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Uric Acid And Diabetes Diet

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The Link Between Gout And Diabetes

Is there a link between diabetes and gout, that intense pain you feel in your joints? What is gout and how is it caused? And, if you are diabetic, what is the best way to treat your gout and avoid debilitating attacks? If you have type 2 diabetes, your chances of encountering gout are higher than those of a non-diabetic. And vice versa … having gout boosts the likelihood that you will develop diabetes. Gout is a kind of arthritis that causes a sudden swelling, burning and stiffness in your joints. The pain can be intense. It usually shows up in the big toe first which may turn very red. You can also get attacks of gout in your ankle, knees and other joints. An attack can last for anything up to 10 days before the pain subsides. And there can be long gaps, as much as several years, between attacks of gout. It is estimated that almost 85% of persons who have had an attack of gout once experience another episode within three years. What causes gout? Gout is due to hyperuricemia, a build-up of uric acid in your bloodstream. Uric acid is a waste product your body makes when it breaks down purines. Purines are a type of protein found in many foods and in all the cells in your body. Uri Continue reading >>

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  1. Jennifer72

    Originally Posted by Nicoletti
    That's the theory but it doesn't explain why I've had gout attacks as I do not eat any of the high purine foods, rarely eat fish or seafood, and though I do eat meat, certainly not a lot of it. Many people that FAST get uric acid like in the 14 and 15's. That's eating nothing. Uric acid is produced by the liver when converting fat to energy. 10% of the fatty acid goes to glucose and most of the energy it produces for consumption is ketones.
    THe ketones compete with the uric acid for renal tubular excretiion. [google: "renal tubular excretion ketones uric acid" and you'll see research studies on this in the past century] Having reduced kidney function from diabetes surely doesn't help. My creatinine is always borderline low.

  2. jdm1217

    Originally Posted by Jennifer72
    Many people that FAST get uric acid like in the 14 and 15's. That's eating nothing. Uric acid is produced by the liver when converting fat to energy. 10% of the fatty acid goes to glucose and most of the energy it produces for consumption is ketones.
    THe ketones compete with the uric acid for renal tubular excretiion. [google: "renal tubular excretion ketones uric acid" and you'll see research studies on this in the past century] Having reduced kidney function from diabetes surely doesn't help. My creatinine is always borderline low. So, maybe when suddenly metabolizing fats when that is not ordinarily happening much, as in eating a "normal" diet (or at least not ketogenic) and then suddenly fasting.
    No other way to explain why this does NOT happen with keto-adaptation, as observed by Dr. Phinney. It is NOT simply a matter of metabolizing fats producing uric acid. Keto-adapted folks are metabolizing MORE fat than anyone else but uric acid does not go up. If one is ADAPTED to digesting fat, as in ketosis, no such thing happens. As Dr. Phinney observed in this "thousands" of patients doing LCHFKD, once stabilized (adapted), uric acid was LOWER or the same as it was previously.
    Again, this can happen for a short period DURING the process of adaptation, but does not happen after that. How/why is that? I have no idea, but it is observed reality.
    Let's beware of starting an urban legend here!
    The excretion issue is irrelevant since in a keto-adapted state, there is no elevated uric acid to begin with.

  3. Jennifer72

    I was on a low carb diet for 3 months, around 20-30g of carbs per day, and I did NOT get keto adapted. Last blood test I had before I had to stop it showed URIC ACID level of 8.1 and I experienced WHOLE BODY gout pains all over.. in virtually every joint, including the typical locations in big toe and elbows.
    I also had problems urinating. Felt I had to go all the time and barely anything came out. Also kidney's and tubes between bladder and kidney ached.. I am sure it must of been small stones.
    I had to stop the diet because I couldn't take it anymore.
    I am doing the diet again, but injecting insulin this time to keep blood sugar in 80-95 range all day if possible (instead of the 105-140 range wihtout any insulin).
    Hoping this provides better clearance.
    Also hoping this allopurinol is going to help.
    I am not starting any "urban legend".
    Phinney/Volek say medication is needed for gout sufferers before starting LCHF diet. I'll get you the references if you want. I didn't know I was a gout sufferer until AFTER i started the LCHF (for those three months).

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