An Unconscious 20-Year-Old Man Is Brought to the ER by His

An unconscious 20-year-old man is brought to the ER by his frat brothers. They indicate that he had consumed several beers prior to passing out and their concern was their inability to rouse him. His best friend reports that he is Type 1 diabetic and that he injected himself with insulin about 7 hours earlier. Physical examination indicates a distinct odor of ketone on his breath. Laboratory studies demonstrate that he has an increased ketone body concentration and an increased ratio of b-hydroxybutyrate to acetoacetate in his blood. His liver cells are most likely to show which of the following ratios?

A) decreased NADH:NAD₊
B) decreased NADPH:NADP₊
C) increased NADH:NAD₊
D) increased NADPH:NADP₊
E) increased pyruvate:lactate