Brief Answer: Diabetes/Chest pain Detailed Answer: Painful sensation in the chest area in a person with diabetes requires full evaluation to ensure it is not heart related. Such pain can present in different ways and have no symptoms at times. Given the fact that you have previously suffered other vascular problems (stroke and leg artery blockages) it is important to rule out cardiac issues. This entails seeing a cardiologist who in addition to examining you will perform tests like EKG, Stress test and possibly angiography/Cardiac CT etc. The other common condition is people with long standing, particularly uncontrolled diabetes is Neuropathy ie the nerve problem that causes pain in the rib cage area. If you have had a positive assessment by your doctor for neuropathy (meaning, you have evidence of the basis of symptoms or examination) then there is a chance it has affected the nerves in the rib cage area as well. However, this requires careful diagnosis and other common causes of pain this region must be ruled out such as muscle sprain, cartilage inflammation, gall stone etc. Finally, please see an Endocrinologist to control your diabetes better

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