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Dr. Ramesh Goyal

MD - Diabetology

Endocrinologist, Ahmedabad

17 Years Experience
Dr. Ramesh Goyal MD - Diabetology Endocrinologist, Ahmedabad
17 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Goyal
Dr. Ramesh Goyal is a renowned Endocrinologist in Bhat, Ahmedabad. He has been a practicing Endocrinologist for 17 years. He has completed MD - Diabetology . You can meet Dr. Ramesh Goyal personally at Apollo Hospitals in Bhat, Ahmedabad. You can book an instant appointment online with Dr. Ramesh Goyal on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - Diabetology - AIIMS - 2000
Languages spoken
English
Hindi

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Plot No. 1 A, Bhat GIDC Estate, GandhinagarAhmedabad Get Directions
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I am a 29 years male, I ws infected by thyroid previously, now its under control, my head is getting buld, what to do, if I want to take care of my hair?

MD - Dermatology
Dermatologist, Pathanamthitta
I am a 29 years male, I ws infected by thyroid previously, now its under control, my head is getting buld, what to do...
Hair fall is mainly due to hormonal and genetic reasons. There are no homeremedies that vil help or quick responses for it. It can definitely be controlled. It's important to eat plenty of pulses, fish, meat and milk. Drink at least two litres water everyday. Exercise regularly. Don't stress out because you don't have long hair or because your hair's falling. Avoid all forms of chemicals, hot devices and blowdryers to prevent hair damage. Massage scalp and wash twice or thrice a week. Don't overshampoo, it'll spoil hair. Don't tie up wet hair and sleep, it'll get infected. If any infections, g et it treated. A thorough blood check up is needed to eliminate autoimmune, hormonal and nutritional diseases. Apart from this, treatment may be needed in resistant cases.
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I am 61 year old type-2 diabetic. My fasting always remains high. My latest glucose fasting is 144, glucose PP is 145 and HbA1C is 7.3 with ayurvedic medicines and physical exercises. Do I need more medicines to bring down my glucose fasting? I understand that a random measurement of up to 180 is considered as pre-diabetic.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 61 year old type-2 diabetic. My fasting always remains high. My latest glucose fasting is 144, glucose PP is 145...
Fasting 144 and HbA1c 7.3 suggests established diabetes. At present you can start 20 min walk after dinner which might help in controlling fasting. Later on you may need to start metformin. Please consult any diabetologist before starting medication.
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Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for thyroid I ws 99kgs now 88kgs I problem is hair loss. May be coz of thyroid Can not I gt my hairs back cuz Im a thyroid patient? Please tell me da medicines supplements for my hairs and nails and how to take them before food or after food. Nd how to consume flaxseed also My t3 is 153ng/dl. T4 is 12.4. Tsh is 3.09 Taking glyciphage 500 twice a day for pcos. As I have pcos how I can reduce that facial and body hairs. and glow of my face.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for ...
When on treatment for hypothyroidism tsh levels should be between 3 to 4 milli units / ml, to be in control and free from symptoms. If you achieved that then all symptoms including hair loss will stop. Of all the symptoms hair loss is the last one to go. Plus I am sure you are following the dosing guidelines of taking thyroxine tablets early morning on empty stomach and nothing to be taken after that for 2 hours. This has to be followed always. Secondly avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salds and fruits. Use whole grain flour for chapati and roti, avoid refined flour like maida. Avoid high fat milk products. Your dietary intake has to be based on your ideal body weight (58 kgs). Calories 58 x 25 = 1450. Plus since you want to loose weight, another 500 k cals should be less. So daily intake has to be just about 1000 k cal.
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Hi I am a diabetic n under insulin control. Kindly let me know dat if I take 1 pc og garlic everymorning in empty stomach. Is it going to help me in solving my erection problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am a diabetic n under insulin control. Kindly let me know dat if I take 1 pc og garlic everymorning in empty sto...
Mr. lybrate-user, Diabetes affects blood supply to penile muscles causing erectile dysfunction. Hence, strict blood glucose control is very essential. Whether the remedy mentioned is useful or no, I have no idea. But strict glucose control is a must. Thanks.
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Sir, I am 45 Years old and very recently within 3 months I lost my weight from 85 kgs. To 64 kgs. And on check-up of blood sugar; it is now 452. What should I do now?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, I am 45 Years old and very recently within 3 months I lost my weight from 85 kgs. To 64 kgs. And on check-up of ...
You mean to say that earlier you had no idea about high blood sugar at all? if sugar is 452mg please start treatment right away, preferably with insulin in consultation with your doctor for first few months then can be shifted to oral medication.
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Is there any Ayurvedic/herbal/homoeopathic (or any other pathy) treatment available in the world for permanent cure of diabetes? My elder brother's sugar level is 580/450. He has been diagnosed with diabetes first time in his life. He was a heavy drinker for more than 30 years but now he is not drinking for more than two years and free from any bad habit. His age is 47 years. Please suggest suitably.

