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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: loss of conciousness major surgical or invasive procedure: none history of present illness: mr. is a 30 year old male with diabetes and esrd on dialysis who presents from home after being found down at home. he was recently discharged from this hospital on after being admitted for a line infection and had his line replaced. he completed a course of cefazolin on . patient recalls that his blood sugar was elevated the night prior to presentation in the 350s. he says that he took 6 u of nph and 12 and went to sleep. he usually eats a meal at bedtime and but did not yesterday evening. he woke up at midnight and felt diaphoretic but did not feel confused as he normally does when he is hypoglyemic. he took his shirt off because he was so sweaty. he got up to use the bathroom and remembers deficating on himself and then fell down and lost consciousness. he was found unresponsive by his brother at approximately 5 am. ems was called. finger stick in the field was 42 and he received 100 mg thiamine and 25 g d50 with improvement in his level of consciousness. temperature in the field was 88 degrees. . on arrival the emergency room his initial vitals were t: 86 hr: 99 bp: 144/88 rr: 18 o2: 96% on ra. blood glucose on arrival was 131. he had a non-contrast ct head which was negative. cxr with no acute intrathoracic process. he received vancomycin 1 gram iv, ceftriaxone 1 gram iv. his potassiumw as elevated at 6.0 and he received calcium gluconate, insulin and d50. ekg showed j waves in v3-v4. he was transferred to the for further management. . on arrival to the he reported that he felt well. he reported that he had dialysis on saturday as usual and was due for dialysis today. he endorsed feeling chilled and hungry but otherwise had no complaints. no fevers, lightheadedness, dizziness, chest pain, shortness of breath, nausea, vomiting, abdominal pain, dysuria, hematuria, leg pain or swelling. no confusion. past medical history: -alcoholic pancreatitis () -- tear() -stage v chronic kidney disease: currently on hemodialysis and being being evaluated for -diabetes mellitus -diabetic foot ulcers -alcoholic hepatitis -hypertension -hyperlipidemia -diabetic myonecrosis social history: he lives with his brother and is currently unemployed. he used to drink heavily but will not specify how much. he currently denies any drinking. he formerly smoked but says that he no longer does so for the past "few months." family history: significant for both parents and three siblings with diabetes. he denies any family history of heart disease, hypertension, cancer, or bleeding disorders in the family. physical exam: vs: t 94.5, bp 131/80, hr 93, rr 10 o2 100% on ra. fs 158. gen: alert, oriented, no acute distress heent: perrl, sclera anicteric, oropharynx clear, mucus membranes moist neck: supple, no lad, r neck with slightly dirty bandages, non-tender, non-erythematous, tunnelled line in place cardiovascular: rrr, s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, +bs, no organomegaly extremities: wwp, 1+ pulses, no clubbing, cyanosis or edema skin: no rashes neuro: non-focal pertinent results: imaging: ====== ct head w/o contrast study date of 7:33 am impression: no evidence of acute intracranial abnormalities. . chest (portable ap) study date of 8:17 am impression: no acute intrathoracic process. . labs: ==== 06:45am blood wbc-11.5* rbc-3.91*# hgb-11.0* hct-33.7*# mcv-86 mch-28.1 mchc-32.6 rdw-16.4* plt ct-375# 06:30am blood wbc-5.5 rbc-3.16* hgb-8.9* hct-26.6* mcv-84 mch-28.1 mchc-33.4 rdw-16.3* plt ct-327 06:45am blood glucose-99 urean-78* creat-11.2*# na-137 k-6.0* cl-99 hco3-18* angap-26* 04:23pm blood na-142 k-4.9 cl-104 06:30am blood glucose-86 urean-51* creat-9.9*# na-140 k-5.4* cl-103 hco3-23 angap-19 06:45am blood ck(cpk)-375* 04:23pm blood ck(cpk)-243* 09:47am blood ck-mb-11* mb indx-3.0 ctropnt-0.16* 04:23pm blood ck-mb-6 ctropnt-0.16* 06:45am blood calcium-8.3* phos-6.3* mg-2.5 06:30am blood calcium-8.3* phos-4.9* mg-2.1 05:05am blood tsh-0.92 06:30am blood tsh-0.81 06:30am blood cortsol-13.8 09:47am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . micro: ===== blood cultures no growth to date brief hospital course: 30 year old male with dm1, esrd on dialysis who presents from home after being