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Medicine General d16d9772

Which of the following is the most impoant factor in determining the development of diabetic nephropathy?

A
Duration of the disease
B
Hypeension
C
Pre-existing renal disease
D
Control with treatment
High-Yield Explanation
Most impoant risk factor for development of diabetic nephropathy is the duration of diabetes. 30% of patients with type 1 diabetes develop microalbuminuria after 20 years of onset of diabetes. 5 -25% of patients develop clinically significant renal failure at the time of diagnosis and 30% develop ESRD at 20years duration.

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