### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
DEAR DOCTOR, I AM HEART PATIENT WITH DIABETES, I GOT CABG IN THE YEAR 1996 FROM APOLLO HOSPITAL CHENNAI INDIA, I AM TAKING THESE MEDICINES - 1. IMDUR 60 ONCE A DAY, 2. PINOM A20 TWICE IN A DAY, 3. RANOZEX 500 TWICE IN A DAY, 4. STARPRESS XL50 AT NOON, 5. ROSUVAS 40 AT NIGHT, 6. CLOPITAB A 150 AT NIGHT7. AMARYL M2 AT BEFORE MEAL, 7. VOLIX 0.3 MG BEFORE MEAL. MY BLOOD SUGAR FASTING - 110 PP 180 . SOME TIME PARTICULARLY AT THE TIME OF BRISK MORNING WALK I FEEL HEAVINESS IN THE CHEST, ALSO AT THE TIME OF UP STAIRS. PLEASE LET ME KNOW SHOULD I CONTINUE THESE MEDICINES OR MAKE ANY CHANGE ? MY MAIL ID IS YYYY@YYYY . PLEASE ADVISE ME ACCORDINGLY. THANKS.

### output:

Hi, thank you for providing the brief history of you. A thorough systemic assessment is advised. As due to diabetes the body is little slower than expected. The medication taken by you are to control the blood glucose levels in the blood there will be slowness in the metabolism. Which may lead to make you feel such heaviness. Usually there is nothing wrong with you except the slow metabolism. As time passes everything will be fine. RegardsJay In Chat Doctor. 