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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 35 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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What can be the diet of a north indian, suffering from fissures? sugar ranges from ff 110 to pm 135. With glycomet sr 500 twice a day.

BAMS
General Physician, Delhi
Normal diet but restriction of spices. Maintain sugar levels so fissures get healed, as you know diabetes delayed healing.
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I am a diabtise patient can I take sugar of small amount daily ?

PGDD, RD
Dietitian/Nutritionist,
I am a diabtise patient can I take sugar of small amount daily ?
Sugar can only be planned into your diet depending on your blood sugar, hypoglycemic episodes, activity levels and long term sugar maintenance. If chronic diabetic better to avoid.
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What r symptoms of thyroid?

MD - Internal Medicine, MBBS
Endocrinologist,
What r symptoms of thyroid?
thyroid two types 1.Symptoms of hypothyroidism:- tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, hair loss, difficulty in concentrating and at times in speech. 2. symptoms of hyperthyroidism:---all metabolic activity increases, heart rate goes up, patient may loose weight, early tiredness, sweating, nervousness, mood swings, palpitations & irregular heart beats, trouble sleeping, dry skin, light menstrual periods or skipping them, increased frequency of bowel movements.
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Hi, my brother is having diabetes, and haemoglobin count is very less. Could you please suggest any tablet that will increase manufacturing of blood in his body looking forward for your response thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Regarding online consultation there are certain points which all should know and follow. 1) the description of the diseases should be complete in all respects, including any tests done and any medicines already taking. Just saying I have diabetes since 10 years and taking metformin cannot help a discerning doctor a scientific advice. 2) your place and name and mail id and phone number should be in the question. It is necessary at times to know where you stay to give a good advice. (for example if there the climate is warm or cold and many other factors) 3) it is necessary to keep in regular touch for some diseases like diabetes and hypertension. So make it a point to be in touch by asking private questions. And repeat the essential point of the previous question to give a continuing answer. All these are said with intention to give a scientifically correct answer and talk as if in a regular consultation about which I am very keen to. 4) for personalised attention and follow up ask privately and it is better to make online payment if you are asked to by the doctor. It involves his time and dedication to give you expert advice after studying your problem. Ask personally in case of doubts about any medical matter. 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.
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I am 64 year old male having burning sensation in both the feet. I am in the border line of diabetic. I was advised by the doctor to control diet rather than taking any medicine. What is the cause and solution ?

C.S.C, D.C.H, M.B.B.S
General Physician,
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. Www. Lybrate. Com/drsajeev your prolonged pre diabetic stage may be the cause of burning sensation as a result of diabetic neuropathy. Get back privately with your results. Fbs. 2 hr ppbs,& hba1c.
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Sir, I am 49 years male. Recently I found sugar in my blood and urine. Already I have bp complaint also. Pl suggest what type of food and fruits should I take.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
First thing is take proper anti diabetic drugs to control blood sugar. Also take proper anti hypertensive treatment. As regards the food no direct sugar and sweets, avoid deep fried foods, mutton. You may eat fruits like papaya, orange, water melons, apple, guava, pear and jamun. Exercise regularly. Maintain your weight near normal.
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I am 62 years old and diabetic since last three years. Though my sugar level is controlled, I am having itching problems in both of my legs between knee and ankle. Skin has become somewhat blackish and at some places whitish. Please advise me the course of remedy for the same.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Nanded
I am 62 years old and diabetic since last three years. Though my sugar level is controlled, I am having itching probl...
Correct irregular eating sleeping habits then only you see changes avoid curd paneer fermented food day time sleeping after food and late night eating avoid overeating of food and frequent eatings for more details consult privetly.
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Diabetes - 6 Natural Remedies that Will Help You Manage it

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Diabetes - 6 Natural Remedies that Will Help You Manage it

Diabetes is a chronic metabolic disorder that results in higher level of blood sugar in the body. It is assuming epidemic proportions and India has become the new diabetic capital with more than 50 million diabetic people. The main problem with diabetes is that it does not completely go away and there is a whole myriad of issues that it brings along with it. Heart attack, stroke, eyesight problems, delayed wound healing, nerve damage and impotence. Therefore, diabetes and by that we mainly mean blood sugar level has to be managed so that there is a delay in onset of the associated conditions and/or reduced in severity.

Ayurveda refers to diabetes as Prameha (excessive urination) and Madhumeha (sugary urine) and has identified close to 20 forms of the disease. According to Ayurvedic belief, each disease is caused due to imbalance in kapha, pitta, and vata doshas and diabetes is caused by all these, predominantly by kapha. With any stream of medicine, management of diabetes involves two tracks – one is lifestyle changes and the second is medications.

