Dr Goutham Meher

Dr. Goutham Meher

M.D. (Gen. Medicine), D.M. (ENDOCRINOLOGY) Diabetes, Thyroid, Hormones Specialist
One of the foremost Endocrinology specialists in Vijayawada.

Dr. Goutham Meher is a renowned specialist in diabetes, thyroid, and hormonal disorders. With extensive training and experience, he is dedicated to providing comprehensive care for patients with endocrine conditions. Dr. Meher's approach combines the latest medical advancements with personalized treatment plans to manage and improve the quality of life for those with diabetes, thyroid issues, and hormonal imbalances. Known for his compassionate care and expertise, he is committed to educating patients about their conditions and empowering them to take control of their health. Dr. Meher is a trusted name in endocrinology, offering exceptional care and support.

Qualification

  1. D.M. (Endocrinology)

Education

  1. M.B; B.S: Rangaraya Medical College, NTR University of Health Sciences, passed in 1998
  2. M.D.: Kasturba Medical College, Manipal Academy of Higher Education, passed in 2003
  3. D.M.: LLRM medical college, Chaudhary Charan Singh University, passed in 2008

Research areas

  1. M.D.: Risk factor profile in cereberovascular disease
  2. D.M.: A comparative study of examination scores and quantitative sensory testing in the diagnosis of diabetic polyneuropathy

What is Insulin?

Insulin is a hormone produced by the pancreas that plays a crucial role in regulating blood sugar (glucose) levels in the body. It allows cells to absorb glucose from the bloodstream to be used for energy or stored for future use. Proper insulin function is essential for maintaining normal blood sugar levels and overall metabolic health

Types of Insulin

Rapid-Acting Insulin

Begins to work within 15 minutes after injection, peaks in about 1-2 hours, and continues to be effective for 2-4 hours. Examples include

  1. Lispro (Humalog)
  2. Aspart (NovoLog)
  3. Glulisine (Apidra)

Short-Acting Insulin

Takes effect within 30 minutes, peaks in 2-3 hours, and lasts for 3-6 hours. Examples include

  1. Regular insulin (Humulin R, Novolin R)

Intermediate-Acting Insulin

Starts working within 2-4 hours, peaks in 4-12 hours, and is effective for about 12-18 hours. Examples include

  1. NPH (Humulin N, Novolin N)

Long-Acting Insulin

Takes several hours to start working and lasts for about 24 hours. It has no peak, providing a steady level of insulin. Examples include

  1. Glargine (Lantus, Basaglar)
  2. Detemir (Levemir)
  3. Degludec (Tresiba)

Ultra-Long-Acting Insulin

Begins to work within 6 hours and can last for up to 36 hours, providing a very steady level of insulin. Example

  1. Degludec (Tresiba)

Uses of Insulin

Diabetes Management

Insulin therapy is essential for people with type 1 diabetes, where the body does not produce insulin. It is also used for type 2 diabetes when blood sugar levels cannot be controlled with oral medications and lifestyle changes alone.

Hyperkalemia Treatment

Insulin can be used in combination with glucose to treat hyperkalemia (high potassium levels in the blood) by driving potassium from the bloodstream into cells

Gestational Diabetes

Insulin is sometimes used to manage blood sugar levels in pregnant women with gestational diabetes when diet and exercise are insufficient

Diabetic Ketoacidosis (DKA)

Insulin is critical in treating DKA, a potentially life-threatening condition that occurs when the body starts breaking down fats at an abnormal rate, producing ketones and leading to high blood sugar and acid levels in the blood.

Proper insulin administration and dosage are tailored to individual needs based on factors like type of diabetes, blood sugar levels, diet, and activity levels. Regular monitoring and consultation with healthcare providers are essential to manage insulin therapy effectively