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Dr. Goutham Meher

MBBS, MD - General Medicine, DM - Endocrinology

Endocrinologist, Vijayawada

19 Years Experience  ·  300 at clinic
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Dr. Goutham Meher MBBS, MD - General Medicine, DM - Endocrinology Endocrinologist, Vijayawada
19 Years Experience  ·  300 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Goutham Meher
Dr. Goutham Meher is a popular Endocrinologist in Akunuru, Vijayawada. Doctor has been a practicing Endocrinologist for 19 years. Doctor has completed MBBS, MD - General Medicine, DM - Endocrinology . Doctor is currently associated with Gouthams Diabetes & Harmone Care in Akunuru, Vijayawada. Don’t wait in a queue, book an instant appointment online with Dr. Goutham Meher on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 34 years of experience on Lybrate.com. Find the best Endocrinologists online in Vijayawada. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Rangaraya Medical College, Kakinada - 1998
MD - General Medicine - Kasthuriba Medical College, Manipal. - 2003
DM - Endocrinology - LLRM Medical College, Meerut - 2008
Professional Memberships
Indian Medical Association (IMA)

Location

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Gouthams Diabetes & Harmone Care

#29-28/1-61, Kaleswara Rao Road. Landmark:Near Pushpa Hotel Bus Stop.Vijayawada Get Directions
300 at clinic
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It is said that sugar patients can take mango in a restricted quantity. Does it harm type 2 patients too. If they take it, how much and in what frequency they can take it.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
It is said that sugar patients can take mango in a restricted quantity. Does it harm type 2 patients too. If they tak...
It depends on your sugar level, If your sugar level is under control you can take 1 serving of mango i.e 1/2 cup (100 g) of mango but you have to cut down your carbohydrate intake from another meal.
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My thyroid test results are: T3- 2.91 normal values (2.30-4.20) T4- 1.21 (0.89-1.76) TSH- 5.855 (0.550-4.780) ANTI-TPO- 1040 (<60) My test results indicate hypothyroidism but I have contradictory symptoms such as I am losing weight gradually, I have a fast metabolism and frequent bowel movements and also increased heart rate (around 80 BPM). So what is it can you suggest.

BHMS, MBA (Healthcare)
Homeopath, Hubli-Dharwad
My thyroid test results are: T3- 2.91 normal values (2.30-4.20)
T4- 1.21 (0.89-1.76)
TSH- 5.855 (0.550-4.780)
ANTI-TP...
you had done all the hard work to find out the disease but not visited any of the consultant for your problem and now your are asking in this pannel. Anyhow in thyroid T3,T4 and TSH varies a lot and cannot remain same in all stage and as per symptoms and signs narrated by you it appers that you are suffering from Hyperthyroidsm for which our Homeopathy has exceaalnt remedies to help but after taking your detailed case analysis.
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Good morning doctor I am a shopkeeper and I am having blood sugar please help me. please suggest

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Good morning doctor I am a shopkeeper and I am having blood sugar please help me. please suggest
Hello lybrate user, diabetes is much more complicated than you can imagine. You are doing your bit by taking the medicines regularly and that must be much appreciated by your doctors but please remember that it's a ongoing disease process and you will have ups and downs. First you should be aware completely of your sugar and blood pressure levels and just get them controlled them by adjustment of medicines by doctors. Second remember that medicine is just a part of the solution. Your diet and exercise are equally important solutions and can become a part of the problem if you don't watch them. You are young and exercise is your best ally at this juncture. Make use of exercise to do the fine tuning of your diabetes. Third all medicines have side effects but these side effects are better than the effect of disease in the body. I hear so many people crib about side effects of medicines but no one care about the effects of the disease process. Medicines are medicines because they cause less harm than benefit and surely prevent you from getting that bad effect of the disease on the body. Diabetes is going to be with you for life. Treat it as a unwanted guest on your journey. Keep watching it and never let it take the steering wheel. Checking your blood sugar is meant for several goals. If your doctor plans to put you on new set of medication then he requires to see your profile of blood sugars.
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My brother is 40 year old, diabetic since 10 years. On medication, since 1 year on insulin. Since 3 months there is a problem in erection. No desire for sexual activity. Early discharge. All these things are causing depression. Kindly give advice.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My brother is 40 year old, diabetic since 10 years. On medication, since 1 year on insulin.
Since 3 months there is a...
Hi onion is very good vegetable to treat sexual impotence. It increases libido and strengthens reproducing organs. White onions are best for this purpose. Take about 5-10 gm root powder of Ladyfinger in a glass of milk. Add 2 tsp of mishri in this milk and drink it. This will prove helpful in improving sexual vigour. Apply pranacharya gopal oil on your penis and give a massage. It will strengthen your nerves and erection power will get better. You can take ayurvedic medicines too along with this.
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Can you give a diet chart for a thyroid patient, which he or she must have to take daily, to maintain the tsh.

