Does Having Gout Increase My Chances Of Developing Diabetes?

Many of the people who suffer from gout also suffer from diabetes or eventually will. Both diseases have been with us for thousands of years. Having one condition elevates the risk of developing the other. The possibility of a connection was affirmed in the late 18th century but again it doesn’t take a rocket scientist to come to this conclusion. This is obviously due to the fact that gout is linked with obesity, hypertension and little exercise or high blood pressure.

Diabetes a disease of high blood sugar is also associated with obesity, hypertension, not enough physical activity and high blood pressure. Gout and diabetes are metabolic disorders and if you have both diseases or either one, strong chances they may have been inherited from your genetic makeup. But more likely than that, you probably had the same bad eating habits that both or one of your parents had and then went on to develop gout and/or diabetes, by watching your mom or dad, you instilled those bad eating habits and allowed it to happen to you.

Furthermore, both diseases are associated with poor blood circulation in the body especially the limbs and insulin resistance in diabetes plays a big part in the potential development of gout. Remember that in some advanced cases of diabetes, gangrene occurs in the foot making amputation necessary.

Sadly, both diseases can also kill you and lead you to a poorer quality of life. But it’s the poor circulation, the most likely reason why the risk of gout is relatively high in people with diabetes. Poor blood circulation means you may experience higher uric acid levels, making the kidneys work slowly and inefficiently in releasing it out to your urine. In addition, your blood may be overly acidic and your pH levels are off balance.

Tart Cherry Extract for Gout

Evidence of gout and diabetes

New studies indicate that you have a 20% increased chance of developing diabetes and 40% increases risk of developing kidney disease if you have high levels of uric acid in your blood. A study conducted by Dr. Eswar Krishnan who is an assistant professor of rheumatology at Stanford University researched over a span of 3 years about 2000 men who had gout from a Veterans Administration database and note that none of these men had been diagnosed with neither diabetes nor kidney disease at the beginning of this study.

What they found was that 9% of men with gout who had high levels of uric acid developed diabetes compared to 6% of men whose uric acid levels were in the normal range. For those veterans who had high uric acid levels had a 19% increased risk of developing diabetes.

Another study conducted by the famous gout researcher H.K. Choi and also included Dr. Eswar Krishnan evaluated men with a high cardiovascular risk profile who had gout and the future risk of developing type 2 diabetes. They concluded that those men with gout and a high cardiovascular profile had an increased risk of developing type 2 diabetes later in life; and the importance of maintaining an aggressive healthy lifestyle of a proper diet and exercise.

Diabetes is usually divided as Type 1 and Type 2. Type 1 consists of about 10-15% of all diabetics and is associated more to genetic inheritance. Type 2 consists of about 85-90% of all diabetics and this is primarily caused by the pancreas failing to produce enough insulin that your body requires but Type 2 diabetes may be maintained with a healthy diet and exercise. Insulin is required to convert glucose/sugar from the food you eat into energy but diabetics produce no insulin or produce very little causing the glucose/sugar levels to stay in your blood stream.

Here is what you can do to lessen your risk of developing diabetes as a gout sufferer:

  •  If you are obese or overweight, make sure to lose weight going back to your ideal weight. Pay attention to your BMI index and monitor your weight often.
  • Exercise regularly, this will obviously help control your weight, may help improve your glucose intolerance with type 2 diabetes, and may help improve your blood pressure which may support healthy uric acid levels, helping you avoid another gout attack too!
  • Avoid alcohol since uric acid levels always rise when having a beer, spirit or wine and may also lower your risk of type 2 diabetes. People who drink often especially beer drinkers are also usually more obese.
  • Eat a healthier diet, a diet comprising of 80% carbohydrates (food as grown from the earth) 10% protein and 10% fat is key to helping support healthy uric acid levels and may decrease your risk of becoming a diabetic.
  • Limit sugar and avoid high-fructose corn syrup beverages and foods that may help avoid a gout attack and developing diabetes.
  • Drink plenty of water, as a gout sufferer try and drink at least 12 glasses of water a day.

Posted by Spiro Koulouris

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    18 replies to "Gout and Diabetes"

    • Luis Geigel

      Hi Spiro and thanks for your prompt response. In order to avoid more gout attacks avoided all alcohol and all animal protein. It worked, no more gout flares or attacks.Yet I was eating too many carbs, even though they were whole wheat, except white potatoes and rice of course. It appears this reliance on carbs brought about my diabetes. So now I’m doing low carb, not keto, with a few ounces of animal protein 3 times a week and my diabetes is controlled. Your suggestion of 80% 100% whole wheat/grain is scary. Way too many carbs. And aren’t beans full of purines? Right now with low carb my A1c is 5.8, right at the borderline. So I’ll stick with what I’m doing but thanks anyway for your concern.

      • Spiro Koulouris

        Hi Luis!

        Yes the diet I promote is more for gout sufferers only but when you suffer from diabetes as well, then alterations are needed. As for beans, they are not comparable to eating meat let’s say, they are higher in the plant based foods category but again not sufficient enough to raise uric acid levels for the majority of people. Obviously there are exceptions to every rule.

        Good luck!

    • Luis Geigel

      Was diagnosed with diabetes last January after having gout for over 15 years. Diet has become a dilemma since we are left with cheese, eggs and veggies basically. While milk and yogurt are good for gout they are bad for diabetes. Try and find a nutritionist that handles both, it’s almost impossible. Are you on Facebook? Maybe we can start a gout and diabetes group to help us deal with this double whammy.

      • Spiro Koulouris

        Hi Luis!

        I have a friend that reversed his diabetes with strict dieting and exercise. He ate like I told him to, with the 80-10-10 diet of eating 80% of your daily calories as complex carbohydrates, not refined carbohydrates so that consists of fresh vegetables, 1 fruit max a day, beans for protein, 100% whole grain breads, 100% whole grain pastas and 100% whole grain rice.

        10% of your daily calories can be lean meats such as turkey, chicken breast, fish and very little red meat.

        Final 10% of your daily calories can be fat as in low fat greek yogurt, cheese, eggs, milk, butter etc…

        Drink only water, herbal teas and coffee. Avoid alcohol and sugary beverages.

        Avoid all processed foods and meats. Do not fry. Eat your food either baked, boiled or raw. There are plenty of tasty recipes to get you going on the web.

        Try this and let me know how your diabetes is in 3 months.

        Good luck!

    • Carolyn Fletcher

      I am a new subscriber to your newsletter and am interested in what you feel about this issue of mine. I have type 2 diabetes and gout. I have not been able to find a diet that treats both of these diseases.

      One is high in protein and fat and not much fruit at all. The other is very low amounts of protein, fats and has way more fruit than I am eating for blood sugar issues. I would love to find a happy medium regarding my choices of foods to eat. I would like to try your 80-10-10 approach. Do you feel this would have an effect on my blood sugar levels?

      I usually avoid carbohydrates in the forms you recommend. I just had my A1C and uric acid levels tested and AlC is 5.6 and uric acid 6.6, which my Dr. feels is not bad. I would like to have them be better. Can you answer me about this issue?

      Thank you,
      Carolyn Fletcher

      • Spiro Koulouris

        Hi Carolyn!

        Yes if you suffer from diabetes as well, take out the fruit and any other food that can spike sugar levels, for example eating too many beets can have a negative effect on diabetics. Protein also affects gout sufferers and diabetics. So minimize protein intake to 10% of your daily calories. So basically skip the fruit. Only drink water, herbal teas and coffee. No sugary beverages. Watch your sauces too, condiments,,,many hidden sugars in there too!

        Good luck!

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