Many times, those who are not pregnant tell their friends who are expecting a baby, take advantage of to eat all they want and to see the likes during that stage where-mean-weight gain would be justified. If we add together the traditional “cravings”, you’ll have a dangerous combination that can complicate any pregnancy.

If you’re pregnant, remember that this idea of ​​”leverage” in the months of pregnancy to eat without measure, is outdated. Currently known risk increasing obesity during pregnancy, both for you (the mom) and your baby. Even if you increase not over weight, if you just go by your “cravings” and they take you to eat sweets all the time, can also be detrimental to both.

There is a type known as gestational diabetes, which develops in some women during pregnancy (regardless of her weight) and like diabetes who are not pregnant should check, because it can cause complications not only for mom but for the baby. Gestational diabetes is untreated or not controlled it can cause several problems, including:

- The baby may be born too big and too fat (this condition is called macrosomia), which also may make labor more difficult and dangerous.
- Labor can move forward and require a caesarean section (ie give birth through surgery).
- The baby may have low blood sugar (hypoglycemia) at birth.
- The child may have breathing problems and being overweight during childhood.
- The baby and mom will have a greater risk for diabetes throughout their lives.
- The mother is more likely to have high blood pressure (hypertension) during pregnancy.
- Mom may have gestational diabetes again in their next pregnancy.

For all this, if you are pregnant, be careful with your diet. Despite what you may have heard or what they were saying the beloved grandmothers: it is time to take it out or neglected, quite the opposite. Indulge but otherwise.

Unlike other types of diabetes can be treated but do not disappear once they are diagnosed, in the case of gestational diabetes has always said yes when the baby away, but increases the risk of women developing diabetes the future.

However, a recent study questioned this concept and is in fact quickly becomes diabetes after pregnancy (may be as type 2 diabetes, which is the most common, but also as the Type 1 or insulin dependent) but not always detected, as it ceases to be controlled because the mothers are busy with the baby and his new family life.

In fact, the study shows that one third of pregnant women is not tested for the amount of blood sugar during pregnancy, in some cases because their obstetricians believe that the risk of gestational diabetes is very low, and other because the patients become and do not take the time to do it.

The study also found that half of pregnant women who had gestational diabetes develop type 2 diabetes by the year of giving birth. But only 1 in 5 women again made the necessary checks after delivery.

For all this, if you have or have had gestational diabetes during pregnancy, it pays you you check the level of blood sugar every 1 or 2 years in order to detect the possible onset of diabetes and you may have the necessary care . Early diagnosis of diabetes or prediabetes (when blood sugar is high but not enough for you diagnosed with diabetes) can help avoid complications such as heart disease.

In other words, it is very important to check your blood sugar in the blood, and that if necessary you could do much to control and even prevent or delay the onset of diabetes. A very important factor is being overweight: to lose a few kilos/pounds and maintain a healthy diet and exercise, lowers your chances of developing diabetes and you will improve your quality of life. Remember, now you just have to care for you, now you have to care for your baby as well.

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If you are pregnant, you certainly have said more than once that you must rest and sleep well. The naps and nighttime sleep are essential during your pregnancy because your body is working hard to create and sustain a new life and preparing for the challenges that will take care of a baby.

However, it is no secret that as pregnancy progresses, sleeping becomes more difficult. At first, perhaps the excitement and the symptoms also prevented you relax as you should. But that sounds more like the advice you already have several times, I also repeat, you should sleep well because there is a reason that makes the rest even more important: a recent study by doctors from the Faculty of Medicine University of Pittsburgh (USA), lack of sleep associated with preterm birth.

Researchers analyzed sleep patterns and delivery of 166 pregnant women. After ruling or control other risk factors that contribute to premature labor, found that poor sleep quality during the first and third trimesters was linked with an increased risk of giving birth earlier than expected. Interestingly, poor sleep during the first quarter was causing greater impact on preterm birth.

