A 70-year-old female with type 2 diabetes is brought to the clinic by her daughter, who states that her mother has been more drowsy and irritable than usual. This morning, she was found confused, diaphoretic, and unable to answer Questions clearly. The patient has a history of poor oral intake over the past 2 days and is currently taking glipizide. Vital signs show BP 130/82 mmHg HR 98 bpm RR 18 breaths/min Temp 97.8 Blood glucose is 42 mg/dL Based on these findings, which condition is the client most likely experiencing?