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 26 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.
Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 26 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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MD - Diabetology - AIIMS - 2000
English
Hindi
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Treatment Of Erectile Dysfunction
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Treatment Of Male Sexual Problems
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Treatment Of Female Sexual Problems
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Hypothyroid Treatment
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Allopathy Treatment
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Thyroid Problems Treatment
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Thyroid Disorder Treatment
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Pcod Treatment
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Diabetic Diet Counseling
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Urinary Incontinence (Ui) Treatment
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Diabetes Management
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Jaundice Treatment
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Insulin Treatment
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Pre And Post Delivery Care
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Sperm Donor Program
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Men'S Health
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Adult Diabetes Treatment
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Type 1 Diabetes Treatment
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Pre-Marital Counselling
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Hyperthyroid Treatment
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1
year old
male
asked
you have to get your fasting, PP blood sugar examined and consult diabetologist. In addition to this, you have to go for regular exercise, reduce weight and control diet
27
years old
female
from
Hyderabad asked
Hi, by saying" thyroid problem" are you referring to hypothyroidism? if yes then you will have to start treatment with thyroxine tablets immediately. Dose will depend upon tsh levels and your weight.
Plus you will have to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Consume more of green leafy vegetables, salads and fruits. Use whole grai flour for chapati and roti. Exercise daily for at least 1 hour to avoid weight gain.
30
years old
female
asked
I have sugar 350 what diet I should do I have stopped tablets pls suggest me I am 35 years old male.
U need to take care of diet. Do regular exercise but with sugar value of 350 you will require medicine. Please consult your doctor or you can consult me.
Shared 1 week ago • Featured Tip
Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.
When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.
A few features of this disorder are as follows:
- The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
- Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
- A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.
In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results. If you wish to discuss about any specific problem, you can consult a doctor.
29
years old
female
from
Faridabad asked
do all hormones tests if all normals then you can conceive .
IN HYPOTHYROIDISM:---
Deficiency of thyroxine hormone leading to sluggishness,
tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and
face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is
giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time.
Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk
daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS.
Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta
and bread.
Nutrient-rich foods that improve your health may also benefit your thyroid gland,
antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell
peppers, and other foods rich in antioxidants can improve overall health and benefit the
thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil,
Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial.
Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
24
years old
male
from
Jaipur asked
Mr. Lybrate-user, diabetes mellitus most often does not produce any symptoms, hence many persons fail to detect that they have t2 diabetes. When fully developed it may cause excess urination, excess thirst, excess thirst, excess hunger, unexplained weight loss and tiredness. In type 1 diabetes insulin injection is the only treatment, plus it is required for survival of t1 dm patient. Actrapid is a fast acting insulin, its action begins within 30 minutes of administration. Human regular insulin takes little longer to begin its action and it lasts for about 4 to 5 hours. There are many types of insulins, some are fast acting, some are slow acting and certain act over 24 hours.
54
years old
male
asked
Avoid leafy vegetables along with non veg, try bitter products of daily use in diet i. E garlic, ginger, teeth in raw as well in form of pickle, reply after 2 weeks with reports along with medicines you are taking.
21
years old
male
asked
Basic Life Support (B.L.S), MBBS, MD - Internal Medicine, MD - Consultant Physician, MD - Diabetology, MD - General Medicine, ACLS
General Physician, Hyderabad
Look likes you are type 1 diabetes mellitus. Are you on insulin therapy? what other medicines you take? it's common for young diabetics to have anxiety and depression. Please contact your doctor to get a detailed history from you followed by a thorough physical exam. Good luck!
20
years old
male
from
Delhi asked
May be you repeat it after 2 - 3 months. Give the blood sample (for the thyroid profile) first thing in the morning before taking the thyroid medicine. Till then take the regular medications and be active physically. Eat healthy food. A healthy lifestyle if adhered to with sincerity will improve your thyroid levels in a few months. You can also take the help of Homeopathy if you are interested in holistic medicine.
Shared 1 year ago • Featured Tip
B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Tonic for Hypothyroidism
1
year old
male
asked
Holistic approach In Management of Diabetes are as follows
Self-management education
Nutrition
Physical activity
Smoking cessation
Psychosocial care
Therapeutic targets
Goals in diabetes mellitus are to eliminate symptoms and to prevent, or at least slow, the development of complications.
Microvascular (ie, eye and kidney disease) risk reduction is accomplished through control of glycemia
macrovascular (ie, coronary, cerebrovascular, peripheral vascular) risk reduction, through control of lipids and hypertension
consult Diabetologist/me for further management
year old
male
asked
If you want a tight control of your diabetes. 1 more medicine can be added. But it will depend on your age, co-morbidities, past history etc.
25
years old
male
from
Asansol asked
Mr. Lybrate-user, wbc count is considered normal when it is between 4000 - 11000/ cc. Higher than this (leukocytosis) may be seen in some infections mostly bacteria, in smokers, due to certain inflammatory disorders or certain drugs. You may any one of these reasons for a higher count. As regards rbc 4.3 million is with in the range. This also has to be seen with other parameters like hb level, mcv, mchc, packed cell volume. If all other things are normal then nothing to worry. Uric acid is higher than normal. If you have joint pains then some treatment may be taken to reduce uric acid level. If no such problem then it can be reduced by avoiding organ meat, certain fishes like sardines, trout, herring, scallops, mussels etc. Increase milk intake of milk products and eggs. Avoid alcohol and excessive sweets and sweetened drinks.
59
years old
female
from
Delhi asked
Lybrate-user, in diabetes chance of getting repeated urinary tract infection is quite common. So strict blood glucose control is very essential. Fasting glucose should be closer to 100 mg, pp 150 to 160 mg & hba1c% <7. Plus there has to be appropriate antibiotic treatment of each episode of infection. It may be necessary to get a sensitivity test to see which antibiotic is most effective. But still if hyperglycemia is not controlled urinary tract infection can continue to occur. Thanks.
40
years old
male
from
Bhubaneswar asked
Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
You should not mix allopathic with ayurvedic medicine. Follow one therapy only. As regard diet take simple homely food. Avoid sugar, junk food, fried food and fruit juices. Exercise regularly and take medicene perscribed by your doctor regularly.
39
years old
female
from
Bangalore asked
Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
No details of what type of side effects and Medicines taken Any Diabetic has to keep different blood sugar levels within a range. Proper diet at proper time, regular exercise, prompt medications as advised by doctors are most important things. Blood tests are to be done in Fasting state on getting up , 1 1/2 hours after principal meal and just before dinner. Take these readings to your doctor and take that advice
80
years old
male
from
Mumbai asked
yes its completely safe..its used for diabetic neuropathy .. i think u re diabetic for a long time and have numbness or pains in hands/feet
56
years old
male
from
Palakkad asked
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record.
Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed.
For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
20
years old
female
from
Bagalkot asked
MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Losing weight and keeping it off, is not an easy task and often we are frustrated by failed attempts at doing so. The cause of such failure, mostly, is not making the attempt in a comprehensive and disciplined manner.
A comprehensive lifestyle modification program for weight loss not only helps you lose weight but also leads to significant betterment of blood sugar, lipids, bp levels etc. And thus reduces your health risks of diabetes and cvd but also make you feel more in control of your life. Therefore, if you have not been able to lose weight on your own, should consider getting into one of these.
The components of such a program should be the following:
diet modification and calorie restriction: the diet plan you should follow should be driven by the following principles:
it should be aligned to your eating preferences in terms of food and frequency of eating, as much as possible ; no diet plan (low fat or low carb, 4-5 meals a day or more or less frequent meals etc.) has been prov.
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