But what is the relationship between poor sleep and give birth earlier than planned? Apparently, poor sleep quality is linked to increased inflammation in the body, which may trigger processes that end in preterm labor.

So if you are pregnant, indeed, take seriously what of rest and sleep. If you have trouble sleeping, talk to your doctor for advice some solution.

By way of information, I remember what the risk factors in terms of premature delivery for you to consider:
- Having multiple pregnancy
- Have had a preterm birth
- Suffering from cervical or uterine abnormality (the matrix)

In addition:
- Recurrent infections in the kidneys or bladder
- Urinary tract infections, vaginal infections and infections from sexually transmitted diseases
- Vaginal bleeding after 20 weeks of gestation
- High blood pressure, diabetes or kidney disease
- Thrombophilia (tendency to develop blood clots)
- Overweight or underweight before becoming pregnant healthy
- History of abortions during the first and second quarter
- A short time between pregnancies (less than 6 to 9 months between birth and the beginning of the next pregnancy)

Remember, your lifestyle also influences about having a healthy pregnancy. Do not smoke, do not drink alcohol, do not use illegal drugs. Also, try to control your stress levels and seek medical attention from the moment you find out you’re pregnant.

A term pregnancy is a successful pregnancy.

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Cardiologists now know that plaque can be classified into stable and unstable. The Mayo Clinic researchers believe that the amount of iron present in the plate can be taken as a “reading” of previous hemorrhage or bleeding events that put people at risk of plaque rupture.

In normal heart arteries, small blood vessels known as “vasa vasorum” carry nutrients to the vessel wall as the plaque begins to accumulate within the artery wall, some of these tiny blood vessels grow to feed also. These blood vessels can break and thus depositing iron (a component of blood) within the growth plate. This unstable plaque with a large number of dead cells covered by a thin fibrous cap and may end up breaking into a large blood clot can clog an artery heart.

“This type of plaque can bleed and heal several times, depositing iron accumulation in atheromatous each time,” says Dr. Kantor. “That’s the plaque that presents the risk of broken parts and cause a heart attack.”

For this study, researchers used samples from a biobank unparalleled owned by Mayo Clinic contains heart arteries collected over time in the autopsies of 400 patients who have died of suspected heart attack. The bank kept small sections (2 to 4 cm) of the three main coronary arteries of these patients.

In this study, pathologists examined 97 samples of arteries and separated into two groups, stable and unstable, according to their microscopic appearance (dead zones and fibrous cap). Subsequently, 31 classified as stable plaques, 24 as “vulnerable” and 22 as normal, then link them to the clinical records of each patient died of heart attack.

Then Dr. Yu Liu, lead author of the study, applied a stain to the samples to detect iron content. Discovered that the iron content of unstable atherosclerotic plaque group was significantly higher than that of the other groups. Iron was not found in normal arteries.

In the third step of the study, the scientists used a computer to explore microtomograph a subset of artery segments and created three-dimensional images to find iron deposits within the plaque. Computed tomography was able to identify iron in plaque without staining. “There was a high correlation between plaque vulnerability and the amount of iron present,” says Dr. Kantor.

So far, the noninvasive imaging of atheromatous plaque still lack the necessary resolution to differentiate between patients with high and low risk, says the doctor, so the research team is checking other modalities for imaging able to overcome these obstacles, such as photon counting.

Other authors, all from Mayo Clinic, Dr. Nitin Garg are Dr. Joseph Maleszewski, Steven Jorgensen, Dr. Jia Wang, Xinhui Dr. Duan, Dr. Shuai Leng, Kay Parker, Dr . Cynthia McCollough and Dr. Erik Ritman.

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The computed microtomography can see the iron and offers hope that future images in uncovering patients at risk.

The presence of atheromatous plaque in a heart artery is a threat, but cardiologists know that many of these types of accumulation will not break or fall off to obstruct a blood vessel and cause a heart attack can be deadly. However, some of them surely will and, therefore, the challenge is to find out what plaque is dangerous to treat or remove.

