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: dka major surgical or invasive procedure: central femoral line history of present illness: 43 y/o woman with dm1 for more than 20 years, complicated by gastroparesis who presented to the ed with nausea and vomiting. she had come to the ed earlier this week for n/v attributed to diabetic gastroparesis. since then she had been attempting to manage the gastroparesis at home with her pcp. , despite getting her sugars down, and taking ativan, she could not even keep water down--it felt as if it was getting stuck in her esophagus and she had to regurgitate it back up. in the ed the patient was afebrile, tachycardic to 120-130's, bp of 150/70. she received compazine and ativan for her nausea/anxiety, 3 liters of ns, 12 at 9pm, and was placed on a lasix drip at ~2u/hour. she had a negative ua for infection, but ketones of 150 and glucose of 1000; she was hcg negative. past medical history: type i dm (c/b gastroparesis dx by gastric motility study ; neuropathy) hypertension social history: denies smoking, alcohol or illicit drug use. she works as director of alumni relations for . family history: nc physical exam: vs: 97.2 130/68 104 18 100% ra general: overweight, pleasant woman resting quietly in bed in nad heent: slightly dry mucous membranes, no cn vi palsy, no lid lag, no proptosis, eomi neck: supple, jvp flat cardiac: 2-3/6 systolic murmur radiating through the chest, heard throughout the heart; rrr. lungs: cta b abd: soft, nt, nd +bs ext: c/c/e neuro: axo x 3 skin: no rashes or lesions. no ecchymoses or hematomas. pertinent results: 04:45am blood wbc-4.6 rbc-3.99* hgb-11.8* hct-34.9* mcv-88 mch-29.5 mchc-33.7 rdw-14.3 plt ct-232 04:45am blood glucose-79 urean-6 creat-0.7 na-135 k-4.9 cl-98 hco3-30 angap-12 04:45am blood alt-89* ast-41* alkphos-68 04:45am blood calcium-9.5 iron-pnd 04:45am blood ferritn-pnd trf-pnd ecg: sinus tachycardia, rate 137. since previous tracing the heart rate is faster. there is a diffuse increase in the st-t wave abnormalities. cxr: the left-sided picc line has been removed. lungs are clear. cardiac silhouette and mediastinum within normal limits. brief hospital course: 43f with dmi complicated by gastroparesis who presented in dka, now resolved. # dka: patient presented in dka with ketones in urine, hyperglycemia, ag of 23. the precipitant not clear. no source of infection was apparent. the patient stayed in the micu for ivfs and an insulin drip until the anion gap closed. patient tolerated it well. on transfer to the floor, we re-started her home dose of lantus and changed her hiss for better glucose control. on discharge, her anion gap was closed and the dka was resloved. # dmi: patient with >20year h/o dmi, managed by her pcp. been seen by while inpatient on past admissions. during this hospital admission, has seen her and will follow with her as an outpt. her last hba1c was 7.2. patient will continue the lantus dose and a humulog sliding scale for better glucose control. she will also start on asa 81 daily for cardiac protection. # gastroparesis: patient is followed by dr. who plans on trying her on a canadian motility (likely dopermide) as an outpatient. she will continue the reglan as an outpatient for control of her nausea and vomiting. # hyponatremia: patient had a sodium of 129 on admission likely due to dehydration. after hydration, sodium was normal on discharge. # htn: patient will continue lisinopril 20 qday. medications on admission: 1. nortriptyline 10 mg capsule sig: one (1) capsule po hs (at bedtime). 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. metoclopramide 10 mg po qid prn 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. reglan 10 mg tablet sig: one (1) tablet po four times a day as needed for nausea. 6. metoprolol 25mg po bid 7. 25u qhs lantus + hiss discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. insulin glargine 100 unit/ml solution sig: twenty eight (28) units subcutaneous qpm. 6. insulin lispro (human) 100 unit/ml solution sig: one (1) per sliding sale subcutaneous three times a day as needed: use humulog per sliding scale. 7. nortriptyline 10 mg capsule sig: one (1) capsule po at bedtime. 8. ketostix strip sig: one (1) miscellaneous prn as needed. disp:*30 30* refills:*6* discharge disposition: home discharge diagnosis: primary diagnosis: diabetic ketoacidosis secondary to dm type 1 secondary diagnosis: diabetes induced gastroparesis -hypertension discharge condition: stable discharge instructions: please take medications as prescribed. please keep all scheduled appointments. you were admitted to the hospital for diabetic ketoacidosis, a serious condition which occurs when your sugars are high and not enough insulin is present to cover for the increased sugars. you also have severe gastroparesis. if you notice any signs of fever, chills, increased thirst, increased urination, nausea, vomiting, please call your pcp . at or go to the emergency department. followup instructions: dr. at at 3 pm. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified other endoscopy of small intestine administration of botulism antitoxin diagnoses: urinary tract infection, site not specified unspecified essential hypertension polyneuropathy in diabetes other specified cardiac dysrhythmias hypovolemia other specified anemias diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled gastroparesis 

Answer: The patient is high likely exposed to