Final answer:
Under conditions of sepsis and stress, the most likely metabolic alteration to occur is increased glucose production and decreased glucose uptake.
Step-by-step explanation:
Under conditions of sepsis and stress, the most likely metabolic alteration to occur is increased glucose production and decreased glucose uptake. In response to stress and infection, the body releases stress hormones such as cortisol and catecholamines.
These hormones stimulate the liver to produce more glucose through a process called gluconeogenesis. However, in sepsis and stress, the uptake of glucose by tissues is often impaired, leading to an increase in blood glucose levels.