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Some of the elderly diabetic patients do not have classical features of type 2 diabetes. Significant proportion of them may be having autoimmune diabetes of adults (LADA), which usually makes patient insulin dependant within three years. Some of these asymptomatic patients may be detected to have chronic pancreatitis on routine imaging. We report herewith an unusual case with features suggestive of atrophic chronic pancreatitis on imaging, with auto-antibodies positive for LADA and still with good glycaemic control on small dose of secretagogue for more than 8 years which is against diagnosis of both pancreatic diabetes and LADA.
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