Lifestyle changes include the following:

  1. Diet: Reduce the amount of rice, sugar, potato, sweet fruits, maida, deep fried foods, and red meat. Protein-rich foods like lentils, soya, green leafy vegetables and fish should be increased. Diet plan should change to small, frequent meals instead of binge eating.

  2. Exercise: Include 30 minutes of regular exercise into your daily routine if you have a diabetic predisposition.

  3. Others: Avoid smoking and alcohol, ensure sufficient sleep, avoid sleeping during day time, improved foot and eye care, periodically check sugar levels and manage stress levels.

Medication

Ayurveda has a whole lot of home remedies which have proven to be very effective against diabetes:

  1. Jambhul: Eugenia Jambolana whether eaten raw or juice extract has been shown to have beneficial effects in managing sugar levels and cholesterol.
  2. Gymnema sylvestre: Used to manage diabetes for over 2000 years, it reduces sugar cravings and is being touted as the future for diabetes treatment.

  3. Bitter gourd (Momordica charantia): It has 3 components that give it strong antidiabetic properties. The charantin reduces blood sugar levels; the polypeptide has insulin-like effects; and lectin that again has hypoglycemic effects.

  4. Bel (Aegle marmelos): Also known as wood apple, leaves of the plant are shown to have antidiabetic properties. 5 to 10 leaves can be chewed on a daily basis to help control blood sugar levels.

  5. Fenugreek (Trigonella foenum graecum): Consuming 10 g of fenugreek seeds soaked in water increases the amount of insulin produced, thereby increasing sugar breakdown.

  6. Neem: Chewing about 4 to 5 leaves in the morning on an empty stomach helps to control blood sugar levels. Alternately, neem leaves powder is available which can be dissolved in water and consumed.

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I am 35 yrs old lady having hypo-thyroid for past 13 yrs. I was on eltroxin (150mg) but could not continue from past 1.5 months. 24 days back tsh level was 78ulu/ml which has now shooted to 251ulu/ml. Although am not feeling any significant change in my health, would like to know the immediate consquences of tsh level going further high.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 35 yrs old lady having hypo-thyroid for past 13 yrs. I was on eltroxin (150mg) but could not continue from past ...
If you have been advised to take thyroxine tablets daily, there is no way you can discontinue them. Because hypothyroidism means thyroid gland is not producing thyroxine in enough quantity or not at all. Tsh (thyroid stimulating hormone) is secreted by pituitary gland to make thyroid produce throxine. So if it is not producing it then more tsh will be released. Since you have stopped the taking eltroxin tsh levels are bound to go up. I suggest you start the the same tablet straight away. You may not be having any symptoms but the bad effects of absence of that hormone are already working in your system and you may suddenly get some difficulties. Do not stop taking thyroxine (eltroxin).
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My father has diabetes. Nd prostate operation done inspite of that there is urine inconsistencY nd he does not sense ať night he doing in bed so wht we do?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
My father has diabetes. Nd prostate operation done inspite of that there is urine inconsistencY nd he does not sense ...
I will advise quick check up if any of the warning signals stated below, are there to rule out cancer. Early cancer if detected early can be cured and person can lead a normal life. Warning signals are: 1. Chronic cough, 2. A sore that does not heal for a long time. 3. Unusual bleeding from any site of the body. 4. Unusual lump or swelling on any part of the body. 5. Sudden loss of weight or general weakness. 6. Unexplained fever of long duration with night sweats, itching in the body. 7. Dificulty in swallowing solid foods or alternate diarrhoe aand constipation.
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I am 48 years old, I am suffering from diabetic, have frozen shoulder problem, what is the reason and how to cure? Please help me.

