इंसुलिन प्रतिरोध, सापेक्ष इंसुलिन की कमी, और मोटापे तथा जीवनशैली के कारकों के साथ मजबूत संबंध प्रदर्शित करने वाला एक वयस्क मरीज मुख्य रूप से किस प्रकार के मधुमेह से पीड़ित होता है?

A 58-year-old man presents with irritability progressing to confusion and altered sensorium over 2 days. He has a known history of chronic liver disease along with mild renal impairment. His blood glucose level is normal. Which clinical feature MOST strongly supports a diagnosis of hepatic encephalopathy?

Given below are two statements: Assertion (A): Progression from confusion to coma in hepatic encephalopathy is usually sudden without preceding behavioral changes. Reason (R): Metabolic encephalopathies often show a stepwise progressive deterioration of cortical function. In light of the above statements, choose the correct option: