Answer:
The correct answer is D) An inhibitory effect of insulin on gluconeogenesis is no longer present.When insulin is lacking, as in the case of missed insulin injections, there is no longer inhibition of gluconeogenesis (the production of glucose from non-carbohydrate sources) by insulin. As a result, the body begins to break down fats for energy, leading to increased production of ketone bodies through a process called ketogenesis. This can eventually lead to ketoacidosis.