BHMS
Homeopath, Chennai
Homeopathy treats the person as a whole. This means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The Homeopathic thyroid treatment medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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Which is ideal diabetic medicine I am having diabetes since last 16 years I am having Galvus Met 50/500 mg twice daily. Please advise.

MBBS
General Physician, Cuttack
Which is ideal diabetic medicine I am having diabetes since last 16 years I am having Galvus Met 50/500 mg twice dail...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 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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My parents have diabetes. Is there any possibility for me to lead a diabetes free life? I am 27 and obese.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My parents have diabetes. Is there any possibility for me to lead a diabetes free life?
I am 27 and obese.
Lybrate-userji, t2 diabetes does run in families, passes on to children from parents. So there is a real possibility of you getting it too. However, one good thing about t2 dm is that it is a preventable disease. By that it means that if one maintains a healthy modifies lifestyle, one can remain free from it or postpone it for a number of years. Healthy lifestyle means - exercise regularly, for at least 1 hour a day, take a balanced diet, avoid excess sweets, deep fried foods, junk foods, pastries, other bakery items, high milk products, aerated sweetened drinks (colas), fructose corn syrup containing products and highly processed foods. Maintain a normal weight (bmi <23 kg/m2) your present bmi is 27.01 kg/m2, showing definite over weight. That needs to be reduced (ideal body weight + 57 kgs). By following above things you can remain free from diabetes for a considerable number of years. Thanks for the question.
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I have diabetes. My fasting sugar is near about 200 and after meal sugar is around 300. Even after taking medicines and minimum intake of sugar my sugar level is same as described above. Kindly suggest some treatment.

Advanced Aesthetics
Ayurveda, Gulbarga
I have diabetes. My fasting sugar is near about 200 and after meal sugar is around 300. Even after taking medicines a...
Ayurvedic medicenes 1. Madhumardhana churna 1spoon before food 2 times a day 2. Tab-hyponid 1-1 tab 2 times a day after 1 month test and consult.
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I am 66years female. Suffering from diabetes since last 6-7 years mostly controlled with medicines. In2014 I got injury in my right knee, ligaments. There was heavy swelling and pain. I was unable to walk for long time. Still I gave pain and difficulty in walking normally, hence my regular walk is not executed. What type of exercise I should do?

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
I am 66years female. Suffering from diabetes since last 6-7 years mostly controlled with medicines. In2014 I got inju...
good morning could you please upload the reports of your ligament injuries or knee joint injuries so I can evaluate it accordingly to help you in a better way you must have developed osteoarthritis of that particular joint so please upload the reports thank you
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When to go for uric acid test, suffering from muscles pain since 6 months, What are symptoms of increased uric acid levels in body?

C.S.C, D.C.H, M.B.B.S
General Physician,
When to go for uric acid test, suffering from muscles pain since 6 months, What are symptoms of increased uric acid l...
Muscle pain may not be be uric acid and increase in uric acid causes Gout. Also called "gouty arthritis," gout is a painful form of arthritis caused by too much uric acid in the body. The painful flare-ups may be concentrated in the big toe (a symptom known as podagra), as well as swelling and pain in the ankles, knees, feet, wrists or elbows
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Blood-Sugar Control

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Blood-Sugar Control

Your Take-charge Tool Kit

Blood-sugar control

Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin,  diet  exercise, or some combination of these ,you can cut your risk of complication by anywhere from one  third to three quarters. If you’re diagnosed before you develop complications’ it’s possible

To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and  is now remarkably convenient and relatively pain-free.

Lifestyle

Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.

Drugs

Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.

Do you Have Diabetes?

Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.

According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.

Figure your risk factors.

The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes.  Among the most important factors to evaluate are:

 

Family history

If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).

Ethnic group

The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native  Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.

Weight

Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.

Age

Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.

Keep a sharp eye for symptoms

While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:

  • Excessive thirst

 

  • Increased appetite

 

 

 

  • Blurred vision

 

  • Frequent infections

 

 

 

Get tested

Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.

What you can expect

When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.

Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.

Where Do you Stand?

Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll  pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.

One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:

  • If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.

 

  • If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.

 

  • Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.

 

  • When fasting  blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.

