Question

why does mr. q experience symptoms of low blood glucose, feeling shaky and dizzy, especially after he drinks too much alcohol on an empty stomach?

he took too much insulin.

drinking heavily without eating blocks glycogen breakdown by the liver, so glucose is not released into the blood, causing hypoglycemia.

he consumed too many sugar - containing drinks earlier in the day.

he ate too much salt.

Explanation:

When a person drinks heavily on an empty stomach, the liver prioritizes metabolizing alcohol over breaking down glycogen into glucose. Glycogen breakdown is blocked, and glucose is not released into the bloodstream, leading to hypoglycemia which causes symptoms like shakiness and dizziness. Taking too much insulin is not relevant as there's no mention of diabetes - related insulin use. Consuming sugar - containing drinks earlier would not typically cause hypoglycemia later after alcohol consumption. Eating too much salt has no direct relation to low blood glucose levels.

Answer:

Drinking heavily without eating blocks glycogen breakdown by the liver, so glucose is not released into the blood, causing hypoglycemia.