Which vaccines should Missy, a 36-year-old woman with diabetes, receive?

For a 36-year-old woman with diabetes, the recommended vaccinations focus on diseases that pose a higher risk for individuals with this condition. Diabetics are at an increased risk for complications from certain infections, so vaccination plays a critical role in their preventive healthcare.

Pneumococcal vaccination is particularly important for adults with diabetes. The recommendation includes both PCV13 and PPSV23, but the option that aligns with the guidelines is PPSV23, which protects against pneumococcal infections and is advised due to the increased risk of pneumonia and other complications in individuals with chronic conditions like diabetes.

Hepatitis B vaccination is also recommended for adults with diabetes, especially if they are under the age of 60, as they may be at higher risk for contracting the virus due to possible exposure through medical procedures or equipment.

Annual influenza vaccination is crucial, as flu can lead to severe complications in individuals with underlying health conditions such as diabetes. Protection against influenza helps prevent exacerbations in their chronic condition.

This combination of vaccines—PPSV23, Hepatitis B, and influenza—provides targeted prophylaxis against the infections that could significantly compromise the health of someone already managing diabetes, making this selection the most appropriate for Missy's situation