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: aspirin / penicillins attending: chief complaint: weakness and vomiting major surgical or invasive procedure: arterial line placement and removal history of present illness: mr. is a 36 year old gentleman with no pmh presenting to the ed with weakness and vomiting. for the last week, he has felt worn out and runs out of energy by the end of the day. he also noted polydipsia and polyuria as well as nocturia. the day prior to , he developed nausea and had 3 episodes of non-bloody, non-bilious vomiting. he came to the ed because he felt he could not keep his food down. . in the ed, vitals were: 98.1 100 155/73 24 100% ra. on initial labs, he had a blood sugar of 396 and a bicarbonate of 7. he was given 2-3 liters of fluid, antiemetics, 10 unit regular insulin bolus and was started on an insulin gtt. abg done 7.15/11/33. he had symptomatic improvement with the interventions and was admitted to the for insulin gtt. . on ros, he denies fevers or chills. no chest pain, vision changes or blurry vision, no cough or sore throat, no abdominal pain or diarrhea. no dysuria. he had some burning in his epigastric area when he first came to the ed, which he attributes to the recent vomiting. he also has a light headache. past medical history: s/p laparoscopic cholecystectomy social history: lives in with his girlfriend and their 3yo child. he also had a child who is 18 years old. has worked as director for environmental services and used to work for . has been unemployed and had job offer just as his symptoms started. no tobacco, alcohol, or illicits. family history: mother has dm, which he thinks she developed in her late 30s. he thinks his father may have dm but he is not sure. mother also has htn and hyperlipidemia. physical exam: 98.2 154/73 122 15 98% ra very pleasant, mildly overweight gentleman in no distress, sitting up on edge of bed. eomi, perrl, no scleral icterus. mucous membranes are dry. op is clear. neck is supple. no thyroid enlargement or nodule. s1, s2, regular tachycardia, no murmurs or gallops. lungs are clear b/l without crackles or wheezes. abd: bs present. soft, nt, nd. no sign. no hepatomegaly. alert and oriented with normal speech. strength 5/5 in ue and le b/l both proximal and distal. coordination is intact with f to n b/l. no le edema. his extremities are warm and well perfused. he is appropriately anxious about his new diagnosis and icu . pertinent results: imaging: . kub : the lung bases are excluded from the exam. stool is present throughout the colon, extending to the rectum. no loops of dilated small bowel are seen, although the small bowel is relatively gasless. the stomach is not distended. cholecystectomy clips are noted in the right upper quadrant. impression: non-obstructive bowel gas pattern. . cxr : lung volumes are low, resulting in vascular crowding. however, there is no consolidation or pleural effusion. there is no pneumothorax. the heart size is normal. there is no hilar or mediastinal enlargement. pulmonary vascularity is normal. cholecystectomy clips are noted in the right upper quadrant. there is no free intraperitoneal air. linear opacities seen on the lateral view are artifactual. impression: low lung volumes, but no acute cardiopulmonary abnormality. . labs at : glucose-155* urea n-7 creat-0.7 sodium-137 potassium-3.1* chloride-113* total co2-17* anion gap-10 calcium-8.0* phosphate-1.2* magnesium-2.1 type-art po2-95 pco2-26* ph-7.32* total co2-14* base xs--10 alt(sgpt)-22 ast(sgot)-11 alk phos-76 amylase-53 tot bili-0.3 lipase-101* albumin-3.7 urine color-straw appear-clear sp -1.025 blood-sm nitrite-neg protein-100 glucose->1000 ketone-150 bilirubin-neg urobilngn-neg ph-5.5 leuk-neg rbc-<1 wbc-1 bacteria-none yeast-none epi-0 urine hyaline-8* wbc-10.6 rbc-6.08 hgb-17.5 hct-51.1 mcv-84 mch-28.7 mchc-34.2 rdw-14.6 neuts-80.4* lymphs-16.3* monos-2.7 eos-0.1 basos-0.5 plt count-268 labs at discharge: complete