Considering pregnancy? Here’s what to do first

If you’re thinking of having a baby, it’s best to discuss a few things with your doctor before you begin trying.

That’s because by the time you have a “missed period,” you will already be more than three weeks pregnant. Your baby will have already begun forming his or her vital organs, such as the heart. And between Weeks 2 and 8, your baby will be most sensitive to medications, certain exposures and your diet.

Some important things to review during a preconception physical include:

  1. Your health history: It is easier and makes for a healthier pregnancy to control things such as hypertension, diabetes and hypothyroidism prior to pregnancy. Knowing these risk factors will also help your doctor manage your pregnancy more effectively.
  2. The father’s health history: Some diseases — cystic fibrosis, sickle cell anemia and many others — are inherited. Talk with your doctor to find out which tests are needed.
  3. Exposures you may have at work: Some dangers include radiation, heavy metals (lead or mercury), acids, some cleaning supplies, animals, viral illness, blood borne diseases, etc.
  4. Your diet: Let your doctor know if you have any dietary restrictions. Also, some foods may not be healthy during pregnancy — such as excessive amounts of fish or raw eggs.
  5. Exercise habits: The healthier you are, the easier your pregnancy and delivery can be. But too much exercise could make it harder to get pregnant, and overdoing it once you’re pregnant may be dangerous for the baby.
  6. Medications: Once you consider pregnancy it’s important to start taking a prenatal vitamin (with at least 0.4mg of folic acid) right away. Folic acid is important for spinal cord development (which occurs shortly after conception — usually before you even know you are pregnant). It is also important to review what medications you are on, as some of them may not be safe during the pregnancy.
  7. Risk factors: It is also important to review and modify any risk factors you may have: tobacco use, alcohol use, drug use, medical problems, exposure to cats, etc. Your age may also be considered a risk factor if you’re younger than 18 or older than 35.

Once you find out you’re pregnant, BE EXCITED. Then make an appointment with your doctor to start your prenatal care. Usually, you will want to see your doctor by week 6-8 of gestation.

Commit to wellness

Don’t leave workouts or other wellness activities, for “when you get around to them.” Make your own fitness and wellness a priority by scheduling regular appointments for workouts or other self-nourishing activities into every day, even if it’s something as quick and simple as stopping to take five deep breaths before going home from work.

Makeover your pantry

Making just a few changes to your kitchen shelves can get you a lot closer to your weight loss goals.

Here’s what to do. If you use corn and peanut oil, replace it with olive oil.

Same goes for breads. Switch to whole wheat.

Trade in those fatty cold cuts like salami and bologna and replace them with canned tuna, sliced turkey breast, and lean roast beef.

Change from drinking whole milk to fat-free milk or low-fat soy milk.

How to stay warm and safe during winter workouts

As the temperature is dropping outside, it is important to protect yourself from the elements if you want to continue your outdoor exercise routine. Below are some tips to help you stay warm and stay safe while enjoying the outdoors!

Avoiding heat loss

Exercising produces body heat, but what you produce is not enough to keep you warm. It is important to prevent heat loss as well. The first thing you can do to minimize heat loss is to heed the words of your mother and put on a stocking cap or hood. Covering your head helps to eliminate a great percentage of heat loss. Second, you want to especially protect your extremities. Wear gloves or mittens to help shield your hands from the elements. Moisture wicking socks are helpful for keeping your feet warm and dry as well. It is important to try to avoid getting your shoes and feet wet while exercising outdoors. On especially cold or windy days, wear a scarf or face mask.

Layer up!

Dressing in layers is an important way to keep warm and comfortable. It is better to dress in several layers of lighter weight fabrics rather than one bulky layer. Start with an inner layer of a polyester blend or moisture wicking fabric to help keep the skin dry and warm. This layer can be covered with an outer layer made of cotton, fleece or even wool fabrics. Your outer layer should also be loose fitting to allow for movement while exercising or playing outdoor sports. If you exercise in the snow and sleet, a thin nylon or waterproof outer layer can be added.

