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: history of present illness: this is a 56-year-old woman with past medical history of non-insulin dependent diabetes mellitus, hypertension, osteoarthritis who was admitted to the medical intensive care unit on for hypoglycemia and mental status changes. the patient reportedly went on a starvation diet 6 days prior to admission. the night before admission the patient was found to be lethargic with blood sugars of 39 per her husband. the following morning the patient continued to be unarousable and lethargic; ems was called, her blood sugar was found to be 11. at that point patient was administered 3 amps of d50 in addition to narcan which led to the patient being partially arousable. she was subsequently brought to the emergency room and intubated for airway protection. the patient also got activated charcoal, ceftriaxone and transferred to the medical intensive care unit. in the medical intensive care unit she was treated for aspiration pneumonia with levofloxacin and flagyl. a head ct and lumbar puncture was not possible due to patient's body habitus. a neuro consult was obtained; eeg showed no seizures, however, showed positive spindle, consistent with metabolic encephalopathy. the patient was successfully extubated, and her mental status improved slowly. she was diuresed in the medical intensive care unit in light of radiographic evidence of congestive heart failure. the patient was subsequently transferred to the firm for further care on . past medical history: non-insulin dependent diabetes mellitus, morbid obesity, hypertension, status post right hip fracture in , osteoarthritis, history of mrsa cellulitis, history of urinary incontinence, depression, copd, history of left lower quadrant abdominal wall hematoma and recurrent abdominal cellulitis. medications: on admission, sliding scale insulin, insulin nph 30 units subcu , ms contin 50 mg po q day, paxil 60 mg po q day, clonazepam one tablet po bid, meclizine one tablet po tid, celebrex 200 mg po q day. on transfer to the medicine service, nph insulin, sliding scale insulin, subcu heparin, protonix, lasix 40 mg iv tid, norvasc 10 mg po q day, captopril 75 mg po tid, combivent mdi. allergies: no known drug allergies. family history: noncontributory. social history: patient lives at home with husband, has hospital bed at home, minimal activities of daily living. physical examination: on transfer temperature 98.7, pulse 92, blood pressure 125/53, respiratory rate 22, sats 96% on three liters via nasal cannula. in general, morbidly obese, lying in bed in no apparent distress, slow speech. heent: mucus membranes moist, no lymphadenopathy. pulmonary clear to auscultation anteriorly. cardiovascular, distant heart sounds, s1 and s2, regular rate and rhythm. abdomen obese, nontender, non distended, positive bowel sounds, multiple well healed scars in abdomen. extremities, positive pitting edema bilaterally, venous changes in lower extremities bilaterally. neuro, alert and oriented times three, no focal neurologic deficits. laboratory data: white blood cell count 8.9, hematocrit 40, platelet count 214,000, sodium 141, potassium 3.6, chloride 97, co2 34, bun 17, creatinine 0.9, glucose 240. hospital course: 1. neuro: the patient's neurologic status was monitored clinically every day. the patient made slow improvement in her mental status. she had cleared sensorium at time of discharge. the patient's speech was initially slurred, however, it returned to baseline at time of discharge. 2. endocrine: the patient was continued on nph insulin with slowly increasing doses as well as sliding scale of insulin to control her blood sugars. 3. pulmonary: the patient likely has obstructive sleep apnea given her body habitus and occasional desats at night. the patient was put on c-pap at night with good results. the patient continued to be on two liters of oxygen via nasal cannula. the patient was initially diuresed with lasix in light of radiographic evidence for congestive heart failure. however, patient developed a contraction alkalosis and hypokalemia secondary to diuresis and lasix was discontinued. the patient did not have additional crackles on lung exam and her o2 requirements did not go up, therefore there was no need to continue diuresis with lasix. 4. cardiovascular: the patient's high blood pressure was controlled with captopril as well as norvasc. towards the latter half of her stay, hydrochlorothiazide was added to her regimen for better control of her blood pressure. the patient remained hemodynamically stable throughout the course of her stay in the hospital. 5. gi: the patient was amenable to considering gastroplasty given her morbid obesity. a surgical consult was obtained from dr. . the surgical team advised patient to follow-up once her medical issues were resolved. discharge diagnosis: 1. altered mental status secondary to profound hypoglycemia. discharge medications: nph 30 units subcu q a.m., 20 units subcu q p.m., regular insulin sliding scale, subcu heparin 5000 units subcu , protonix 40 mg po q day, hydrochlorothiazide 25 mg po q day, norvasc 10 mg po q day, captopril 100 mg po tid, combivent mdi 2 puffs qid, flovent mdi 2 puffs , kcl 40 meq po q day, paxil 40 mg po q day, celebrex 200 mg po q day. condition on discharge: stable. patient to go to rehab. discharged to rehab. patient will follow-up with her primary care physician, . , after discharge from rehab. the patient will additionally follow-up with neurology as well as general surgery. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus unspecified sleep apnea morbid obesity diabetes with other specified manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to