Post Content

Donna Lazorik Posted by Donna Lazorik, RN, MS. Donna is the Immunization Coordinator in the Division of Epidemiology and Immunization at the Massachusetts Department of Public Health.

Whether it’s type 1 or type 2, well-managed or uncontrolled – diabetes and the flu don’t mix well.

When people with diabetes get the flu they have a higher risk of complications like hospitalization and even death.  Why is this?  Diabetes can make the immune system less able to fight the influenza virus that causes the flu.  In addition, sometimes people don’t feel like eating when they are sick.  It may be difficult to maintain a regular diet or medication regimen, and this can cause blood sugar levels to rise or fall.  Flu infection itself can also raise blood sugars.  Even people whose diabetes is well controlled need to have a plan to manage their condition when they are sick.

Vaccination is the best protection against flu.  The Centers for Disease Control and Prevention (CDC) recommends that people with diabetes who are six months and older get a flu shot every year. (It’s important to note that the nasal spray flu vaccine should not be given to people with diabetes.)  People with diabetes are also at increased risk of developing pneumonia from the flu, therefore a pneumonia (pneumococcal) vaccine is also recommended and should be part of a diabetes management plan. 

We saw the impact of flu on people with diabetes during the 2009 H1N1 flu pandemic – one in four patients with diabetes who were hospitalized for flu required intensive care.  While these data are alarming, it sends the message that people with diabetes need to protect themselves against the flu.

The best time to get vaccinated is before flu season starts (in other words, now) and before people around you start becoming sick or ill.  The flu vaccine is safe and effective.  In fact, it has been shown to reduce the number of hospitalizations and deaths in people with diabetes.

If you have questions about the flu or flu vaccine, visit www.mass.gov/flu or contact the Department of Public Health, Division of Epidemiology and Immunization at (617) 983-6800.  To find out where you can get a flu shot, talk with your health care provider or visit http://flu.masspro.org to find a flu clinic near you.  

Written By:


health communication writer and editor

Recent Posts

HOW ‘BOUT THEM APPLES? posted on Sep 19

HOW ‘BOUT THEM APPLES?

This is a rough time of year for someone like me, as I try desperately to hold onto summer for as long as possible. I bristle at each and every reference to Labor Day, which now apparently serves as the bellwether of summer’s demise (it   …Continue Reading HOW ‘BOUT THEM APPLES?

Goodbye berries, Hello Apples! posted on Sep 18

Goodbye berries, Hello Apples!

Saying farewell to summer fruits and vegetables can be hard. But, once you remember all of the delicious produce that the autumn harvest brings, the season just gets better and better. Apples are one of my favorite fruits of the fall. There are many varieties   …Continue Reading Goodbye berries, Hello Apples!

Highlights of the September 17th Public Health Council Meeting posted on Sep 17

This month’s meeting of the Public Health Council featured a series of three Determination of Need (DoN) requests, a status update on draft regulations related to immunizations, and two informational presentations on two key Department initiatives. The Council first took up a Determination of Need application with   …Continue Reading Highlights of the September 17th Public Health Council Meeting