A 56-year-old diabetic man is found unresponsive by his wife. She tells you that he ate breakfast this morning, but is unsure if he took his insulin. His respirations are rapid and shallow, his skin is cool and profusely diaphoretic, and his pulse is rapid and weak. Which of the following statements regarding this patient is correct?

A) The fact that he ate breakfast makes hypoglycemia highly unlikely.
B) He probably did not take his insulin and has a high blood glucose level.
C) You should request an ALS unit so they can give the patient his insulin.
D) He needs glucose as soon as possible because he is likely hypoglycemic.

Ans: D) He needs glucose as soon as possible because he is likely hypoglycemic.