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Has anyone had gout?.and is it related to my type diabetes?

Diawara said:
@Grant_Vicat
Im still aware of discomfort in both feet but on a scale of 100 only about 1.so way better .don't know about kidneys is there any signs of symptoms I should be aware of?
I've come back on the forum since about March after lapsing control for a few years
My fasting figures seem to average 7 ish returning to 5 ish pre evening meal.
I've put on weight over the last few years again which I guess haven't helped.
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Although I was kept informed about deteriorating function for over 30 years, I was not aware of any symptoms until I started getting gout and cellulitis. I also appeared jaundiced towards the end. Do you attend a clinic on a regular basis? As your gout should be in your notes, I would guess your kidney function is monitored. Judging by your posts I would doubt that you need to panic. Keep well!
 
Nobody has mentioned purines in food, which I understand to be the main cause. In my case, it's been enough to stop drinking beer to avoid attacks. Other high purine foods include organ meats and some seafood including shellfish. It's probably more important to avoid these than to add things to diet. Don't take brewer's yeast as a supplement either!
 
gettingamoveon said:
Nobody has mentioned purines in food, which I understand to be the main cause. In my case, it's been enough to stop drinking beer to avoid attacks. Other high purine foods include organ meats and some seafood including shellfish. It's probably more important to avoid these than to add things to diet. Don't take brewer's yeast as a supplement either!
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I think this is not true in every case. My doctor said exactly this to me about purines - her words were (iirc) "30% of gout is caused by purines" - I asked her if it was not therefore true that 70% of gout was not caused by purines. She said she'd never thought of it that way.

Beer (low/zero carb), organ meat, and seafood/shellfish feature regularly in my diet. I haven't had a gout attack since 2019, which coincides with me getting my BG back to normal. I'm more inclined to think that in my case at least it was removing inflammation resulting from high BG which has controlled the gout.
 
Diawara said:
At the moment suffering from a bad attack of gout .
I have had it before and it normally gone within a few days.
Taking cider vinegar and cherry concentrate which has helped in the past but don't seem to be doing much at the moment
Don't want to go down the pharmacy route comments appreciated..
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cherry capsules - a herbal choice. keep away from red meats and green leaf veg eg spinach . i have gout in my toes and knees yes it is strange
 
KennyA said:
I think this is not true in every case. My doctor said exactly this to me about purines - her words were (iirc) "30% of gout is caused by purines" - I asked her if it was not therefore true that 70% of gout was not caused by purines. She said she'd never thought of it that way.

Beer (low/zero carb), organ meat, and seafood/shellfish feature regularly in my diet. I haven't had a gout attack since 2019, which coincides with me getting my BG back to normal. I'm more inclined to think that in my case at least it was removing inflammation resulting from high BG which has controlled the gout.
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I'm sure you're right that there are all sorts of factors involved. I think it's estimated that roughly a third of the bodies uric acid production comes from dietary purines, which might be what your doctor had in mind? In my own case, I'm pretty sure that it's the contribution from dietary purines which tips me over the edge as my attacks have been closely associated with periods of beer drinking - and another time after I started taking brewer's yeast without considering the implications! So if you're having flare ups and don't know why, you'd probably want to look at your purine consumption.
 
gettingamoveon said:
I'm sure you're right that there are all sorts of factors involved. I think it's estimated that roughly a third of the bodies uric acid production comes from dietary purines, which might be what your doctor had in mind? In my own case, I'm pretty sure that it's the contribution from dietary purines which tips me over the edge as my attacks have been closely associated with periods of beer drinking - and another time after I started taking brewer's yeast without considering the implications! So if you're having flare ups and don't know why, you'd probably want to look at your purine consumption.
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No, it wasn't anything to do with uric acid production. My point really is that these "X causes Y" things such as "purines cause gout" get repeated when actually the evidence is that they don't, in most cases. From the doctor point of view, purines may well be the single largest observed cause at about 30%, but still only be linked to an overall minority of cases.

As well as the organ meat, shellfish, and beer, I'm also a dedicated consumer of red meat and spinach - and have been gout-free for about six years now. I have absolutely no real idea what caused my gout - high blood glucose leading to impaired kidney function (probably the most likely one)? being very overweight? eating little fat but lots of carbs? Those are what's changed since 2019. As with most things, it's more complex than it may appear.
 
Diawara said:
At the moment suffering from a bad attack of gout .
I have had it before and it normally gone within a few days.
Taking cider vinegar and cherry concentrate which has helped in the past but don't seem to be doing much at the moment
Don't want to go down the pharmacy route comments appreciated..
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I suffered from gout long before my type 1 diagnosis, so I don’t think the two were related.

I am prescribed Allopurinol, which is unbelievable. Since taking that I have not had a single attack of gout, which I know is incredibly painful.

As a result of diabetes I now have CKD, lucky me, so take prescription medication for that to lower BP but there don’t seem to be any adverse effects of taking these combined medications.

I tried all the usual ways to try and relieve or avoid gout, naproxen numbed the pain, but allopurinol stopped it completely, in my case. If you can get prescribed on that you may find your life will be so much better, being pain free. It can only be prescribed by a doctor, so as the medical professional they can advise and decide.
 
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Just a reminder to all that forum rule B13 forbids medical advice but does allow you to describe your own personal experiences or give a link to a reputable source. (Rules are in the introduction and greetings forum, the signature of all moderators and here https://www.diabetes.co.uk/forum/threads/community-ethos-forum-rules.50278/)

So please don't say things like eg
"Stand on your head for twenty minutes each day to relieve your gout"
But instead you could say "Standing on my head for twenty minutes each day helped my gout" or give a link to a source which advocates this.
 
Diawara said:
At the moment suffering from a bad attack of gout .
I have had it before and it normally gone within a few days.
Taking cider vinegar and cherry concentrate which has helped in the past but don't seem to be doing much at the moment
Don't want to go down the pharmacy route comments appreciated..
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Aged now 80, I've had Type 1 diabetes for 66 years and have been treated by my GP for gout for the last 30+years. In the early days, the pain lasted a few days. For the last 20 years, my GP prescribes one tablet of Allopurinol to prevent gout and it works, with only very occasional, very short-lasting twinges of pain in one toe
 
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