A 3-year-old male is brought to the emergency room with hypoglycemia following a brief seizure. His…

A 3-year-old male is brought to the emergency room with hypoglycemia following a brief seizure. His parents put him to bed the night before and he had not eaten much dinner. His urine tested positive for dicarboxylic acids and there were no delectable ketones in his blood or urine. In this individual, at the time of presentation his ratio of insulin to glucagon is: < 1 1 > 1