Now, Mayo Clinic researchers have shown that iron from the blood is much more prevalent in unstable atheromatous plaque type and, therefore, is more likely to promote a myocardial infarction (MI) or heart attack and a possible sudden death.

The research team demonstrated through several experiments that iron accumulation could serve as a marker for risk of future myocardial infarction and reported at the Scientific Sessions 2010 of the American Heart Association in Chicago.

They discovered, for example, that dual-energy CT (DECT) and three-dimensional computed tomography microexploraciones can detect excess iron in the plate, offering hope that in future an apparatus for scanning be able to detect dangerous plaque formations without the need for invasive procedures in patients.

“We know that 70 percent of heart attacks are due to atheromatous plaques unstable and then, what patients really need is that for every plate that becomes harmful and threatening,” says cardiologist, Dr. Birgit Kantor, principal investigator of the study. “The examinations currently in use show only the narrowing of heart arteries by plaque buildup, but do not report whether the plaque in the walls of these vessels is an imminent danger.”

“Based on the above findings, we believe it is possible to use iron as a natural marker of risk,” says Dr. Kantor and predicts likely to elapse between 5 and 10 years before the clinical availability of novel cardiac devices have exploration diagnostic can identify this type of plate.

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Many women have chosen to become mothers between 30 and 40. Some have chosen, others however, have been victims of circumstance. It happens that the divorce rate is higher, and although some women are married at twenty to thirty something when they have already been divorced and are ready for another serious relationship that leads to being mothers.

It is then the question arises can I be a mother after 35? Medically this number is an indicator of risk and the odds of getting pregnant. However, there is an obstacle to being a mother.

What happens after 35? While it is possible to get pregnant, your body is no longer the same.
From age 30 your fertility is reduced because your eggs are fewer and lower quality. This coupled with hormonal changes that affect the frequency of ovulation and make evenings longer to get pregnant.

As the years pass there is an increasing possibility of complications during pregnancy. For example, gestational diabetes, high blood pressure, etc..

With age, they also increase the risk that the baby has birth defects or congenital malformations.
Furthermore, the chances of cesarean need increasing.

It also increases the risk of abortion due to chromosomal abnormalities or anomalies (of chromosomes).
Prenatal controls are stricter and you may undergo tests to detect potential problems or abnormalities.

But while this may be discouraged, do not! The truth is that the actual fertility of each woman depends very much on their health in general. So having 35 means nothing if you bring a healthy lifestyle. So, it seems important to note that most babies are born healthy despite the mother’s age and excluding chromosomal abnormalities, many studies indicate that the risks of birth defects in babies of mothers are not more mature the babies of young mothers.

Being a mother after 35 years also has its advantages, as it has been shown that women of this age are much more aware of having a healthy lifestyle and are in tune with your body. That is, eat better and know that physical activity is essential for a healthy life. In addition, studies suggest that women over 35 are more tolerant annoying pregnancy symptoms and feel more secure at the time of delivery. Not to mention that at that point in their lives, many women between 30 and 40 years and know what they want, have achieved many goals and are ready to devote himself entirely to the adventure of motherhood.

So if you’re over 35 and want to have a baby, go! Check with your doctor and never faltes to prenatal care.

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Ginkgo. This supplement has also been shown to increase blood flow to the penis. If you are taking antidepressants, and have sexual side effects, could be improved. Consult your doctor before taking it. However, also ginkgo can increase bleeding and is contraindicated in people taking anticoagulants.

Pelvic muscle exercises. There is a type of exercise that is recommended for women: Kegels. These consist of tightening the vaginal muscles for five seconds, like you’re trying to hold the urge to urinate. Repeat this exercise several times a day and observe the results in the possibility to feel more pleasure when having sex.

What not to do. They have also appeared natural products that help improve sexual performance but from which there is insufficient scientific evidence. A case in point is Yohimbe, an African plant which is attributed to good results, but which is also known that increases heart rate and blood pressure.