BHMS
Homeopath,
Is there any Ayurvedic/herbal/homoeopathic (or any other pathy) treatment available in the world for permanent cure o...
Dear lybrate-user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Your brother can take homoeopathic mother tincture gymnemna sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also he needs to walk at least 1 hour daily without any interval. Also he needs to take a low carbohydrate rich diet & avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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There is any possibilities to escape from diabetes in early stages of it occur. What are precaution to live healthy from diabetes?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
There is any possibilities to escape from diabetes in early stages of it occur.
What are precaution to live healthy f...
Yes the stage of called pre-diabetes occurs as precursor stage of full fledged diabetes. This stage is where all preventive strategies if employed correctly, methodically and sincerely - can prevent the deterioration to diabetes.
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I am a Diabetic patient, so please suggest me how will I get cure. Please please please.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
I am a Diabetic patient, so please suggest me how will I get cure. Please please please.
Hye, thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - you need to start medication initially to bring down sugar levels. The sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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If I have triglycerides level 235 mg /DL and having history of DM type 2 and taking metformin 500 mg bid! Is it better to take nuts along with breakfast?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If I have triglycerides level 235 mg /DL and having history of DM type 2 and taking metformin 500 mg bid! Is it bette...
If your blood glucose is well controlled, with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8, then you can take some nuts (which one not specified). Most important is to have a strict blood glucose control. Thanks.
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I am 29 yrs old man I Was suffering from diabetes type 2 for last 7 month at first my glucose level is 547 now last 3 month my glucose level is 98/146, 98/141, 116/119 & my creatinine is 2.0, 1.4, 1.8, 1.7 it's ok or I need any treatment?

MD - General Medicine, MBBS
General Physician, Kolkata
I am 29 yrs old man I Was suffering from diabetes type 2 for last 7 month at first my glucose level is 547 now last 3...
Check your urine for albumin creatinine ratio. You are young and have renal impairment which is not a good news. Are you on insulin therapy. That is your best medicine. You can consult me with this report.
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Sir very good morning my mom have a sugar so please tell me what to eating so please tell me sit.

PDDM, MHA, MBBS
General Physician, Nashik
Sir very good morning my mom have a sugar so please tell me what to eating so please tell me sit.
Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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I am a 45 yrs female suffering from thyroid from last 14 years using thyronorm 100 mg having a large tummy not in proportion with body fatness looking for tummy tuck.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a 45 yrs female suffering from thyroid from last 14 years using thyronorm 100 mg having a large tummy not in pro...
if your hypothyroidism is in control, then please start a strict exercise schedule, preferably under the instructions of an instructor and simultaneously reduce food intake by at least 20 plus % daily. Do a lot of abdominal stretch exercises, this should help.
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I am pregnant and diabetic too. I just want a proper diet chart according to time.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
I am pregnant and diabetic too. I just want a proper diet chart according to time.
You may be able to control gestational diabetes by eating well and exercising regularly. This means you won't need to take medication. Sugar (glucose) is one of your body's main sources of energy. Your body uses a hormone called insulin to control the amount of sugar in your blood and to turn it into fuel. But pregnancy hormones reduce the effect of insulin, so your body has to make more to be able to use any sugar in your blood. If you have gestational diabetes, your body isn't producing enough insulin. As a result, your blood sugar levels can get very high and that can lead to problems for your baby. It's possible to keep your blood sugar levels under control by changing what you eat and combining your new healthy diet with regular exercise. In fact, up to 90 per cent of women with gestational diabetes control it this way. DIET There are two types of carbohydrate that give you energy when you eat them. They are: complex carbohydrates, or starch simple carbohydrates, or sugars Sometimes, complex carbohydrates are described as good carbs, and simple carbohydrates as bad. But this doesn't give the whole picture. Simple carbohydrates include added sugars, such as table sugar and honey, as well as natural sugars, found in fruit and milk. Eating plenty of fruit and some dairy products is a healthy thing to do. So when people call simple sugars bad carbs, they are talking about added sugars. If you have gestational diabetes and you have too many foods and drinks high in added sugars, it can upset your blood glucose control. It's not healthy for people without diabetes, either. At least half the energy in our diets should come from carbohydrate, mostly as starchy carbohydrates. Starchy carbohydrates are: bread rice pasta grains potatoes Try to have wholegrain varieties where possible. They provide extra fibre, which is important for your digestion. If you have gestational diabetes, the types of food and drink you'll be advised to have are no different from the type of healthy diet everyone should have. Your food should be high in complex carbohydrates and low in saturated fat. You should not have added sugars, although you won't have to cut them out completely. It's best if you eat fruit, milk and yoghurts as part of a mixed meal. Your body will then absorb the simple sugars in the juice or dairy food more slowly. That's because the sugars are mixed with other food elements, such as fibre and protein. AND USE LOW GLYCEMIC INDEX FOODS LIKE pasta made with durum wheat flour apples, oranges, pears, peaches beans and lentils sweetcorn porridge Eat plenty of high-fibre foods. These foods tend to have a low GI. This may help to keep your blood sugar levels from going too high after meals. High-fibre foods include: fresh fruit and vegetables wholegrain breads and cereals dried peas, beans and pulses.
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I am 36 years old I am suffering from diabetics from last 3 year and suffering from back pain. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 36 years old I am suffering from diabetics from last 3 year and suffering from back pain. Please advise.
Kindly show me a photograph of the affected part. Cotrol diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 34 years man. I have a wife and child. Our family life completed 5 years. Now I am facing a problem is premature ejaculation. I can control less than 1 minute when I entered vagina. I have no other diseases like sugar high blood pressure etc. I am 162 cm height and 70 kg weight. If you suggest any remedy I am very thankful to you.

