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

Location

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Apollo Hospitals

Plot No. 1 A, Bhat GIDC Estate, GandhinagarAhmedabad Get Directions
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Sir I have sugar since 2 year. So, please suggest me a good medicine to this problem?

MBBS
General Physician, Cuttack
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
2 people found this helpful
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I am 27 years old female, I have thyroid problem, please give some suggestion to reduction thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
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.
1 person found this helpful
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I have sugar 350 what diet I should do I have stopped tablets pls suggest me I am 35 years old male.

DM - Endocrinology
Endocrinologist, Hyderabad
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.
3 people found this helpful
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BHMS
Homeopath, Solan

Kidneys - How Diabetes Affect It?

Post Graduate Program In Diabetologist, MBBS
Diabetologist, Mumbai
Kidneys - How Diabetes Affect It?

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:

  1. 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.
  2. 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.
  3. 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.

2713 people found this helpful

I am 28 years old I have thyroid and I got married dec 1st 2014 and would like to know I have not yet conceived.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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,
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What is symptoms of diabetes? How I recover from type 1 diabetes? What is difference between human actrapid and human insucare medicine?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
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.
1 person found this helpful
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I have frequent problem with uric acid from 7. 1 to 8. 2. A weeks medication subsides the problem to recurr every year. Kindly advice

BAMS
General Physician, Delhi
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.
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I'm 20 years old and suffering from diabetes. Its making me restless. And its is type 2. Can it be cured completely with in no time?

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!
1 person found this helpful
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Yesterday I took IMODIUM 4 MG TABLET. And day after tomorrow my TSH levels are -74.28 are they related Ps-. A month ago my TSH level was 18 and I was taking 50 mcg my doctor prescribed me 75 mcg and after that my results were 74.28 .Please help me I need help.

BHMS
Homeopath, Secunderabad
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.
1 person found this helpful
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Tonic for Hypothyroidism

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Tonic for Hypothyroidism

Tonic for Hypothyroidism

7 people found this helpful

My name is sanjib paul. How to control my diabetes without medicine please tell me doctor.

MBBS, cc USG
General Physician, Gurgaon
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
2 people found this helpful
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My sugar level is 154 in spit of taking all prescribed medicine. Met form 1000 twice a day. Advice

MBBS, Diploma in Diabetology, DDM, CCACCD
Diabetologist, Mumbai
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.
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My blood test report shows that total leukocyte Count is 13200cells/cu mm RBC 4.3 million/cu mm and uric acid is 7.2mg/dl. I am 24 years old. What could be the reasons of such high/low readings? What precautions need to be taken?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
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.
17 people found this helpful
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What is the cure for acute urinary tract infection My mother is a diabetic and has recurring urinary infections Any cure ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
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.
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I have diabetes since last 2 years. Can you please suggest diet plan and lifestyle to keep it under control. I am taking both allopathic and ayurvedic medicine.

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.
6 people found this helpful
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Dear sir my sis had all type of diabetic side effect wil you please suggest me to get her in good health.

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
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I was prescribed Pre Aldonil 150 in place of Pre Aldonil 75, which I am taking presently. The doctor went abroad soon after advising me this, and is not going to be reachable for a long time. I cannot find 150 in Mumbai market. My chemist suggests I take 2x75 instead if 1x150 once daily. Is it safe for me to accept this suggestion? A quick and clear answer will be much appreciated. Thanks!

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
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
2 people found this helpful
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I am a 54 years old male working as a clerk with bsnl. My parents are diabetic and takes insulin two times a day. I am regularly walking for an hour not taking any sweets and taking zoryil m1 11/2 tab morning and 1 tab at night. But still my fasting sugar is 242 today how can I control my sugar level I am not having bp or cholestrol. I am 6.1" tall and my weight 90kg.

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.
1 person found this helpful
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I suffer from thyroid and I am Over weight. Can you please suggest me to reduce it. Please.

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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