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
All are complications arising out of use of the medical device shown here except? 
Select and explain. 
A. Lipo-hyperophy, B. Neuro-glucopenia, C. Pre-breakfast hyperglycemia, D. Molar ratio of insulin/C-peptide <1
D: Molar ratio of insulin/C-peptide <1
Answer: D: Molar ratio of insulin/C-peptide <1 
Explanation: IMAGE: INSULIN PEN Option B- On giving extra insulin, it will l/t Neuro-glucopenia Option C- SOMOGYI phenomenon 1.Early morning (4am) -Hypoglycemia (excess insulin) 2.Pre breakfast(7am) - hyperglycemia d/t counter regulatory hormone GLUCAGON Option D- Molar ratio of insulin ratio/C-peptide >1 as we are giving exogenous insulin to the patients.