Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Which of the following is NOT considered a risk factor for hypoglycemia in individuals with type 2 diabetes?

1. Delayed or skipped meal

2. Alcohol consumption without food intake

3. Significantly increased physical activity

4. Weight gain

The correct answer is: Weight gain

Weight gain is not considered a direct risk factor for hypoglycemia in individuals with type 2 diabetes. Hypoglycemia generally occurs when there is an imbalance between glucose levels in the body and factors that lower those levels. Risk factors like delayed or skipped meals, alcohol consumption without food, and significantly increased physical activity can lead to a depletion of glucose, resulting in low blood sugar levels. For instance, when an individual with diabetes skips meals or eats irregularly, there may be insufficient glucose available in the bloodstream, especially if they are taking glucose-lowering medications. Similarly, consuming alcohol without food can lead to hypoglycemia because alcohol interferes with the liver's ability to release glucose into the blood. Increased physical activity can also lower blood sugar levels, particularly if not appropriately managed with nutrition or medication adjustments. In contrast, weight gain does not directly contribute to lower blood sugar levels. While obesity may be associated with the broader spectrum of diabetes and related complications, it does not inherently cause hypoglycemia. Thus, weight gain stands apart as a factor that primarily relates to insulin resistance rather than milder blood sugar levels.