I have been diagnosed with gout and have type 1 diabetes. Any suggestions about diet?

Amy Campbell


Gout is a type of arthritis caused by high blood uric acid levels. Gout “attacks” joints, often resulting in extreme pain due to a build-up of uric acid crystals. In the past, people with gout used to manage it by making changes in their diet. Today, there are effective medicines that can better treat it and reduce the number of flare-ups. However, dietary changes may still be helpful. A diet for gout limits purines, which are found primarily in animal foods (meat, seafood, poultry and organ meats). You don’t have to stop eating these foods, but it’s a good idea to limit your portions of these foods to about 4 to 6 ounces per day. It’s also important to limit your intake of alcoholic beverages (especially beer) to no more than one to two servings per day, as alcohol can hinder the body’s ability to get rid of uric acid. If you have a flare-up, avoid drinking alcohol until it subsides. Drink plenty of water to help flush out uric acid, and consider adding some fat free or low fat dairy foods to your eating plan, such as nonfat or lowfat milk or yogurt, as some studies show that dairy foods may help prevent gout. Finally, being overweight puts you at risk for gout, so losing weight, if you need to, may lower your chances of a flare-up. A “diet” for gout should not greatly affect your diabetes, provided that you’re controlling or counting your carbohydrates and not missing meals. Consider meeting with a dietitian if you need help with carb counting and/or insulin adjustments around your carb intake, and/or if you’d like guidance for weight loss.