 [ Symptoms ] should i be stimulating my baby is gums with those finger tools when should i start brushing her teeth [ Disease ] ”these complications are an opportunity to detect early that there is a problem ” says [american heart association 2011] guideline chair lori mosca md phd mosca is director of preventive cardiology at new york presbyterian hospital and a professor of medicine at columbia university medical center in new york city you can then follow up with your primary care doctor to evaluate your overall cardiac risk and quickly start appropriate prevention strategies “if you developed gestational diabetes follow up and say ‘what can i do to prevent heart disease and diabetes ” she says your doctor may recommend weight loss aggressive lifestyle changes and possibly medication she says “we are unmasking a problem early so that we can prevent full blown cardiovascular disease ”