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: past medical history: 1. diabetes type 1 followed by dr. at the clinic, neuropathy, autonomic dysfunction, gastroparesis. 2. hypertensive urgency. the patient has had an extensive workup for his hypertensive urgency including renal mras which showed multiple accessory renal arteries but no obvious etiology for his hypertension. he has been worked up twice for pheochromocytoma which has been negative. 3. coronary artery disease, ejection fraction 50-60%. 4. gastroparesis, status post j tube placement, j tube removed after peritube infection. 5. depression. 6. history of gastritis with hematemesis in . 7. umbilical hernia. 8. history of - tears. allergies: the patient has no known drug allergies. admission medications: 1. clonidine 0.2 patch once weekly. 2. metoclopramide 10 mg q.i.d. 3. amlodipine 5 mg daily. 4. desipramine 25 mg daily. 5. labetalol 400 mg b.i.d. 6. glargine 14 units per night. 7. humalog insulin sliding scale. 8. celexa 10 mg daily. family history: one family member with diabetes type 2. social history: the patient is engaged to be married. he has several children. no history of alcohol, iv drug abuse, or tobacco use. physical examination on admission: vital signs: 97.5, heart rate 108, blood pressure 252/163, respiratory rate 20, oxygen saturation 100% on room air. general: lying in bed, sleepy, in no acute distress. heent: pupils were equal, round, and reactive to light. extraocular muscles were intact. dry mucosal membranes. no jvd. cardiovascular: regular rate and rhythm, no murmurs, rubs, or gallops. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended, positive bowel sounds. rectal: guaiac positive stool. extremities: no clubbing, cyanosis or edema. there were 2+ dorsalis pedis pulses, intact bilaterally. neurologic: alert and oriented to person and place, to month, day, but inappropriate year. somnolent but able to follow commands. moves all extremities well. laboratory/radiologic data on admission: white blood cell count 10.9, hematocrit 33.7, platelets 214,000. ck 264. troponin t 0.11. sodium 134, potassium 4.3, chloride 102, bicarbonate 17, bun 40, creatinine 1.8, glucose 466. chest x-ray showed no pneumonia. ekg showed sinus tachycardia at 115, normal axis, no q waves, some t wave flattening. hospital course: 1. diabetic ketoacidosis: the patient had elevated blood sugar, decreased bicarbonate and a small anion gap. he was given iv fluid hydration and started on an insulin drip. his ketoacidosis resolved quickly and his long-acting insulin was restarted in addition to humalog insulin sliding scale. the josyln diabetes team was consulted since they follow this patient as an outpatient. it was determined that the patient will continue his 14 units glargine and that he will be placed on a slightly tighter humalog sliding scale with starting blood sugar of 150-200 with 2 units. 2. hypertension: the patient was in hypertensive urgency with no signs of end-organ damage. the patient was given iv labetalol and eventually a labetalol drip and in addition several doses of iv hydralazine. the patient's baseline blood pressure ranges in the 140s to 170s systolic. this has been thoroughly worked up including renal mras, workup for rule out of pheochromocytoma and it is felt that his hypertensive urgency and baseline hypertension is related to autonomic dysfunction secondary to his diabetes mellitus. on the date of discharge, the patient's blood pressure was 150s/80s. the patient will follow-up with his primary care provider to have outpatient antihypertensives titrated as needed. 3. coronary artery disease: the patient was placed on telemetry. daily ekgs were checked. serial cardiac enzymes were followed. the patient had a slight elevation of troponin which resolved over the course of the first two days of admission. it was felt that the patient's increased ck and troponin was most likely secondary to ischemia from his hypertension but was not felt to be acute coronary syndrome. he was given aspirin. he was continued on his beta blocker. 4. renal insufficiency: the patient's renal insufficiency was felt to be from volume contraction after receiving several liters of iv fluids. the patient's creatinine corrected. on the date of discharge, his creatinine had improved to 1.2. 5. anemia: the patient was transfused to keep his hematocrit above 30. his stools were found to be guaiac positive. he had a recent admission this past for gastritis with hematemesis. the bleeding was felt to be secondary to this gastritis. he was continued on a proton pump inhibitor for gi prophylaxis. 6. gastroparesis: the patient was continued on his metoclopramide 10 mg q.i.d. he was able to tolerate three meals a day with adequate caloric intake. 7. depression: the patient was continued on celexa. 8. deep venous thrombosis prophylaxis: the patient was placed on subcutaneous heparin throughout his admission. 9. iv access: the patient has very poor peripheral iv access. upon transfer from the micu, a line was placed in his left upper arm under interventional radiology. the patient had initially had a right femoral venous catheter that was placed while in the intensive care unit. condition on discharge: good. discharge instructions: please follow-up with dr. at the clinic, telephone number in the next one to two weeks. please follow-up with your primary care physician within the next week to have your blood pressure checked. discharge diagnosis: 1. diabetic ketoacidosis. 2. hypertension. 3. coronary artery disease. 4. gastroparesis. 5. depression. 6. anemia. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: subendocardial infarction, initial episode of care anemia, unspecified unspecified essential hypertension acute kidney failure, unspecified depressive disorder, not elsewhere classified diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled unspecified disorder of kidney and ureter unspecified gastritis and gastroduodenitis, with hemorrhage 

Answer: The patient is high likely exposed to