Clash of the diets - Diabetes and Gout

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Clash of the diets - Diabetes and Gout


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Old 03-14-2012, 07:07   #1
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Default 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.

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Old 03-14-2012, 11:21   #2
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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.

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Old 03-14-2012, 11:36   #3
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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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Old 03-14-2012, 13:35   #4
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Thank you both. If the uric acid is up next time I do my blood tests or if I have a second attack I'll get a referal to a specialist.

I thought I was going to need to start the roller coaster ride all over again with yet another disease. Aside from the diabetes I already have hypertension, sleep apnea, IBS (aka we don't know what it is but it's not cancer to live with it!), a bad ankle they want to fuse (and which almost certainly will result in me being unable to walk within the next decade or so), an outtoeing foot deformity that I've had all my life. I know others have it worse, but I'm only 36, I'm the sole breadwinner for the family with 2 young kids, and I sure wasn't looking forward to yet another problem.

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Old 03-17-2012, 00:44   #5
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I was a lucky guy who's elvated uric acid made kidney stones. It SUCKED!!! Largest was 2.5 cm in my right kidney and they had to go in through my back for it. Allopurinol should solve it. I have been on 300 mg at hs and never had another stone. Go get it. I am on the LCHF diet and a BBQ competitor so lots of meat in the diet!

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Old 03-17-2012, 02:57   #6
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Never thought I'd be thankful for my old run-of-the-mill calcium stones! But HCTZ 25mg for the last 15 years has squelched those too.

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Old 03-17-2012, 03:43   #7
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Thats funny, It was the HCTZ, given to me by my best friend for BP, he's my provider, that brought on my stones.

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Old 03-17-2012, 03:51   #8
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Are you serious?! I sure understand now the importance of getting a stone for analysis before treating anything.

And that innocent little diuretic was under suspicion at my house last year when my serum calcium took a steep climb. Turns out it dropped back down by itself (exasperating!) but we were set to stop HCTZ if it hadn't, and I was not a happy camper imagining the kidney stone drill again.Would have had to get REALLY serious about watching my oxalate intake, and that would begin to impact my diabetes diet.

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Old 03-17-2012, 04:05   #9
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Just get a uric acid level done first. I was able to capture a 7mm stone I passed just as I got the ED after 13 hours of "labor" pain. Got it to the urologist and it was 90% uric acid.

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Old 03-17-2012, 04:32   #10
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Quote:
Originally Posted by Yakfishingfool
Just get a uric acid level done first. I was able to capture a 7mm stone I passed just as I got the ED after 13 hours of "labor" pain. Got it to the urologist and it was 90% uric acid.
Ouch!!
I had a problem with recurring kidney stones few years ago, worse than labour pains!
Not sure what happened but all of a sudden I stopped getting them

Sent from my iPhone using Diabetes

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