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
Screening for nephropathy in prepubertal children with type 1 DM should be initiated after how many years of disease onset? 
Select and explain. 
A. 2 years, B. 3 years, C. 4 years, D. 5 years
D: 5 years
Answer: D: 5 years 
Explanation: 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.