Times went by when we tried ‘to torture the patient with gout ‘ with excessive diet restrictions, in which almost anything was prohibited to eat. Two factors have changed our way of thinking:
1) With current medications, it is possible to reduce the levels of uric acid to normal levels (below 6 or better 5 mg/dl if it is a tophaceous gout)
2) Because a strict diet in purines (those which produce uric acid) only is capable of reducing the blood levels of uric acid in 10 %.
Nevertheless there exist a few guidelines that every patient with gout must know to avoid acute gout attacks:
1) To correct obesity or overweight
2) Work out 2 or times per week
3) Control blood pressure
4) To restrict to the maximum shellfish, seafood and red meat
5) restrict beer and spirits with high level of alcohol
6) Patients with gout should bear in mind that one of their major enemies are celebrations. A great feast with food and alcohol in abundance can trigger an acute attack of gout
7) On the other hand, and here are the good news, the patient with gout can drink wine moderately since it does not increase the levels of uric acid.
A very frequent question from patients who have a rheumatic disease is if there exists some diet specially indicated to improve, or that may deteriorate his/her disease. If you have the curiosity to googling “rheumatism and diet”, you’ll be surprised at the enormous quantity of information on multiple websites. Most diets are useless or invented. None
has shown a specific benefit to cure or improve rheumatism. I leave Gout apart because this disease deserves a separate few lines
But using common sense, any person can improve his/her general heath status. Mediterranean diet is not specific for rheumatism; this is part of the culture of Mediterranean countries. Mediterranean diet has demonstrated that is possible to live better and longer:
- If you are obese or overweight, lose weight. Combine with exercise
- Eat five times daily
- Use Olive Oil
- Take fruit, vegetables and legumes in abundance
- Eat pasta, but be careful with dressing¡
- Take fish rich in omega 3 (fish such as salmon, sardines, etc.) but keep in mind they are quite caloric
- Take some walnuts, nuts. A few there are caloric
- Eat white meat., chicken, white veal, etc.
- Red meat is only recommended one time every 12-15 days
- Avoid fried food as much as possible (crisps, chips, etc.)
- You may take several eggs a week (5-6)
- Take care with greasy sausages and cheeses.
- Drink one or two glasses of wine a day. But it’s good wine. You know this quote life is too short to drink bad wine
- But mostly especially use your common sense