 

FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT

Prediabetes             -            110-125                -                      Diet Exercise

Diabetes                   -            126-140                -                      Diet Exercise

Diabetes                   -            150-200                -     Diet Exercise Drugs occasional insulin

Diabetes                   -             200+                     -    Diet Exercise Drugs or 24-hour insulin coverage

type diabetes
2 people found this helpful

Sir I feel Nerve spikes in my legs due to diabetes. Please good tablets in ayurveda/Homeo. I am under medication for diabetes for the last 3 years. I am using Ayurveda Medicine for Sugar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I feel Nerve spikes in my legs due to diabetes. Please good tablets in ayurveda/Homeo. I am under medication for ...
Mr. lybrate-user, If diabetes is under good control then fasting blood glucose should be closer to 100 mg, PP 150 to 160 mg & HbA1 c% <6.8. If good control is not achieved, then many long term complications of diabetes related to eyes (retina), nerves, kidney, peripheral vessels leading to lower limb problems and coronary artery diseases tend occur early. Other than modern medicines, there are no drugs to control blood glucose levels effectively in any of the alternate practices. If you have been able to achieve blood glucose levels as mentioned above then that is really good. Thanks.
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What is the reason for diabetes? What are symptoms of diabetes effected person? What are precautions to be taken if it is in starting stage?

Diploma in Diet and Nutrition, Msc., B.Sc. Biotechnology
Dietitian/Nutritionist, Mumbai
What is the reason for diabetes? What are symptoms of diabetes effected person? What are precautions to be taken if i...
Hi lybrate-user, diabetes is a chronic metabolic disorder that prevents the body to utilise glucose completely or partially. Symptoms include increased thirst, increased urination, increased hunger, weight loss in type 1 diabetes and obesity in type 2 diabetes. Precautions to be taken include- proper and balanced diet, distribution of foods in a systematic way, avoiding foods which are high in glycemic index and exercise. For in detail conversation and diet chart please leave a privet text question stating your current sugar levels, any previous medical history and your occupation.
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My weight is 82 kg, age 49, height 174, male,blood sugar fasting 111 mg/dl, after 2 hours glucose load 113 mg/dl, pulse rate 64 and waist circumference 103 cm dated 30-05-17. Now I want to decrease the weight. Kindly suggest me.

MBBS, MD
Endocrinologist, Delhi
My weight is 82 kg, age 49, height 174, male,blood sugar fasting 111 mg/dl, after 2 hours glucose load 113 mg/dl, pul...
Diet and exercise are both important to reduce weight. Diet should be low calory, low fat and high fibre.In simple language avoid excessive sweets, sugar,sweet fruits, ghee oils of all kind (Refined and nonrefined both, eat a plateful of salad before every major meal. Do not take any thing in between meals. Regular exercise is must which should bew gradually increased up to your capacity. Maintain diet control and exercise.
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Sir my sugar and bp levels are almost normal though im a mild diabetic. But I get profous intermittent sweat on my shoulders and back. What is it related to.

PGD Maternal Child Health, MBBS
General Physician, Akola
Sir my sugar and bp levels are almost normal though im a mild diabetic. But I get profous intermittent sweat on my sh...
It may not have any relation with your Diabetes. It seems there is some element of hyperactivity of sympathetic system causing sweating.
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Hi I am a diabetic n under insulin control. I am taking protinex daily 2 teaspoon with milk to gain weight n muscle. Do you think I have taken d right decision kindly tell me what cud b other food items/routine to meet d above target.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am a diabetic n under insulin control. I am taking protinex daily 2 teaspoon with milk to gain weight n muscle. ...
Mr. Lybrate-user, to build muscle your diet has to have a bit more proteins is right. But most importantly you have to do specific strength building, muscle building exercise along with additional protein intake. 2 tea spoons of protein powder is hardly going to give any quantity required. It will be better if you consume 2 or 3 egg whites daily, that would definitely meet the additional need more adequately tether with powder.
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Hi I didn't take sugar that is I eat only normal food no sugar substance and when I finish my food there is craving for sugar although I dun eat any sweet thing after food but now a days its happening more often and I feel like bas mil jae meetha kuch.

MBBS, MD
Endocrinologist, Delhi
Hi I didn't take sugar that is I eat only normal food no sugar substance and when I finish my food there is craving f...
This is normal human tendency to look for the things which are asked to avoid. Hene nothing unusual with you. Use your will power and please do not take sugar and sweet eatables.
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Sir I am diabetics since 13 years. Till my sugar level is 200 + or- 5 . I am using Galusmet 50/500 i want to use insulin.Can u suggest insulin?

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
If you want to take insulin it requires counseling and monitoring, please consult under private section for further details
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I am diabetic can I use soya crunches in my daily life. If use after workout its or bad.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic can I use soya crunches in my daily life. If use after workout its or bad.
Mr. lybrate-user, If your day's caloric intake is within the requirement of total calories based on weight, height and extent of workout, then there is no problem at all. As soy crunches give a good variety of proteins and probably least carbs. But it is equally important to keep blood glucose level in strict control with fasting closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8. Thanks.
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