Im not sure but i did find this answer: patient is most likely to be suffering from diabetic nephropathy.
Explanation:
Three major histological changes occur in the glomeruli of pateints with diabetic nephropathy. First, mesangial expansion is directly induced by hyperglycaemia, possibly through increased matrix production or glycation of matrix proteins. Second, thickening of the glomerular basement membrane (GBM). Third, glomerular sclerosis is caused by intraglomerular hypertension (brought by dilatation of the afferent renal artery or from ischemic injury induced by hyaline narrowing of the vessels supplying the glomeruli). The important change in diabetic glomerulopathy is increase of extracellular matrix. The earliest morphological anomaly in diabetic nephropathy is the thickening of the glomerular basement membrane and expansion of the mesangium due to the accumulation of extracellular matrix.
One word answer is Mutation nothing is perfect but some bacteria also have changes from conjugation aka sex between bacteria even though they are asexual organisms
Answer: Every person needs to have at least a simple understanding of the world in which they live, but if you don't have any factual evidence for your beliefs, then that will just confuse you and anyone else. Your ignorance can hinder a persons ability to learn whats factual, especially if you have an " I'm right and your wrong." personality.