Which of the following is the most impoant factor in determining the development of diabetic nephropathy?
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.
Duration of the disease
Hypeension
Pre-existing renal disease
Control with treatment