blood count white blood cells 6.7 k/ul 4.0 - 11.0 red blood cells 5.14 m/ul 4.6 - 6.2 hemoglobin 14.4 g/dl 14.0 - 18.0 hematocrit 42.4 % 40 - 52 mcv 83 fl 82 - 98 mch 28.0 pg 27 - 32 mchc 34.0 % 31 - 35 rdw 14.5 % 10.5 - 15.5 basic coagulation (pt, ptt, plt, inr) platelet count 248 k/ul 150 - 440 glucose 175* mg/dl urea nitrogen 5* mg/dl creatinine 0.6 mg/dl sodium 143 meq/l potassium 4.0 meq/l chloride 105 meq/l bicarbonate 26 meq/l anion gap 16 meq/l calcium, total 9.6 mg/dl phosphate 4.2 mg/dl magnesium 2.2 mg/dl cholesterol, total 261* mg/dl triglycerides 345* mg/dl cholesterol, hdl 31 mg/dl cholesterol ratio (total/hdl) 8.4 ratio cholesterol, ldl, calculated 161* mg/dl 0 - 129 % hemoglobin a1c 12.8* % brief hospital course: mr. is a 36 year old gentleman with no past medical history who presented with weakness and vomiting from dka in the setting of newly diagnosed diabetes, which is thought to be type i, as he presented with diabetic ketoacidosis. he presented with profound acidosis with a ag of 28 on initial labs, which resolved with iv fluids and insulin drip. was consulted and felt that the patient was most likely to be a type 1 diabetic, however he also has significant insulin resistance which would argue for type ii or a combination of both. the patient was monitored with hourly finger sticks and periodic electrolyte repletion. he was transitioned from an insulin drip to subcutaneous insulin on . nutrition was consulted for diabetic education and he had teaching regarding blood glucose monitoring and insulin injections. he was transferred to the floor on and treated with lantus in the evening (45 units), changed at the time of discharge to 50 units and sliding scale insulin with meals, (sliding scale explained and given to patient). his hba1c was 12.8%. he also was found to have hyperlipidemia (tchol 261) and hypertriglyceridemia (345) on labs, suspect this is related in part to poorly controlled dm. he was educated by the nurses and doctors during his regarding his new diagnosis. he will need ongoing education and management as an outpt by pcp and dm specialist. he is being discharged with follow up appointment on as well as new pcp (see below). he received a glucometer for blood sugar monitoring. medications on : no medications, no otcs or herbals discharge medications: 1. lantus 100 unit/ml solution sig: fifty (50) units subcutaneous at bedtime. disp:*1 vial* refills:*2* 2. insulin syringe-needle u-100 1 ml 31 x syringe sig: one (1) needle miscellaneous four times a day. disp:*120 * refills:*2* 3. humalog 100 unit/ml solution sig: 1-50 units subcutaneous four times a day: per sliding scale. disp:*1 vial* refills:*2* discharge disposition: home discharge diagnosis: new diagnosis of uncontrolled diabetes mellitus type 1 discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted with new diagnosis of diabetes mellitus. you are being discharged on insulin. you have been given a glucometer. you will need to measure your blood glucose as instructed. you have an appointment with clinic. we have made a new primary care docotor appointment for you. please follow up as instructed. followup instructions: please follow up with dr. at clinic at 2 pm on , and the nurse educator at 3 pm the same day. appointment #2 md: specialty: primary care date/ time: wednesday, at 12 noon location: , , phone number: special instructions for patient: this appt will be a new patient physical and to go over your inpatient stay. please arrive 20 mins early to your appt to fill out new pt paperwork.and bring any free care insurance info you have with you. procedure: arterial catheterization diagnoses: other and unspecified hyperlipidemia anxiety state, unspecified long-term (current) use of insulin dehydration tachycardia, unspecified diabetes with ketoacidosis, type i [juvenile type], uncontrolled elevated blood pressure reading without diagnosis of hypertension 

Answer: The patient is high likely exposed to