Keep Exercising

Whether you have made a new year’s resolution to exercise, or you just want to keep yourself on track with your long-term exercise program, these tips can keep you warm this winter if you are exercising outside. Or if you are like me, just stay inside and hit the treadmill!

Avoid packing on pounds this holiday season

  • Make your resolution for a healthy lifestyle now. Don’t wait for New Year’s Eve to make a commitment to yourself.
  • Write down your goals — losing weight, exercising more or eating healthier. Goals that are written down are 80 percent more likely to be achieved!
  • Don’t eat unless you are hungry. You do not need to have something to eat at every holiday party. The host/hostess is not keeping track.
  • Watch those holiday drinks. Eggnog, cider and alcoholic drinks are loaded with calories.
  • Mingle with people. When we are bored, we eat more. The point of being at the party is to be social. So, step away from the buffet table and start mingling.
  • Throw a healthy party. Be different. Throw a holiday party with high protein, low calorie foods. This makes for a fun girls night!
  • Drink plenty of water. We often reach for food thinking we are hungry when we are actually thirsty.
  • Eat a snack. Before you go to a party, have a healthful snack at home. A snack high in fiber and/or protein will help you feel full so you’ll snack less.
  • Keep moving. I understand holidays can get busy, but don’t neglect your workouts. They may change form: Instead of going to the gym, you might go ice-skating or get in a snowball fight.
  • Get sleep. So many parties and presents so little time. I understand, but your body will not. Be sure to get plenty of sleep — 8 hours a day for most people.
  • Don’t deny yourself foods you love. This will only make you want them more! If you love pumpkin pie, have a piece (but just one piece, without ice cream and whipped cream).

Men: Make sure you’re getting these screenings

Most men don’t like going to the doctor.

But it’s important for men to get regular screenings to catch problems early—and help prevent them from turning into something more serious down the road.

Get your blood pressure checked every two years, and more often as you age. Have your cholesterol checked starting at age 35, or younger if you smoke, have diabetes or a family history of heart disease.

Colorectal screening to detect polyps before they can turn into cancer should begin at age 50. There are several types of screening, so talk to your doctor about which test is right for you.

Prostate cancer is detected with a blood test (PSA) or through a digital rectal exam, but there is some controversy about the benefits of regular PSA screening over a certain age, so ask your doctor.

Smokers (or former smokers) between the age of 65 and 75 should also be screened for an abdominal aortic aneurysm, a potentially deadly condition.

Chewing tobacco: It’s not just ‘part of the game’

After the World Series champion is decided this week, one thing will be left up in the air: Will Major League Baseball ban chewing tobacco?

Lawmakers recently proposed this, saying it sets a bad example for young fans.

Unfortunately, I see a lot of kids who use chewing tobacco, although they never admit it during their visits. I generally see it with kids from more rural areas and smaller schools, but definitely in the baseball population.

The first problem with smokeless tobacco is that it’s addictive. It’s not realistic – or safe – to chew it just during sports.

The risks of chewing tobacco range from bad teeth to death. It can cause cavities, gum disease and lesions. This is because tobacco is contains coarse particles and a lot of sugar.

Smokeless tobacco can cause cancer in your esophagus, mouth, throat, cheek, gums, lips and tongue. This cancer can be life-threatening. And surgery to remove this cancer could leave you disfigured. Tobacco users also face higher risks of other types of cancer.

Clearly, chewing tobacco, like smoking cigarettes, can cause serious health problems. I should also note that it hasn’t been proved to help you quit smoking. If you try to switch one for the other, you could end up with two harmful habits.

Despite whether Major League Baseball bans tobacco, it’s important for parents – and even coaches – to talk to their kids about the dangers of tobacco. Almost all first-time tobacco use happens during high school – if not earlier.

So, talk to your children about not using tobacco. And if they are using it – or you are – talk to your doctor about effective ways to quit.

Get active to help control your diabetes

If you’ve been diagnosed with diabetes, hopefully you’re taking your medication and watching what you eat and drink.

But are you exercising?

Exercise is an important part of a three-pronged treatment of diabetes.

