Adults Living with Type 2

[jalto2]

My uric acid level is high and I also have diabetes. Elevated uric acid can lead to gout, which is very painful. I am supposed to follow a low purine diet to control the uric acid. However, everything I can eat on the low purine diet is what I shouldn't eat on the diabetic diet. Any suggestions? My latest A1C is 6.5 (up from 6.2). I take Metformin.

Thanks. Jean

[goldensun]

Have you looked at tart cherries?  These can be eaten in small amounts to avoid a sugar spike.  They are an old home remedy for gout.

[LisaMarie528]

Hi Jean. My husband has gout, but is not diabetic. After two horrible gout attacks, he was put on allopurinol. He has not had an attack since (knock on wood). I don't know your circumstances, but you may want to ask your doctor about that. He did not find any effects on a gout diet, not that he followed it all that well.I hope and pray you find a good solution for yourself. Gout attacks are hard to suffer thru and hard to watch a loved on suffer thru.

[mollythed Respected Contributor]

My son has both diabetes and gout.  Prior to being diagnosed with diabetes, he had gone back and forth between managing the gout with diet and with medication, but after he was diagnosed with diabetes, he returned to taking medication, so that he would be able eat better for diabetes, with more green veggies and meat.

I suppose its a compromise each person has to make for themself, but that is what worked best for him.

[lizzylou Diabetes Brain Trust]

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jalto2 wrote:

My uric acid level is high and I also have diabetes. Elevated uric acid can lead to gout, which is very painful. I am supposed to follow a low purine diet to control the uric acid. However, everything I can eat on the low purine diet is what I shouldn't eat on the diabetic diet. Any suggestions? My latest A1C is 6.5 (up from 6.2). I take Metformin.

Thanks. Jean

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It would be difficult to follow that diet with just Metformin alone, you'd need more help probably.

There are effective medications for gout, my mother had it and only took medication for it, didn't change her diet.

Talk more about it to the doctor, mention the conflict with the diabetes diet too.

Lizzy 

[14andcounting]

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jalto2 wrote:

My uric acid level is high and I also have diabetes. Elevated uric acid can lead to gout, which is very painful. I am supposed to follow a low purine diet to control the uric acid. However, everything I can eat on the low purine diet is what I shouldn't eat on the diabetic diet. Any suggestions? My latest A1C is 6.5 (up from 6.2). I take Metformin.

Thanks. Jean

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Hi, Jean,

As others have mentioned, there is gout medication. My brother takes this and has for quite a few years with no gout attacks.

I'm ceratinly no expert on gout, but it seems like it's easier to manage than diabetes (esp. if you take meds for gout) and it doesn't have the horrible complications that diabetes does, so I would say, go with the gout medication and follow the appropriate diet and exercise (and meds) for diabetes. But do be sure your doctor is aware of the gout/diabetes combination and can answer questions about med interactions and such.

Good luck!

[dougzz]

Also struggling with diet parameters that seem to conflict for gout and diabetic issues.  Has anyone run across any specific diet plans, info, online tools, etc. for this situation?  Thanks all!

[mollythed Respected Contributor]

My son has gout, and he had been managing it with diet.  When he was diagnosed with diabetes, he and his doctor decided he should go back to medication to help manage gout, so he could focus more on a good diet for diabetes.

[mikenov]

I take Allopurinol for Gout. I was still having issues and then I read about a specific blood pressure medication that can cause it. I can't remember which one but I ended up having to come off of that one due to frequent attacks. I rarely get attacks anymore but still take Allopurinol. 

http://www.livestrong.com/article/319285-foods-and-medications-that-cause-gout/