My name is Anne-Marie, Dr. Bhatti. I am an active woman, and I have had diabetes for 51 years, I am 57 now. I had a sextuple bypass at the age of 40. I am not overweight, am on an insulin pump, and check my blood sugars 10x a day. I exercise on my treadmill for two miles a day. For the last month, I have been feeling that scary tightness in my chest again, with the constant need to clear my throat. I do see my endocrinologist at the end of February, but I need some reassurance that this is not another bypass surgery issue. Thank you so much for your input.