15th July 2024

A 31-year-old female who is 12 weeks pregnant presents with vomiting

A 31-year-old female who is 12 weeks pregnant presents with vomiting. She has had Type 1 diabetes for 21 years, her most recent HbA1C is 90. She has had previous laser treatment for retinopathy. She has a uPCR of 362 mg/mmol and a blood pressure of 166/93. Her immune screen is negative. Her creatinine is 78µmol/l and her albumin is 43g/L. What is the most likely cause of her proteinuria?

Select the SINGLE most appropriate option from the list below. Select ONE option only.