<prompt> Screening for nephropathy in prepubertal children with type 1 DM should be initiated after how many years of disease onset?2 years3 years4 years5 years  <response>: d. 5 yearsRef: Nelson 20e p 2781; ADA recommendations 2017Annual screening for albuminuria with a random spot urine sample for albumin-to-creatinine ratio should be considered once the child has had type 1 diabetes for 5 years. 