when anesthetizing the following occur to the patient, Paleness, nausea, mental confusion, clinical examination of blood pressure 100/75 warm extremities and the patient medical history

Pt. need to extract upper left 6 when anesthetizing the following occur to the patient, Paleness, nausea, mental confusion, clinical examination of blood pressure 100/75 warm extremities and the patient medical history indicate, he was on ttt for osteoarthritis:
What's the diagnosis:
a. Hypotension 
b. Hypoglycemia
c. Hyperglycemia 
d. Adrenal insufficiency ***
Previous tx for osteoarthritis means pt. taking cortisone, which produce such symptoms after local anesthesia.
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