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A total of 236 renal biopsies were analyzed for the study. Of that, 114 had features of DKD, 78 NDKD with diabetic nephropathy (DN) and 44 had isolated NDKD. Acute interstitial nephritis was the most common cause of NDKD. From the current study, the long duration of diabetes mellitus beyond five years and hypertension beyond two years reasonably predict DKD. From the current study, the long duration of diabetes mellitus beyond five years and hypertension beyond two years reasonably predict DKD.One of the most challenging aspects of the