Severe hypoglycemia (insulin shock) commonly presents with which combination?

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Multiple Choice

Severe hypoglycemia (insulin shock) commonly presents with which combination?

Explanation:
Severe hypoglycemia deprives brain cells of glucose, so the body’s counterregulatory response kicks in, producing a sympathetic surge that leads to sweating and a fast heartbeat. The brain’s lack of glucose also causes altered mental status, such as confusion or agitation. Together, this trio—confusion, diaphoresis, and tachycardia—best fits insulin shock. In contrast, fruity breath and polyuria point to high blood glucose (diabetic ketoacidosis or severe hyperglycemia), deep, slow breathing signals metabolic acidosis (also seen in DKA), and chest pain with hypertension isn’t a typical feature of insulin reaction.

Severe hypoglycemia deprives brain cells of glucose, so the body’s counterregulatory response kicks in, producing a sympathetic surge that leads to sweating and a fast heartbeat. The brain’s lack of glucose also causes altered mental status, such as confusion or agitation. Together, this trio—confusion, diaphoresis, and tachycardia—best fits insulin shock. In contrast, fruity breath and polyuria point to high blood glucose (diabetic ketoacidosis or severe hyperglycemia), deep, slow breathing signals metabolic acidosis (also seen in DKA), and chest pain with hypertension isn’t a typical feature of insulin reaction.

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