<prompt> A 64-year woman with Type II diabetes for 10 years now develops increasing fatigue, dyspnea, and pedal edema. On examination, her blood pressure is 16590 mm Hg, pulse 90min, JVP is 4 cm, heart sounds are normal, lungs are clear, and there is 3 pedal edema. Her urinalysis is positive for 3 gmL of protein and no casts. Which of the following renal diseases is the most likely diagnosis in this patient?acute glomerulonephritisobstructive uropathyglomerulosclerosis with mesangial thickeningrenal infarction  <response>: The patient is most likely to develop glomerulosclerosis. This can be diffuse or nodular Kimmelstiel-Wilson nodules. Poor metabolic control is probably a major factor in the progression of diabetic nephropathy. 