I don’t understand these, pleasee help

Astudent who has completed all college requirement is:

Which of the following will most likely happen if the pancreas does not produce sufficient insulin? blood sugar will decrease because insulin lowers blood sugar when it rises too high. blood sugar will increase because insulin increases blood sugar when it falls too low. blood sugar will increase because insulin lowers blood sugar when it rises too high. blood sugar will decrease because insulin increases blood sugar when it falls too low.

Why do u think the boys care so much about being called by their nick names from the movie holes