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
I  am 48 years old, I am suffering from diabetic, have frozen shoulder problem, what is the reason and how to cure? P...
Frozen shoulder is known complication of uncontrolled diabertes. Regular exercise is the only solution to avoid . Frozen shoulder is damage and stiffness of the capsule of joint and losing its softness. The supporting ligaments gets harder and harder day by day causing pain while attempting any movement, hence slow and steady physiotherapy under medication of anti-inflammatory tablets like flexon, combiflam etc and good sugar control is the only way out.
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Mujhe diabetes hai jo is wakt badi huyi hai aur is samay mujhe gas ki problem hai jiski wajah se hame ghabrahat ho rhi hai koi upaay bataye.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mujhe diabetes hai jo is wakt badi huyi hai aur is samay mujhe gas ki problem hai jiski wajah se hame ghabrahat ho rh...
Mr. lybrate-user Bihari, First and foremeost is to achieve a strict blood glucose control. Ideally FBS should be closer to 100 mg, PP 150 to 160 mh & HbA1c%<6.8. If this achieved, plus if you exercise regularly for 1 hour a day, most of the problems can be controlled. Since you have not mentioned any details about blood glucose levels, HbA1c% and current treatment, drugs and dosage also whether you exercise daily. Without any of this information it very difficult to comment or give any suggestions. Thanks.
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I have hypothyroidism with TSH= 6.82 and T3, T4 normal from past few years. But my weight does not increase. It remain stable. I am 28 tears old and underweight with only 47 Kg from past many years. As per symptoms I shud gain weight. I am not on any medication. Pls help.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I have hypothyroidism with TSH= 6.82 and T3, T4 normal from past few years. But my weight does not increase. It remai...
Please do a test of Thyroid profile again to check your current levels. Also you can do a complete body scan tests just to make sure there are no other problems. In addition you can try to enhance your diet. To gain some weight, you need to eat healthy. Take small meals but eat something solid every 2 hours. 1. Take at least two fruits per day and one glass fruit juice. 2. Take one peanut butter sandwich daily. 3. Eat 20 almonds / cashew daily 4. Drink full cream milk, curd, lassi, chikoo shakes etc. 5. If your are non veg you can have more eggs, chicken, fish. 6. Dals have good protien. Have more rajma, kabuli chana, soya beans etc. 7. Avoid junk food and colas. Avoid chips and other namkeen. 8. No need for any supplements. Nature has best products. 9. Go for regular walks / exercise / do yoga. Sleep well. - Take deworming tablets every six month. Feel confident about yourself and be positive.
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My mom is suffering from diabetes and she is on insulin. But than also her diabetes is always above the reading table. Need help how to recover from it.

MBBS
General Physician, Cuttack
My mom is suffering from diabetes and she is on insulin. But than also her diabetes is always above the reading table...
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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Sir my mother is 55 years old and suffers from sugar, she is taking medicines and now sugar is under control. But My question is what type of food should she take to keep the sugar under control. Pls help me if possible suggest the food name.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Sir my mother is 55 years old and suffers from sugar, she is taking medicines and now sugar is under control. But My ...
Avoid sugar, fruit juices, fried food and junk food. Exercise regularly and take medicine prescribed by your doctor.
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How can control the diabetes and blood presure?

M.D. Internal Medicine
Endocrinologist,
How can control the diabetes and blood presure?
You need to take suitable medicine for diabetes and blood pressure control along with salt, oil, sugar, jeggary restrictions in your diet. Eat nutritious food with complex carbohydrates, lots fiber in form of vegetables fruits, sprouts, nuts in your diet with regular exercise 30 to 45 minutes- walking,/gym,/sports activity/yoga.
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Hi sir my thyroid test had come 20 my doctor has advised to take thyronorm 50 mcg, pls help me know the diet to make this disease disappear from my body and for healthy living because of it my weight is increasing.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Hi sir my thyroid test had come 20 my doctor has advised to take thyronorm 50 mcg, pls help me know the diet to make ...
Balanced diet helps in controlling all disease and nutritional deficiencies aggrevate them. Abundand fruits and vegetables in diet have all essential nutrients with best bioavailability to the body. And so this diet is the balanced and most natural diet. This normalises weight, nutrients and balance in the body. Breakfast= fruits only. Abundant amount. Lunch/dinner= half plate salad, 1 katori sprouts, green vegetables 2 to 3 katori, daal 2 to 3 katori, only 1 roti in one meal. Evening time fruits are also good. Stop having: milk, milk products, refined foods, packaged food of any kind like bread namkeen buiscuits maida etc. As these have all kinds of adulteration now a days with reports of urea level exceeding the limit even in mother dairy milk. Do light excercise for two hours daily slowly without straining yourself. Have plenty of fluids and water daily.
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I am diagnosed for hypothyroidism with 8.5 tsh. I am advised to take eltroxin 25. I have severe skin allergies and 11.5 hemoglobin. Any problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hypothyroidism has to be treated by thyroxine hormone. Skin allergy and low hb are separate issues. They need to be treated wuthering specific drugs. Low hb can affect your ability to work, so take cap vitcifol 1 at night for at least 4 months.
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I am 50 years old and I have diabetic fill sleepy but can't get good sleep plus always get mussel pull while sleeping can you help me.

BHMS
Homeopath, Faridabad
I am 50 years old and I have diabetic fill sleepy but can't get good sleep plus always get mussel pull while sleeping...
Hello, take Rhus tox. 200 ch, 5 drops , twice daily. Mag phos 6x , 6 tabs with hot water twice daily. Revert after 7 days.
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