found down at home found to have hypoglycemia and hypothermia in the field. this did not appear to be cardiovascular or infectious in nature, but rather an inbalance of insulin administration and food ingestion. he responded well to gluocose administration and was discharged from the icu in stable condition. while on the floor he underwent dialysis without event and was seen by the team who suggested modifications to his insulin regimen. he remained on his outpatient regimen, and aside from the new insulin regimen he had the following changes in his bp regimen: his labetolol 100 mg tid and metoprolol 125 mg , was changed to metoprolol 125 tid, and the patient tolerated this well. the thought was that perhaps this could be changed to toprol xl 300 mg daily in the future. after discussion with the patient and the medical team, all were in agreement that mr. was a suitable candidate for discharge. medications on admission: amlodipine 5 mg daily atorvastatin 40 mg daily calcium acetate 1334 tid with meals cinacalcet 60 mg daily labetalol 100 mg tid lisinopril 40 mg daily metoprolol 125 mg nph 6 u qam and 2 u qam pantoprazole 40 mg daily lanthanum 500 mg tid aspirin 81 mg daily discharge medications: 1. amlodipine 5 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. atorvastatin 20 mg tablet : two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. calcium acetate 667 mg capsule : two (2) capsule po tid w/meals (3 times a day with meals). disp:*90 capsule(s)* refills:*0* 4. cinacalcet 30 mg tablet : two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 5. lanthanum 500 mg tablet, chewable : one (1) tablet, chewable po tid w/meals (3 times a day with meals). disp:*90 tablet, chewable(s)* refills:*0* 6. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). disp:*80 tablet, chewable(s)* refills:*0* 7. lisinopril 20 mg tablet : two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet : two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 10. humalog mix 75-25 100 unit/ml (75-25) insulin pen : ten (10) units subcutaneous qam: for every increase of 100 above a pre-dose glucose level of 100, add 1 unit of insulin. disp:*qs for one month * refills:*2* 11. humalog mix 75-25 kwikpen 100 unit/ml (75-25) insulin pen : eight (8) u subcutaneous at bedtime: for every increase of 100 above a pre-dose glucose level of 100, add 1 unit of insulin. disp:*qs for one month * refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: hypoglycemia, hypothermia . secondary diagnoses: -alcoholic pancreatitis () -- tear() -stage v chronic kidney disease: currently on hemodialysis and being being evaluated for -diabetes mellitus -diabetic foot ulcers -alcoholic hepatitis -hypertension -hyperlipidemia -diabetic myonecrosis discharge condition: afebrile, stable vital signs, tolerating pos, ambulating without assistance. discharge instructions: you were admitted to the icu with hypoglycemia and hypothermia and responded well to glucose infusion and warming. your final insulin regimen will consist of: 10u humalog 75/25 in the morning 8u humalog 75/25 in the evening. . for every 100 points above your pre-insulin dose glucose level of 100, please increase your humalog 75/25 dose by 1 unit. for instance if your pre-insulin glucose level in the morning is 80-199, take 10u. if the level is 200-299, take 12 units, if the level is 300-399, take 13u, and so on. these changes also applies to the evening dose. . in order to avoid hypoglycemia in the future, please keep some candy in your pocket or by your bedside if you start to get symptoms. . 1. please take all medication as prescribed. 2. please make all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. followup instructions: please call to schedule a follow-up appointment. . you have an appointment with your pcp: , . on @ 8:00pm. . provider: , md phone: date/time: 1:20 . provider: , social work date/time: 2:00 . provider: , center (nhb) phone: date/time: 2:30 procedure: hemodialysis diagnoses: hyperpotassemia end stage renal disease renal dialysis status polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia chronic pancreatitis diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with other specified manifestations, type i [juvenile type], uncontrolled hypothermia not associated with low environmental temperature 

Answer: The patient is high likely exposed to