Gout and Diabetes

Gout and Diabetes

Studies have shown that a link exists between gout and diabetes. Although they are different diseases with different root causes, it appears that one can precipitate the other.

What is gout?

Gout is a type of arthritis that is inflammatory and painful. It is characterized by the over production of uric acid in the blood, that is normally excreted by the kidneys. When the blood uric acid levels remain high due to the body's inability to excrete it, crystals form in and around the joint area, usually the big toe. This results in swelling, pain, and inflammation of the affected joint.

Urate crystals

What is diabetes?

Diabetes is an autoimmune disease, marked by insufficient amount of insulin in the body. Insulin is produced and secreted by the pancreas in response to elevated levels of sugar in the blood. Complications of diabetes include problems with the circulatory system, which can prevent the body from eliminating excess uric acid in the blood, and this is where the link between the two conditions can possibly exist.

Uric acid leaves the body via the kidneys, and if there is a problem with the circulation of blood to the kidneys, the kidneys will not work properly. This is true for any organ of the body that is not getting the proper blood, oxygen and nutrients fed to it. Thus, uric acid is not being effectively excreted, causing blood levels of this chemical to rise.

Gout and Diabetes

With elevated levels of uric acid (hyperuricemia) come the formation of urate crystals that deposit and settle in the joints of the body, resulting in the pain, inflammation, and swelling associated with gout. Therefore, it is possible that having diabetes can be a cause for gout to develop.

Although there are many factors that can cause both diseases, it does not mean that if you have diabetes that you will end up having gout as well, and vice versa. It is the proper management of both conditions that can prevent complications from developing.

Gout and Diabetes

Diabetes management:

To prevent complications of diabetes, you must test your blood sugars several times per day, and take your insulin medication as prescribed by your physician. Many people live with diabetes and successfully manage their disease without problems.

Management of Gout:

After your first gout attack has resolved, there usually is no treatment. However, if your symptoms return, then your physician will prescribe prophylactic medications to prevent further attacks. These medications act to reduce blood uric acid levels in the blood, which will decrease the chances of another attack.

Diet and exercise:

If you have gout, you can reduce your risks of developing diabetes, by eating a healthy diet and getting regular exercise. It is equally important to drink enough water and get the proper amount of rest your body needs. These are tips that anyone can put into practice to stay in optimal health.

by Barb Hicks, RN

 Read more:What causes gout