Certainly not all the extras you get on the market that are sold without prescription are purely natural. We have found products that call themselves “natural” but actually contain high levels of pesticides. Unfortunately at this time there is no agency that regulates and the Food and Drug Administration (FDA) regulates prescription drugs and what the label says it is not 100% reliable.

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We frequently get letters from readers with questions about sexual health issues. Many want to give vitality to their relationships. Others want to know if the products are sold “as Viagra” that are counter herbs work like that sold by prescription. Women want to know if there is a Viagra equivalent for them. This column is in response to several of these questions.

For starters, the relationships the emotional part is as important as the physical part to turn this fire. Often it is necessary to improve the communication out of bed to improve on the bed. Remember that the brain is also involved in sex. What you think and imagine in your mind has much to do. You must do your part, be creative plans different things, fun, make sure they are things you share with your partner and he or she enjoys as well.

Create the right atmosphere and make sure you take your time. Remember that women need more time than men to be ready prior to penetration. There are times when it is best to wait: if one of us is too tired or too stressed, for example.

We know that there is no real scientific basis for aphrodisiac foods, but can be fun. And if you work as a placebo, they are not going to hurt. One definition of placebo that I found is “a sham treatment, which improves the condition of the person simply because the person has the expectation that it will help. And the more you think will help, you’d help. “But beware alcoholic beverages. They can take away your inhibitions at first but if you go above may restrict or impede your sexual performance.

Of course we are talking about improving a relationship where there are no obstacles from the physical point of view. If someone really has difficulty getting an erection, it is essential that you visit your doctor or a doctor because it could be a sign you have a medical problem such as decreased blood flow to his male organ and maybe it’s a cardiovascular problem, of hypertension or diabetes that is manifesting in erectile dysfunction as a first symptom. Whether you need or choose to take Viagra, Cialis or Levitra or not, it is important to review. It differs want to increase the passion to have a physical problem.

In the case of a woman, if the problem you have pain during intercourse and is a recent phenomenon, it is important that the review also to rule will not have an infection or not it is something hormonal where lack of lubrication is contributing to their lack of sexual interest.

And of course there is also the possibility that certain medications or supplements may have side effects that reduce sexual desire and this should also talk to your doctor.

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- Poorly controlled diabetes: if your blood glucose (sugar) levels have been high.

- Duration of diabetes: if you’ve had diabetes for a long time, chances are you have more chances of developing erectile dysfunction (ie, your erection)

- Problems in relationship: to have a positive relationship achieved a significant effect.
Attitude: It is normal to feel frustrated, but having a positive mind is associated with fewer problems during sex.

If you have diabetes, and have problems getting or maintaining an erection, or in general, your sexual performance, talk to your doctor. He or she is indicated to evaluate you and help you find a solution. May recommend medicines such as Viagra, injection therapy or intra-cavernous sex therapy.

The main thing is that you keep your glucose levels under control following four important guidelines for healthy living with diabetes: exercising, maintaining a balanced diet, taking medications and suggest you visit your doctor regularly. That way you will avoid damaging the nerves and blood vessels that are so important in responding to sexual stimuli.

Do not be ashamed to talk about it. Sexual problems like premature ejaculation or retrograde ejaculation (where semen goes into the bladder instead of going after an orgasm) are a common complication of diabetes and had better face it head to find a solution.

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Our culture, male par excellence, is very difficult to discuss these issues openly. One of my patients confessed that he did not want to talk about it because he felt he had nothing to do with diabetes and that it would take some of his manhood.

Sexual dysfunction, however, is a reality that can be associated with this disease. And it is not just for people with diabetes, but for a percentage of the population suffering from other health problems both physical and psychological. Obviously it is important that before you blame the diabetes that are discarded other factors that may be interfering with sexual performance because it is not the only cause. Among them are:

- Injury to the penis
- Are taking certain medications such as some antidepressants
- Hormonal changes (insufficient production of testosterone or overproduction of prolactin)
- Psychological problems caused by anxiety, depression, stress, or conflict with your partner.

