Fibricalculous pancreatic diabetes from the Kashmir Valley.

Diabetes mellitus secondary to chronic nonalcoholic pancreatic calcification has been described from several tropical countries, including India. We describe the existence of this entity in the subtropical region-the Kashmir Valley of the Indian subcontinent. Fibrocalculous pancreatic diabetes constituted 2.55% of patients admitted with diabetes mellitus. Ketoacidosis was not seen in any patient, and some patients showed evidence of chronic microvascular complications. The majority of patients required insulin for control of blood glucose and none had consume cassava.