Ask the Doctor: What’s the maximum number of children I can bear by C-section?

Besides that, dry skin, oily skin, too much or too little hair washing, body immunity, stress or hygiene and an overall balanced diet have to be looked into before complete recovery is achieved. Many people blame salons for dandruff but even if the fungus was introduced on to one’s scalp, without the said factors above, it is unlikely to take root. Dandruff becomes contagious when it occurs as ringworm which is common in children before puberty.

Dear Doctor,
I am a diabetic on daily insulin injection. I have been following your advice of exercising a lot. What bothers me is feeling dizzy, restless, out of breath and headache after exercise. However, when I check for sugar, I find it low. Should I stop exercising, using insulin or both?
Jacobsen Kawonawo

Dear Jacobsen Kawonawo,
Whenever a person is told he has diabetes (sukaali or high blood sugar), he may become preoccupied with ruthlessly lowering the sugar level ending up with your said symptoms in what is called hypoglycaemia, which is far more dangerous to health than high blood sugar for which he may be on treatment. The symptoms are largely due to the body trying to lower blood sugar yet sugar is the only source of energy for the brain. If this is not corrected, it may worsen into confusion, convulsions, coma and finally death.

Hypoglycaemia (sugar below 60mg/dl, though symptoms may start below 50mg/dl) happens from time to time due to diabetes. It may occur regardless of proper diabetic control therefore, every diabetic has to learn how to detect and correct it before life is endangered. In adults and children older than 10 years, hypoglycaemia is commonly a side effect of diabetes treatment.

Physical activity has many benefits for people with diabetes, including lowering blood glucose levels which can happen up to 24 hours after exercise, managing weight, preventing heart complications and stroke.

The body uses glucose for energy and even much more glucose when one exercises, the most likely reason why you got symptoms of hypoglycaemia.

To help prevent hypoglycaemia caused by physical activity, it is important to check blood glucose before and after exercise so that a snack like a bogoya (sweet bananas) is taken if the level is below 100 mg/dL. Diabetics should discuss suitable exercises with their doctors, have proper meals and adjust insulin doses when exercising lest they end up with hypoglycaemia. One may also need to carry sweets in case symptoms occur during exercise and a tag to indicate diabetes in case the same happens in circumstances like during a jog so that one is not mistaken for a “drunkard and left for dead. Insulin from thigh injections can be absorbed faster during jogging exercises leading to exercise related hypoglycaemia requiring using another injection site like the abdominal wall.