A 52-year-old man had been found to have type 1 diabetes mellitus at the age of 25. He had developed retinopathy at the age of 31 and a painless foot ulcer at the age of 40. His renal function had subsequently deteriorated.
On examination, urinalysis showed protein 1+, glucose 2+.
What is the most likely diagnosis?
A . focal segmental glomerulosclerosis
B . membranoproliferative glomerulonephritis
C . minimal change glomerulonephritis
D . nodular glomerulosclerosis
E . tubulointerstitial nephritis
Answer: D
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