A patient with a history of diabetes is slightly confused and irritable. According to family members, he accidentally took too much insulin this morning and did not eat breakfast. Since he is conscious with an intact gag reflex, medical direction has ordered you to administer oral glucose. Which one of the following BEST represents the indication for the medication?

A) High blood sugar
B) Confusion and irritability
C) Intact gag reflex
D) Authorization by medical direction

B