MBBS
General Physician, Cuttack
I am 34 years man. I have a wife and child. Our family life completed 5 years. Now I am facing a problem is premature...
You are having premature ejaculation. It may be due to 1. Anxiety, depression 2. Fatigue, stress 3. Relationship issues, performance anxiety, 4. Consumption of alcohol, tobacco etc 5you can take the following measures a) avoid stress, anxiety, depression b) avoid alcohol and tobacco consumption c) go for regular exercise d) lead a healthy living style e) practice relaxation technique by deep breathing exercise (take deep full breath for 5 seconds, hold it for 3 seconds, exhale slowly for 5 seconds). Do it for 5 minutes without breaking the rhythm. It controls arousals and tension that lead to early ejaculation. F) use condom to reduce sensation g) take foods to increase testosterone like eggs /asparagus/dark chocolate/carrots/oats/ashwagandha/avocado/blue berries/ banana/walnut/cereals/onion/garlic/almonds/bean/ mushroom h)
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Good evening sir I have thyroid since 4 years T3 is 1.18 T4 12.00 TSH 0.03 sir please suggest me is it hypo or hyper is it any effects for pregnancy I tried for 3 and half years but not getting pregnancy and also I have prolactin is 63.1 I used the thyronorm 50 mg sir please suggest me for getting pregnancy.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Good evening sir I have thyroid since 4 years T3 is 1.18 T4 12.00 TSH 0.03
sir please suggest me is it hypo or hyper ...
With so much of TSH variation, I suspect Autoimmune thyroiditis. Thyroid issues along with other metabolic issues, if not properly managed can lead to subfertility/infertility/miscarriage/pregnancy induced diabetes and can even affect the development of the foetus. Treatment for you would not only involve optimization of thyroids but also other related hormones. I follow a very elaborate protocol for this and work closely with the local infertility specialist/center to optimize outcome.
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My uric acid level is 6.2 and heels are paining too much. What should I do? any thing to avoid in diet?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My uric acid level is 6.2 and heels are paining too much. What should I do? any thing to avoid in diet?
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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Is there a permanent cure for diabetes when no insulin medicine is required to be taken.

PG Diploma in yoga, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sangli
Is there a permanent cure for diabetes when no insulin medicine is required to be taken.
Yes of course we can slowly taper your allopathic medicines by shifting you to ayurvedic medicine conditins apply for diet & exercise.
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I am taking thyrox 50 and my TSH is 3.88. II have heard that in Allopathy you have to take the medicine for life long but in homeopathy its not the case. I want to switch over to homeopathy. May I know the homeopathy medicine name which I can start taking instead of thyrox 50 for the treatment of thyroid and for how long I'll have to take the medicine?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am taking thyrox 50 and my TSH is 3.88. II have heard that in Allopathy you have to take the medicine for life long...
Lybrate-user, hypothyroidism is a condition occurring due to deficiency of hormone thyroxine produced by thyroid gland. Thyroxine is an essential hormone required for development and functioning of brain plus takes part in almost every single important metabolic reaction. Therefore, thyroxine has o be supplemented literally every day. Hence, treatment is for life time. Other than that there is no option. Unfortunately no substitute are available. So called cure claimed are really questionable. If you still want to try that medicine, choice is yours. Thanks.
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