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Message: <blockquote data-quote="KennyA" data-source="post: 2603327" data-attributes="member: 517579">You have my sympathies. My opinion is that regular gout attacks would be worse than my T2 diabetes. I have gout. I had the first flare-ups in 2018.   The pain as you will know can be intense.  I have naproxen (for the nsaid effects) and some serious painkillers if needed. The thing is since 2019 I haven't needed them. I had my T2 diagnosed in late 2019 and have since eaten a diet that (if you believe the advice) should have resulted in my gout getting worse. It hasn't. I've had one very minor "reddening and swelling" last year (after starting to play football again) but it went away without pain. I should say that my gout has always been triggered by over-flexing my toes - leading to the dreaded "crunch" in the joint during exercise. I'm now exercising much more than I have for years, and still no gout. I looked behind the advice to see what it was based on (online, I can't recall where now). If I recall correctly - the current wisdom is that apparently around 40% of gout sufferers have high uric acid, therefore uric acid causes gout. And purines lead to high uric acid. So purines are to be avoided, and therefore the foods high in purines etc etc Thing is, on those figures, 60% of gout sufferers do not have high uric acid, so how can it be claimed that uric acid causes gout? There was a similar figure for people with high uric acid who did not have gout. There may be an association but no causality.I'm quite prepared to accept that high uric acid is associated with gout in a minority of cases, and if you're one of those then maybe reducing it, if possible and if you can, would help. What changed for me after diagnosis was that as a result of a 20g/day carb intake my BGs became normal and I lost >60lbs.  My experince therfore tallies with the first point of advice about losing weight.  There's certainly less stress on the big toe joints. This is purely my opinion, but I suspect that as the medical establishment cannot cure gout, it must still be seen to "do something" about it. Advising people to lower uric acid is something that can be done, and they're doing it. It might work for a minority of gout sufferers, which is fine as far as it goes. But it's not exactly evidence-based medicine, and the rest of the dietary advice seems to be a mirror image of the 'eatwell' high carb recommendations.  So I've ignored it, without any consequences.  My diet is high in red meat and full fat dairy, and low in carbs and sugars.  I don't see any reason to alter it.</blockquote>

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