Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: history of present illness: the patient is a 33 year old male with a history of insulin dependent diabetes mellitus, gastroparesis and hypertension who has had multiple episodes of abdominal pain, who presented for a similar episode. the patient also complained of some light-headedness in the emergency department and was subsequently found to have a blood pressure of 250/175. the patient had no chest pain, no shortness of breath and no palpitations associated with this blood pressure. he is on florinef at home as treatment for autonomic dysfunction. the patient had previously been on a beta blocker and ace inhibitor, but those were discontinued secondary to the diagnosis of autonomic dysfunction with a preference for treating the patient with florinef and clonidine patch. the patient also complained of nausea and vomiting which prevented him from taking an adequate dose of his florinef. he claimed that there was no blood in his vomitus and he had no symptoms of constipation or diarrhea. for his blood pressure in the emergency department, the patient was given 20 mg and then 40 mg intravenously of labetalol without change in his blood pressure. given the fact that the patient had been recently admitted to the ccu for hypertensive urgency, he was readmitted to the ccu team who subsequently started a nipride drip. the patient had a drop in his blood pressure after one hour which required fluid resuscitation and discontinuation of the labetalol. the patient subsequently was started on an insulin drip when found to have a critically high blood glucose level greater than 500. past medical history: 1. gastroparesis. 2. diabetic ketoacidosis. 3. coronary artery disease. 4. gastritis, negative for h. pylori. 5. esophageal ulcer. 6. history of hypertensive urgency. medications at home: 1. florinef 0.1 mg p.o. once daily. 2. reglan 10 mg p.o. four times a day. 3. protonix 40 mg p.o. once daily. 4. lisinopril 10 mg p.o. once daily. 5. lopressor 50 mg p.o. three times a day which was discontinued and instead substituted with clonidine tp 0.1 q.week. 6. insulin nph 10 units q.a.m. and 10 units q.p.m. with a regular insulin sliding scale in between. allergies: no known drug allergies. family history: significant for his father and aunt both having type i diabetes mellitus and hypertension. social history: no alcohol or tobacco use. no cocaine use. the patient used to be a truck driver. physical examination: vital signs revealed a heart rate 99, blood pressure 98/52, oxygen saturation 97% on admission to the ccu. telemetry showed sinus tachycardia and alarm for decreased systolic blood pressure and decreased respiratory rate. in general, the patient is a lethargic appearing male in no apparent distress. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. no scleral icterus. the oropharynx is clear. neck reveals no jugular venous distention, and no lymphadenopathy. cardiac - regular rate and rhythm, no murmurs, rubs or gallops. pulmonary is bilaterally clear to auscultation. the patient was not very cooperative with taking breaths. abdomen - no bowel sounds, soft, tender diffusely especially in the right upper quadrant. extremities - no cyanosis, clubbing or edema, good pulses bilaterally. neurologically, cranial nerve ii sluggish, pupils are equal, round, and reactive to light and accommodation. cranial nerves iii, iv, v, vi, vii, viii, ix, x, , and xii were intact. reflexes - the patient was hyporeflexic in both lower extremities. he was unable to relax his limbs. he had equivocal babinski signs. the right upper extremity had an a line. cerebellar function was unable to be assessed secondary to the patient's lethargic state. gait and coordination were not tested. sensation appeared grossly intact. mental status - the patient seemed lethargic and sluggish. electrocardiogram - the patient's previous electrocardiogram showed sinus tachycardia with st elevations in v2 and v3, q waves in v2 through v6, and lateral t wave flattening. his new electrocardiogram was unchanged. echocardiogram on , showed normal left ventricular systolic function and size, ejection fraction greater than 55% and no change from previous echocardiogram. cardiac catheterization in , showed a 50% d1 lesion, mild branch vessel coronary artery disease, and normal left main coronary artery. left anterior descending artery had mild luminal irregularities. the patient had right coronary artery dominant system. the patient also had a ct scan of the head done given his high blood pressure and lethargic state which was found to be negative for any acute changes. hospital course: after admission to the ccu with initiation of insulin drip and discontinuation of the nipride drip, the patient was monitored carefully for 48 hours during which time his anion gap returned to . his diabetic ketoacidosis resolved. his sugar returned to baseline. his blood pressure returned to baseline. he was transferred to regular medicine floor. the patient was started on clonidine p.o. as his nausea and vomiting subsided and he was continued on a clonidine patch. some of his hypertension was thought to be rebound hypertension from possibly discontinuation of the clonidine or the florinef. renal consult service also followed the patient through his hospital course. , m.d. dictated by: medquist36 procedure: arterial catheterization diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled malignant essential hypertension unspecified gastritis and gastroduodenitis, without mention of hemorrhage diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis 

Answer: The patient is high likely exposed to