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: acetaminophen with codeine attending: chief complaint: abd pain major surgical or invasive procedure: none history of present illness: this is a 46 year-old female with a history of type 1 diabetes who presents with 2-3 days of nausea, vomiting. she was noted to be somnolent by her family today who called ems. the patient reports that she has been feeling poorly for a few days with 2 days of nausea, vomiting and diarrhea and one day of cough, shaking chills, polyuria and polydypsia. she reports taking her insulin as prescribed and not missing doses. she also reports working her normal schedule and is without sick contacts. . on arrival to the er she was tachycardic to 150s, bp 60/p, rr 34 02 99% nrb with temp of 94.1. right groin line was placed and iv fluids were given. throughout the hospital course the patient was noted to be intermittently hypotensive with sbps 88-114. she was persistently tachycardic and temperature increased from 34.5 to 36.8. she was given 10 units regular insulin and started on a gtt at 7 u/hr. 1 gram vancomycin, 2 grams ceftriaxone and 750 mg levofloxacin were given as well as 40 meq potassium. 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) brief hospital course: # acute diabetic ketoacidosis: the patient presented with mental status changes and found to have severe dka. she was started on an insulin gtt and given approx 5 l fluid in the ed. the cause for the exacerbation was unclear. the patient did report cough with fever, but initial cxr was clear and the patient did not have significant symptoms while in the hospital. additionally, the patient had abdominal pain, but there was no clear site of infection on ct scan of the abdomen. leukocytosis was felt to be likely secondary to stress response. patient also reported headache and fever, but meningitis seemed much less likely. the broad spectrum antibiotics were discontinued as she had no evidence of infection. she was transferred to the floor once her dka resolved. she was placed back on levemir 40 units daily. . # acute systolic heart failure on chronic heart failure: during her icu stay, she had echocardiogram that showed ef of 40 %. she reportedly had clean cath in . she received total of 10 l of iv fluids because of persistent hypotension and tachycardia. repeat cxr was remarkable for new mild pulmonary edema. she reported no increased sob. she has chronic dyspnea on activity. her iv fluids were discontinued. she was placed on po lasix of 20 mg daily and coreg 3.125 mg po bid. her o2 on activity remained 98%. her heart failure is probably related to nonischemic diabetic cardiomyopathy, based on a clean cath. she needs to establish an out patient cardiologist to titrate her coreg and r/o secondary causes of cardiomyopathy. she will continue lisinopril, statin, and asa. she remained tachycardiac but this was believed to be related to heart failure. her bp recovered. . # hypernatremia: improved. this should be followed by her pcp. . # abnormal tsh: test should be repeated in weeks, once she recovers. . . . total discharge time 56 minutes. discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 6. insulin glargine 300 unit/3 ml insulin pen sig: one (1) 40 subcutaneous at bedtime. 7. lisinopril 30 mg po daily. discharge disposition: home discharge diagnosis: diabetic ketoacidosis acute on chronic systolic heart failure ( non ischemic diabetic cardiomyopathy) hypernatremia discharge condition: excellent. discharge instructions: you had uncontrolled diabetes that required icu treatment. we found that you have weak heart that needs treatment and attention as this may progress. please take lasix and coreg and follow with your pcp . you need to establish a cardiologist for future follow ups. . please call your doctor or return to the hospital if you develop shortness of breath, fever, low blood pressure or any concerning symptoms. followup instructions: in weeks please see , l. procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension hyperosmolality and/or hypernatremia acute on chronic systolic heart failure diabetes with ketoacidosis, type i [juvenile type], uncontrolled secondary cardiomyopathy, unspecified 

Answer: The patient is high likely exposed to