Evidence clearly suggests exercise can help people with type 2 diabetes lose weight — as well as reduce the risk of cardiovascular disease, increase sensitivity to insulin and improve blood sugar control.

Benefits of Exercise

Regular exercise can reduce cardiovascular risks by reducing total cholesterol and LDL cholesterol, increasing HDL cholesterol and reducing blood pressure. It can also reduce stress. You may be able to reduce, and eventually discontinue, your doses of medications. Hitting the gym beats pricking your finger!

Exercise Guidelines

It’s important to talk with your doctor before starting an exercise program. Having good control of blood sugars prior to starting exercise is important. Blood sugars should be monitored before, during and after exercise to allow you and your doctor to understand how your body is responding to exercise and to make adjustments to your medication. Also, if blood sugar levels are greater than 250-300 mg/dL prior to exercise, they tend to rise rather than fall and may cause a hyperglycemic episode.

You may need an exercise electrocardiogram before exercising with diabetes, depending on your age, how long you’ve had diabetes and whether other risk factors are present.

Types of exercise

Not all types of exercise are right for everyone. If you have peripheral neuropathy, you should choose swimming or bicycling, rather than an activity that may traumatize your feet.

If you have diabetic retinophaty, you should avoid heavy weight lifting, contact sports and high-impact aerobics.

Certain yoga positions, such as standing on the head, should also be avoided.

Preventing hypoglycemia

Measure your blood sugar before you exercise. Also, eat or drink digestible carbohydrates during your workout:

Blood sugar level Carbs prior to exercise Carbs during exercise
<120 15 grams 30 grams per 60 min of light to moderate exercise
120-180 0 grams 30 grams per 60 minutes of light to moderate exercise
180-250 0 grams Recheck blood sugar if exercise exceeds 30 minutes and treat based on above
>250 Exercise permitted if no ketones present in urine

How to avoid the ‘silent killer’ — high blood pressure

You get your blood pressure measured every time you go to the doctor. But unless your blood pressure is high, you might not even know what those numbers mean.

The top number (systolic) is pressure in the arteries during the heartbeat, when the heart contracts. The bottom number (diastolic) is pressure in the arteries between heartbeats, when the heart relaxes.

What is blood pressure?

Blood pressure is created by the heart as it pumps blood through the arteries and the circulatory system.

Hypertension

Pre-Hypertension: 121/81 to 139/89
Stage 1: 140/90 to 159/99
Stage 2: 160/100 and higher

Hypertension causes

  • Not getting enough exercise
  • Being overweight
  • Eating too much sodium and/or saturated fat
  • Smoking or excessive drinking
  • Certain medical conditions

Hypertension symptoms

  • Severe headache
  • Visual changes
  • Chest pain
  • Difficulty breathing
  • Blood in the urine

If the nurse tells you your blood pressure is “120 over 80,” that’s great. Lower is sometimes fine, too — especially for athletes.

But high blood pressure, or hypertension, is very common. About one third of African Americans have high blood pressure, as do almost a quarter of Caucasians and Hispanics. It is more common in people older than 55. Many people who have high blood pressure do not realize it.

Hypertension complications

Over time, the extra pressure can damage the arteries, making them more vulnerable to the narrowing and plaque buildup associated with atherosclerosis — the hardening of the arteries.

This leads to blockage and weakening of the walls of small blood vessels in the brain, causing them to balloon and burst. The risk of stroke is directly related to how high the blood pressure is.

Hypertensive heart disease is the No. 1 cause of death associated with high blood pressure.

Congestive heart failure, ischemic heart disease and hypertrophic cardiomyopathy (thickening of the heart muscle) can also result from hypertension.

Some medicines for headaches, migraines, colds and weight loss can worsen high blood pressure.

Blood pressure management

Pay attention next time you get your blood pressure checked. Remember, 120 over 80 is good.

Lead a healthy lifestyle — exercise, not too much salt or saturated fats, no smoking and only moderate drinking — especially if you are overweight or over 55. The best way to deal with high blood pressure is to prevent it.