This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Medicine
[{'content': 'All are risk factors for Severe Hypoglycemia except \nSelect and explain. \nA. Sleep, B. Short duration of D.M, C. ACE genotype, D. Strict control of blood sugar level', 'role': 'user'}, {'content': 'Answer: A \nExplanation: (A) Sleep # Hypoglycemia-Associated:> Autonomic Failure(Nueropathy): The concept of hypoglycemia-associated autonomic failure (HAAF) in diabetis posts that recent antecedent iatrogenic hypoglycemia (or sleep or prior exercise) causes both defective glucose counterregulation (by reducirg the epinephrine response to a given level of subsequent hypoglycemia in the setting of absent insulin and glucagon responses) and hypoglycemia unawareness (by reducing the sympathoadrenal response to a given level of subsequent hypoglycemia).> Based on this pathophysiology, additional risk factors for hypoglycemia in diabetes include insulin deficiency that indicate; that insulin levels will not decrease and glucagon levels will not increase as plasma glucose levels fall; a history of severe hypoglyc emia or of hypoglycemia unawareness, implying recent antecedent hypoglycemia, that indicates that the sympathoadrenal response will be attenuated; and lower HbA1c levels or lower glycemic goals that, all other factors being equal, increase the probability of recent antecedent hypoglycemia', 'role': 'assistant'}]