This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Diabetes Mellitus, Subject name: Medicine
[{'content': 'Hyperglycemia is seen in all except? \nSelect and explain. \nA. Cirrhosis, B. Myotonic dystrophy, C. Lipodystrophy, D. Sarcoma', 'role': 'user'}, {'content': 'Answer: D \nExplanation: In cirrhosis, blood sugar is elevated, due to reduced uptake of sugar by liver. In myotonic dystrophy and lipodystrophy, there is tissue insensitivity to insulin leading to hyperglycemia. Sarcoma especially large retroperitoneal sarcomas secrete IGF-2 and lead to hypoglycaemia.', 'role': 'assistant'}]