<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 65-year-old homeless man with a history of hospitalization for alcohol intoxication is brought in confused. His serum glucose is 39mgdl. Which of the following is likely true?? A: He has also been using cocaine, B: He has decreased activity of alcohol dehydrogenase, C: Hepatic gluconeogenesis is elevated, D: The next step in management is glucose repletion, E: His hepatic NADHNAD ratio is high,  <response>: This is a question about hypoglycemia in an alcoholic patient. The key points are:- 65 year old homeless man with history of alcohol intoxication- Presented confused with very low serum glucose of 39 mgdl- Looking for what is likely contributing to the hypoglycemiaThe choices provide possible explanations:A Cocaine use - Cocaine could contribute to hypoglycemia but is not likely in this chronic alcoholic patientB Decreased alcohol dehydrogenase - This enzyme metabolizes alcohol, but would not directly cause hypoglycemiaC Elevated gluconeogenesis - This is a compensatory response to hypoglycemia, not a causeD Glucose repletion - This is appropriate management, but doesnt explain the hypoglycemiaE High NADHNAD ratio - This impairs gluconeogenesis in alcoholics and is a likely contributor to the hypoglycemiaE: His hepatic NADHNAD ratio is high 