<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 56-year-old man comes to the physician for a follow-up examination. Physical examination shows hyperpigmented plaques on the posterior neck and in the axillae. His hemoglobin A1c concentration is 7.4 and fasting serum glucose concentration is 174 mgdL. Which of the following is the strongest predisposing factor for this patients laboratory findings?? A: Elevated systolic blood pressure, B: Increased BMI during childhood, C: Increased serum testosterone level, D: History of smoking, E: High waist circumferencen,  <response>: This is a patient with hyperpigmented skin plaques and elevated hemoglobin A1c and fasting glucose, indicating uncontrolled diabetes mellitus. The strongest predisposing factor for diabetes and its complications is obesity, especially centralabdominal obesity as measured by waist circumference. Elevated blood pressure, childhood BMI, testosterone levels, and smoking history are less likely to be the strongest predisposing factors.E: High waist circumference 