonia and meningitis, which can lead to severe sepsis.

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    According to the Brazilian Diabetes Society , people with diabetes have a higher risk of developing complications. So, more than ever, the vaccine must be obtain, considering that it is the main form of prevention.

    In this case, the most indicated is the 13-valent pneumococcal conjugate (PCV13). Efficacy in diabetics reaches up to 84%, stimulating long-term immune defense.

    The ideal age groups to receive the vaccine are basically: children between 2 and 23 months and elderly people over 65 years old. We emphasize that patients with renal failure or nephrotic syndrome should be advise about the second dose.

    Influenza

    Person do glucose test. Measuring sugar in blood concept. Vector illustration

    Influenza, or flu, is a viral disease that affects all age groups, with about 10% of the population having at least one case of influenza annually. Therefore, vaccination is recommended from 6 months, with or without diabetes.

    A curiosity about this vaccine is the need for annual reformulation. The causative viruses undergo a large variation in the genetic material, so that the vaccine may fail to encompass a particular mutation.

    Therefore, there are frequent studies to assess which strains are more prevalent in that particular year. Once this is done, vaccines are reformulated, encompassing more and more microorganisms according to the cases seen.

    Therefore, an annual flu vaccination campaign takes place. In individuals with diabetes, vaccination reduced hospitalizations by 54% and decreased mortality by 58%.

    Bacterial double and triple

    When we talk about the dual bacterial vaccine, or DT, we are referring to the prevention of diphtheria and tetanus. The first disease is mainly cause by Corynebacterium diphtheriae, which reproduces and releases a systemic toxin. Tetanus is cause by Chlortidium tetani, which directly damages the nervous system.

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    The triple bacterial, or DTP, includes prevention against pertussis, that is, Bordetella pertussis, which causes pertussis. It is essential to complete the vaccination schedule against such diseases:

    • 3 doses of DT and booster every 10 years;
    • DTP replacing 1 dose or 1 booster of DT.

    Hepatitis B

    Hepatitis B is a viral disease transmits sexually or through contact with infect blood. Many people can carry the virus and not show symptoms. However, complications of the disease include cirrhosis and even liver cancer.

    Faced with the chronic evolution and associated risks, the best way to avoid infection is through the vaccine. The vaccine schedule includes 3 doses, which should be prioritized for people with chronic kidney disease, liver disease and those who live with people already infected.

    We have mention just a few diseases that can be prevent through immunization. We reinforce once again that vaccination for people with diabetes must be properly recommend by the doctor, but that the condition itself is not a reason to contraindicate any vaccine. Diabetes management is essential for a healthier life , but don’t forget about the other measures to keep your health up to date. Talk to your doctor and pay attention to the immunization schedule!

     

     

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