Up to 50% of diabetic men admit to having any kind of difficulty in their performance in bed. The admit it’s a good start. The most common problem is erectile dysfunction, or inability to get or keep an erection long enough to achieve penetration.

How does an erection?

A sound, a picture, stimulation through touch stimulating the brain send signals that activate the parasympathetic nerves. These nerves cause the muscles throughout the body to relax so that blood flow is directed to the penis. As a result, blood vessels in the penis become compressed and harden. An erect penis contains 11 times more blood than a flaccid penis. As the stimulation is increased, the muscles contract to release the semen from the urethra. The pleasure felt due to the contraction of muscles is called orgasm.
If you realize, this process is not possible if there is damage to the parasympathetic nerves or circulation, two problems that arise as a result of diabetes.

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The skin changes are a natural part of pregnancy that are related to hormonal changes and other modifications that will pass through your body during these nine months. The good news is that overall, these changes disappear after delivery. Also, depending on what is involved, there are several things you can do to prevent or minimize them.

Remember that not all women feel the same in pregnancy. The changes that happen to one may not happen to another and if there one that scares you more than another, keep in mind that not necessarily have to happen to you, though it has happened to your best friend.

Among the most common changes that can have your skin during pregnancy are:

- Stretch marks on the belly or sinuses: occur because the skin in these areas is overstretched, they look like pink or red lines in the abdomen or breasts, and to reduce them, we recommend using creams with vitamin E and elastin ( ask your doctor how often and how much you recommended).

- Stains on the face: are caused by increased pigmentation and usually appear on the forehead and cheeks. To prevent this, you should ever go out to external use sunscreens with SPF of 15 or more, and if you prefer, you can use a cute hat that covers your face. At this stage your skin is more sensitive to sun damage.

- “Blaze of pregnant” when you are pregnant your body produces 50% more blood, which can cause your face look brighter. Besides, your body produces more hormones, which causes your sebaceous glands to work more than necessary and can also make your face glow. If you feel your face is very oily, you could use a product without oil.

- Acne and pimples: they can appear due to the production of extra hormones. To decrease, it is important that you maintain a proper cleaning routine and without overdo, as you can dry your skin. Twice a day should be sufficient. Avoid using medicines against acne, and if you have problems, consult your doctor for help to decrease.

- Black line: it is a dark line in the middle of the abdomen, running vertically to the pubis, which becomes visible in the fourth or fifth month of pregnancy. Perhaps that line has always been there, but never have noticed because its color was clear. There is nothing you can do to avoid it but goes away after delivery.

- Dark areas: hormonal changes can cause changes in pigmentation of your skin. So may darken some areas, such as freckles, moles, nipples and lips. There is nothing you can do to avoid this, but if you see that freckles or moles change shape (not just color) consultation with a dermatologist to rule out other complications.

- Dry and itchy Abdomen: As your belly grows, the skin may become dry and tight, which can cause itching. These pains disappear after delivery and to relieve you must keep your belly hydrated. If itching occurs accompanied by other symptoms (such as nausea or loss of appetite) or spreads to other parts of the body, see your doctor as soon as possible.

Regardless of these changes and their care in particular, other measures that can help you with your skin during pregnancy are:

- Follow a proper diet for pregnant women.
- Drink 8 glasses of water a day to stay hydrated and healthy.
- When buying cosmetics, anti-acne products and search without perfume. If your skin becomes more oily, choose products that do not contain oil (no oil). If your skin is dry, find those that are moisturizing.
- If you consult a skin specialist (dermatologist), do not forget to tell you’re pregnant, certain medicines for acne, for example, can not be used during this period.
- Take short baths and warm (not hot), as long showers or baths can dry out your skin.

Finally, remember to check with your doctor any questions or fears you have during your pregnancy, to be quiet and enjoy your baby’s development, at all times.

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