This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Pediatrics
[{'content': 'Screening for nephropathy in prepubertal children with type 1 DM should be initiated after how many years of disease onset? \nSelect and explain. \nA. 2 years, B. 3 years, C. 4 years, D. 5 years', 'role': 'user'}, {'content': 'Answer: D \nExplanation: d. 5 years(Ref: Nelson 20/e p 2781; ADA recommendations 2017)Annual 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.', 'role': 'assistant'}]