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A patient has IDDM diagnosed at age of 15 years. The most reliable indicator for diabetic nephropathy is-A patient has IDDM diagnosed at age of 15 years. The most reliable indicator for diabetic nephropathy is-

A
Urine albumin < 50 mg per day in 3 consecutive samples
B
Urinary protein >550mg perday for3 consecutive samples
C
Development of diabetic retinopathy
D
Hematuria
High-Yield Explanation
Ans is option 2 Urinary protein more than 550mg/day for 3 consecutive samples Microalbuminuria is defined as albumin excretion of 30-300mg/dl Ove nephropathy or ove proteinuria is defined as albumin excretion greater than 300mg/dl Ref Harrison 17/e p 2288 Robbins 7/e p 992

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