<s>[INST] yes I am a physician but am asking about my insulin dependent husband age 64 Hispanic iddm for 35 years good control having left arm slight pain like a spasm that left but has what he calls a slight strain, does not sound like an mi but still wonder if need to get ekg now, not sounding like a classic mi but still w the iddm worried [/INST] Hi, Pain in the left arm in a diabetic needs an ekg to rule out an angina regardless of the intensity of the pain. Diabetics can show  less symptoms of heart conditions and so people tend to neglect it as a strain or a shoulder problem. So go ahead with the ekg to be sure so you can be at ease. if normal then can go ahead with pain relievers and some physical therapy </s>