An individual with type I diabetes hasn't been able to afford insulin since he lost his job over a week ago. He goes to the clinic complaining of nausea and breathing difficulty. Blood work revealed that the patient was in a state of ketoacidosis and had high blood glucose levels. However, ketoacidosis results when the body is "starving" for glucose. Why can these two conditions simultaneously exist in a diabetic patient?
a. High blood glucose levels are a result of the protein metabolism breaking down the patient's muscles
b. The patient was not taking insulin, which means that the glucose in the bloodstream couldn't get into the patient's cells to be catabolized
c. The bacteria infecting his foot was metabolizing the glucose as they multiplied and worsened the infection
d. The patient was primarily eating fats and proteins instead of carbohydrates, there was no dietary glucose to be recognized
