Uric Acid And Diabetes Diet

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Gout: Forget The Purines; Skip The Sugar?

If gout runs in your family, you’ve probably heard the advice to pass on all the animal protein, which would make Paleo difficult at best. But actually, there’s more to the story: instead of blaming meat, we might want to take a hard look at sugar instead. What Is Gout? Gout is a very painful type of inflammatory arthritis. The best-known symptom is pain in the big toe, but gout can also cause pain in any other joint. Less commonly, it can even cause kidney stones or other completely different symptoms. These problems can show up in “attacks” separated by periods without pain, or they can be chronic and continuous. Gout is more common in men than in women, but rates in both sexes have been steadily increasing for the last couple of decades. The root cause of gout is too much uric acid in the blood (hyperuricemia). Uric acid is actually one of the body’s primary antioxidants, but as always, it’s possible to get too much of a good thing. When there’s too much uric acid in the blood, it crystallizes, and the resulting solid crystals wind up in and around the joints (and occasionally in the kidneys, which is where the kidney stones come from). Conventional wisdom holds th Continue reading >>

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  1. sedeinco

    Clash of the diets - Diabetes and Gout

    Has anyone else had issues with increased uric acid and developing gout when reducing their carb intake and increasing protein? Though there's some overlap (e.g. bread/yeast bad for both) most things listed as being good for controlling gout are bad for diabetes and vice versa. It leaves very little on the table if you'll pardon the pun. Anyone else run into this issue?
    After about 9 months I've got my diabetes under reasonable control in what I hope is a sustainable way. Just did comprehensive bloodwork beginning of this month and my HbA1c has fallen to 5.0 and fasting sugar was at 5.2. This is despite being on holiday for 3 weeks and not always eating right at the start of last month.
    In general I am still having some carbs this time around - previously I had drastically cut carbs and life wasn't worth living - I was leathargic, moody and felt more than a little trapped. HbA1c was 5.4 but that was unsustainable so to see a reduction after reintroducing some carb is fantastic.
    When I've been eating with control in mind I've been living on large (gigantic) bowls of salad - typically lettuce, tomato, cucumber, onion, fetta cheese, spanish olive and vinegar - occassionally carrot or capcicum thrown in too. Also eating chicken (processed and whole), mince beef, steak, egg, ham, salami, and cheese. Re-introducing carb has meant my breakfast is often a rice microwave meal (e.g. thai green curry). Blood sugar seems to be best controlled when I have some carb in the morning to kick start the system. So does energy.
    What isn't so fantastic is that my uric acid levels are up just beyond normal range. I'm pretty sure that I've had one attack of gout - classic symptoms - sensitive painful toes in the middle of the night and couldn't stand sheets touching or resting on them. It can't have been a terrible attack as I was able to get to sleep after an hour and woke up feeling okay.
    So there are some things I now I can do about it. I'm still drinking way too much sugar free softdrink ...and of course I can drink more water. I can cut down on vinegar in my salads. Most of all I think I'm going to have to lay off Salami which I have been eating in large quantities with tomato (no bread)....(Fortunately I've never been a fan of alcohol purely on the basis of taste, so alcohol isn't an issue).They're the "easy" (much sarcasm here) fixes.
    Any other ideas? Helpful suggestions only please.

  2. Frippery

    I had bad gout for about three years - so bad that it had spread to my ankles, knees and even elbow.
    General doctors couldn't help - but a specialist fixed in two months. Today I take one tablet a day for gout and have not had an attack for five years.
    I have been very low carb for two years and do even think about gout foods. I eat salami every day and have wine most days.
    A1c stays at 5.0 and uric acid stays on target - no problems at all.
    So see a specialist for gout and eat for the diabetes only - there was a time I thought that I would have to live with gout for the rest of my life - now I don"t even remember what foods are bad for gout.

  3. Shanny

    Frippery is correct on all counts. I eat strict LCHF; I take one single pill (allopurinol) each day for gout, and I can't remember the last time I had an attack. Allopurinol also protects the kidneys, which is how my doc persuaded me to continue taking it.
    Understand that it does not alleviate attacks, it prevents attacks when you take it conscientiously.

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