Question 72 · LEK · Chronic complications
A 42-year-old patient, suffering from type 1 diabetes mellitus since 7 years of age, notices the increase in his systolic blood pressure up to 150-160 mmHg by home measurements. He has undergone several treatments with laser therapy for proliferative retinopathy in the last years. For several months he has usually woken up 2-3 times in the night to void urine. The described signs and symptoms suggest with the highest probability the diagnosis of:
- A. benign prostatic hyperplasia.
- B. urinary tract infection.
- C. renal artery stenosis.
- D. diabetic nephropathy.
- E. aortic valve stenosis.
Hint
Long-standing type 1 diabetes with proliferative retinopathy implies microvascular damage elsewhere; link hypertension and nocturia to it.
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