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: n/v/confusion major surgical or invasive procedure: none history of present illness: this is a 43 y/o f with a pmhx of type i dm x7 yrs with h/o multiple admissions for dka due to noncompliance, hypercholesterolemia, now here with n/v and change in ms for the past 5 days. due to patient's fatigue and mild confusion, pt is not able to give a complete history, but does admit to being ill over the past few days. per ed note, pt has not taken her insulin over the past 1-2 days. cannot determine whether patient has had a cough, fever, abd pain, or any other symptoms due to patient confusion. . in the ed, her vs were t97.3, hr155, bp124/75, rr42, o2sat 100%ra. she received 2.5l of ns, 10u of regular insulin, placed on insulin gtt, given empiric levaquin/flagyl. past medical history: 1. t1dm: x 7yrs, h/o dka x 6 attributed to poor medication compliance, last a1c : 13.3% 2. hypercholesterolemia 3. pancreatitis 4. htn 5. gerd 6. anemia, baseline hct 30 7. nonischemic mild , 40-45% ] social history: lives with husband and three children. denies tobacco, etoh, drug use. family history: dm (mother) physical exam: vs: t97.3 hr167 bp122/67 rr31 o2sat: 98%ra gen: mildly confused female, visibly tachypnic, not able to answer questions; able to speak word phrases without dyspnea heent: anicteric bilat. perrl. . mm dry. neck: decreased jvp cv: severely tachycardic. difficult to appreciate any extra heart sounds. resp: ctab anteriorly. no c/w/r. abd: soft, ntnd. +bs. no ttp. no . ext: no edema bilat. pulses symmetric. neuro: aaox2-3. moves all ext spont, strength ue/le . skin: no rashes or jaundice. brief hospital course: ms. is a 43 y/o lady with a pmhx of type i dm x 7 yrs with h/o multiple admissions for dka due to noncompliance, admitted with dka. her hospital course by problem is summarized below. . #dka : patient has a history of type i dm and noncompliance, with previous admissions for dka. she received 3.5l of ns in the ed, 10u of regular insulin, and was placed on an insulin gtt. she was then transferred to the for close monitoring and management. she had an arterial line placed to monitor her blood pressure. her initial vbg showed a ph of 6.8, with an ag of 36 on admission. she was given large volume resuscitation over the first 24 hours, received 10l of ns, which was transitioned to d5 1/2ns once her glucose dropped under the 300s range. she was given 3 amps of bicarb, and received 1l of 3amps of bicarb in d5w to help correct her acidosis. over the first 24 hours, her ag closed, and her hemodynamic instability corrected. she was eventually weaned off an insulin gtt and placed on her home insulin ss. the etiology of her dka remained unclear but may have represented a prior viral gastroenteritis with poor compliance with her insulin regimen. blood and urine cx's were sent which remained ngtd throughout her hospital stay and her empiric abx given on hd#1 were discontinued. was consulted to help with bs management. pt was transitioned to her previous insulin ss and transferred to the regular medicine floor for further management. she remained stable with good glucose control and tolerating pos. she was discharged home on her prior regimen with followup. . # leukocytosis: unclear etiology, likely due to severe stress response given dka, although can not rule out bacterial infection given elevated wbc. no definite source was identified; u/a (-) and cxr (-) for consolidations. possible source may be intraoral given poor dentition; no abscess seen on pex. received empiric dose of vanco//flagyl in ed but these were not continued as no source was ever isolated. patient's wbc trended down with appropriate rx of her dka. . # arf: patient was admitted with a creatinine of 1.5 which was felt pre-renal from severe dehydration due to dka as this returned to her baseline of 0.9 after ivf hydration. . # hypercholerolemia: stable. lipitor continued. . # pump: patient has a history of mild systolic and diastolic dysfunction and is known to be noncompliant with medications. her beta blocker was held secondary to hypovolemia and her clinical exam was closely followed to assure patient did not become grossly fluid overloaded. once hemodynamically stable, patient was restarted on her prior medications including acei. . # ag metabolic acidosis: admitted with an anion gap of 36, due to dka as above. it resolved once the dka was treated with ivf and insulin. . # f/e/n: patient was hydrated with normal saline ivf with aggressive repletion of her electrolytes. . # ppx: patient maintained on hep sq for dvt prophylaxis, ppi, and bowel meds as needed. . # access: patient initially had a r femoral cordis placed in ed, which was removed in the . . # code: full medications on admission: lantus 35 qhs humalog ss lisinopril 5 asa 325 lipitor 20 protonix 40 lopressor 25 discharge medications: 1. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. insulin glargine 100 unit/ml solution sig: thirty five (35) units subcutaneous once a day: take at dinner time. disp:*1050 units* refills:*2* 7. surestep one touch testing strips sig: one (1) strip four times a day: use with surestep one touch machine as directed. disp:*300 strips* refills:*2* 8. sure step penlet lancet sig: one (1) lancet four times a day: use as directed. disp:*120 lancets* refills:*2* 9. ketostix strip sig: one (1) strip miscell. once a day: use as directed. disp:*30 strips* refills:*2* 10. humalog 100 unit/ml solution sig: as directed units subcutaneous four times a day: use asdirected per sliding scale. disp:*30 ml* refills:*2* discharge disposition: home discharge diagnosis: dka leukocytosis hypertension non-ischemic cardiomyopathy systolic heart failure ef 40% fluid overload acute renal failure anemia metabolic acidosis hypercholesterolemia discharge condition: good discharge instructions: please take all of your medications as directed. refill your prescriptions and continue to check your blood sugars as directed by your clinic doctors, your doctor is dr. . be sure to check your blood sugars and use your ketostix to check for ketones in your urine as directed. call your primary care for an appointment in the next month. followup instructions: doctor is dr. , see in weeks. call your primary care for an appointment in the next month. md, procedure: arterial catheterization diagnoses: other primary cardiomyopathies acidosis esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified dehydration diabetes with ketoacidosis, type i [juvenile type], uncontrolled chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to