People with type 2 diabetes are susceptible to gout attack. Both the conditions co-exist in overweight and obese adults. Resistance to insulin is a common cause of diabetes. According to studies, high uric acid level or hyperuricemia, which causes uric acid crystal build-up in the big toe joints and occasionally in the ankles, feet, knees, wrists and hands, may aggravate insulin resistance.
Moreover, in diabetics, poor blood circulation in the feet tends to increase the risk of uric acid deposition in the feet, triggering inflammation and pain in the affected joints. Both diabetes and gout respond to dietary changes. The goal of the diet for diabetics with gout is to keep the blood sugar and uric acid level in the normal range.
Diet for Diabetics with Gout
Add Dairy to Diet
Studies suggest that low fat dairy benefits diabetics with gout. The risk of type 2 diabetes and gout can be reduced by consuming 16 to 24 ounces of low fat yogurt and skim milk daily.
Eat Whole Grains
Whole grains are the best sources of carbohydrates for diabetics with gout. They are slowly digested, thereby gradually releasing glucose into the blood stream.
Whole grain products such as brown rice, brown bread, and whole grain breakfast cereals and bran should replace the refined carbohydrates in the meals.
Eat Fresh Fruits and Vegetables
Diabetics with gout should eat plenty of fresh fruits and vegetables. A healthy diet contains about four servings of fruits and five servings of vegetables. However, eat fruits rich in fructose such as apples, plums, cherries, grapes, dates, prunes, pear, grapes and peaches in moderation.
People susceptible to both diabetes and gout should consume not more than two cups of high fructose fruits daily. Fruits and vegetables rich in vitamin C such as orange, lime, lemon, bell peppers and tomatoes should be added to the diet. Leafy vegetables, cabbage, cauliflower and broccoli, sources of large number of nutrients essential for healthy living, are important constituents of a balanced diet.
Eat Healthy Protein
Healthy proteins containing moderate amount of purine such as chicken, turkey, beans, soy and legumes can be included in the diet of diabetics suffering from gout. About 15 percent of the daily calorie requirement of gout patients should come from protein.
Eat Healthy Fats
Seeds, nuts, flaxseed, olive oil, vegetable oil and fatty fish should be the main sources of fats in the diet.
Limit Consumption of Fructose
Foods rich in fructose are harmful for diabetics with gouts. Besides boosting the blood sugar level, they tend to increase the risk of gout attack. Diabetics vulnerable to gout should especially avoid sugar rich beverages such as regular soft drinks, beverages and foods containing added sugar or sweetened with corn syrup. High fructose corn syrups are often found in fruit drinks, candy, ice creams, breakfast cereals, desserts and confectionary.
Avoid High Purine Foods
Uric acid is a byproduct of purine metabolism. Purine occurs naturally in the body cells. It is present in almost every animal and plant foods. People susceptible to gout attack should avoid foods with high purine content. Red meat and shellfish such as lobster and shrimp, grain alcohol and beer should be avoided by gout patients.