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: pcp is . 1. insulin-dependent diabetes times 28 years secondary to alcohol-induced pancreatitis. 2. severe peripheral vascular disease with toe amputations. 3. end-stage renal disease of transplanted kidney. 4. transplant of kidney in . 5. right tibia-fibula fracture, status post orif complicated by wound infection, osteomyelitis in . 6. per notes, renal failure is secondary to pyelonephritis in . 7. neuropathy. 8. back pain. 9. anemia. 10. dvt of right upper extremity. 11. history of mrsa in . 12. gerd. 13. depression. 14. penile prosthesis. 15. malabsorption. 16. vocal cord polyps. 17. questionable seizures with hypoglycemia. admission medications: 1. folate and multiple vitamin. 2. wellbutrin 100 t.i.d. 3. protonix 40 q.d. 4. neurontin 300 q.d. 5. clorhexadine 50 t.i.d. 6. aspirin 81 q.d. 7. pancreatic enzymes. 8. calcium carbonate 500 t.i.d. 9. amlodipine 5 mg b.i.d. 10. insulin regimen 22 units of nph in the a.m., 8 units q.h.s. with humalog sliding scale throughout the day. 11. colace 100 mg b.i.d. 12. clonidine 0.3 b.i.d. 13. hydralazine 75 q.i.d. 14. lovenox 40 q.d. 15. prednisone 5 mg q.d. 16. celexa 20 mg q.d. 17. metoprolol 100 mg b.i.d. 18. oxycontin 40 mg b.i.d. 19. atorvostatin 10 mg q.d. 20. calcitriol 0.5 mg q.d. allergies: codeine, prograf, phenergan, haldol. social history: the patient lives with wife, remote alcohol, and tobacco history. no iv drug use. physical examination on admission: vital signs: temperature 97.7, blood pressure 160/91, pulse 69, respirations 12, oxygen saturation 100% on 2 liters. glucose 150. i&o 250 out at the outside hospital. no urine output here. general: the patient was a lethargic man looking older than age. heent: dysconjugate gaze, mucous membranes dry. the oropharynx was clear. neck: there were distended neck veins, supple. cardiovascular: regular rate and rhythm, distant heart sounds, no murmurs, rubs, or gallops. pulmonary: bilaterally clear to auscultation. abdomen: two well-healed scars, normoactive bowel sounds. no hepatosplenomegaly. transplanted kidney in the left lower quadrant. extremities: amputated toes on left foot, scaly dry skin. the patient has a fixator on his right leg. neurologic: alert and oriented times two, lethargic but cooperative. laboratory/radiologic data: upon admission, the white blood cell count was 9.8, hematocrit 36.9, platelets 220,000. coagulation studies were normal. chemistries: sodium 144, potassium 4.2, chloride 111, bicarbonate 22, bun 41, creatinine 6.2, glucose 81 with an anion gap of 11. the liver function tests were normal. calcium 7.1, magnesium 1.9, phosphorus 5.9. blood cultures were pending. chest x-ray was clear. blood gas was 7.32/36/140 on 2 liters nasal cannula. ekg showed normal sinus rate of 64, old t wave inversions in v1 through v3, no st changes, biphasic ts. hospital course: 1. diabetic ketoacidosis: the patient's sugars were well controlled by the time he arrived at the . his anion gap had closed. the patient's insulin drip was discontinued soon after arrival and he was covered with nph as well as a humalog sliding scale during admission. the consult service followed the patient and adjusted his humalog sliding scale. the patient's precipitant of his dka is unclear but is thought to be likely noncompliance with insulin regimen. blood cultures and urine cultures were obtained and were negative at the time of this discharge summary. the patient was also ruled out for a myocardial infarction. other likely precipitants could have been a viral syndrome since the patient had been fatigued with decreased p.o. intake on days before admission. a hemoglobin a1c level was checked and is pending at the time of this discharge. 2. end-stage renal disease: the patient was initiated on hemodialysis to continue his three day a week dialysis regimen. the renal service followed the patient and he had dialysis on without incident. the patient's calcitriol was continued along with his calcium carbonate and prednisone for his transplanted kidney. 3. coronary artery disease: the patient was continued on his aspirin, metoprolol, and atorvostatin. the patient ruled out for a myocardial infarction by enzymes and ekg. 4. hypertension: the patient has resistant hypertension and was admitted on a four drug regimen. the patient was restarted on his metoprolol, hydralazine, clonidine, and amlodipine during admission. dose adjustments were made upon discharge as the patient's blood pressure did lower with dialysis. 5. nutrition: the patient was maintained on a diabetic diet and was continued on his folate and multivitamin. pancrease and viokase were continued for his pancreatic insufficiency. 6. depression: the patient was continued on his citalopram and bupropion. the patient is a full code and was evaluated by physical therapy. physical therapy evaluation is pending at the time of this dictation. the patient is expected to be discharged to home with vna along with nursing at hemodialysis. discharge diagnosis: 1. dka. 2. insulin-dependent diabetes mellitus. 3. severe peripheral vascular disease with toe amputations. 4. end-stage renal disease of transplanted kidney. 5. status post transplant of kidney in . 6. right tibia-fibula fracture. 7. neuropathy. 8. chronic back pain. 9. anemia. 10. gastroesophageal reflux disease. 11. depression. discharge medications: 1. the same as the medications upon admission with the exception of clonidine 0.3 mg b.i.d. 2. amlodipine 5 mg q.d. 3. calcium carbonate 1,000 mg t.i.d. 4. insulin regimen recommended upon discharge is a standing dose of glargine 12 units q.h.s. and humalog coverage at meals as determined by . the patient's sliding scale of humalog should be glucose 0-50, humalog dose 0; glucose 51-100, receive 2 units of humalog at breakfast, lunch, and dinner, and 0 at bedtime; glucose 101-150, receive 4 units of humalog at breakfast, lunch, and dinner with 0 units at bedtime; glucose 151-200, the patient should receive 6 units of humalog at breakfast, lunch, and dinner, and 0 units at bedtime; glucose 201-250, the patient should receive 7 units at breakfast, lunch, and dinner, and 2 units at bedtime; glucose 251-300, the patient should receive 8 units of humalog at breakfast, lunch, and dinner, and 3 units at bedtime; glucose 301-350, the patient should receive 10 units of humalog at breakfast, lunch, and dinner, and 4 units at bedtime. glucose readings 351-400, the patient should receive 12 units of humalog at breakfast, lunch, and dinner, and 6 units at bedtime; glucose greater than 400, the patient should receive 1,400 units of humalog at breakfast, lunch, and dinner, and 8 units at bedtime. the patient should take juice or dextrose if his glucose is less than 60. outpatient follow-up: 1. the patient will follow-up at with dr. on at 2:30 p.m., phone number . 2. the patient will also be seen at the clinic with , nurse practitioner, on at 11:20. discharge status: stable. discharge condition: to home with vna. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: anemia, unspecified esophageal reflux other convulsions peripheral vascular disease, unspecified depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled personal history of venous thrombosis and embolism complications of transplanted kidney 

Answer: The patient is high likely exposed to