Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

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Prepare for the Certified Diabetes Care and Education Specialist (CDCES) Exam with our comprehensive quiz. Utilize flashcards, multiple choice questions, and detailed explanations to ensure success. Elevate your expertise and pass the exam with confidence!

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Which medication is most likely to mask symptoms of hypoglycemia?

  1. Irbesartan

  2. Amlodipine

  3. Propranolol

  4. Hydrochlorothiazide

The correct answer is: Propranolol

Propranolol is a non-selective beta-blocker that can mask the symptoms of hypoglycemia. This mediation works by blocking the effects of adrenaline, which is responsible for the physiological symptoms often associated with low blood sugar, such as tremors, tachycardia, and anxiety. When these symptoms are muted, individuals may fail to recognize that their blood sugar levels are dropping, leading to a potentially dangerous situation if not addressed promptly. This masking effect is particularly significant in patients with diabetes who may rely on these symptoms as a warning to treat low blood sugar. In contrast, the other medications listed do not have this effect. Irbesartan and hydrochlorothiazide are primarily used for hypertension and do not influence the body's adrenergic response to hypoglycemia. Amlodipine, a calcium channel blocker, is also not associated with the suppression of hypoglycemic symptoms. Understanding the unique effects of different medications on the body is crucial for effective diabetes management and ensuring patient safety.