Case Study #2 Patient Name: Jacob M. Age: 17 Diagnosis: Type 1 Diabetes Mellitus (T1DM) History: Diagnosed at age 10, uses insulin pump therapy, active in sports Situation: Jacob is brought to the emergency department by his coach after collapsing during basketball practice. He is unconscious, diaphoretic, and unresponsive to verbal stimuli. A bedside glucose check reveals a blood sugar of 28 mg/dL. The nurse prepares to administer glucagon 1 mg IM per emergency protocol. Which of the following best explains why oral glucose is not appropriate for Jacob at this time?