Diet Has a Limited Role in Managing Gout

October 2, 2020

Dr. Bradley Marder, medical director of nephrology with Horizon Therapeutics, addresses the role of diet in managing gout.

Dr. Bradley Marder, medical director of nephrology with Horizon Therapeutics, explains the role of diet in managing gout: "There is a miconception about how effective diet is in managing gout. Certainly diet is important in managing disease conditions---including gout, hypertension, diabetes, chronic kidney disease---you name it. There is a limited amount of influence that diet can have in really maintaining and treating a patient with gout. So like I said before, you really need to get the uric acid less than 6 mg per dL. And, if diet can get it there, great. But in most patients, the amount of uric acid lowering that you can get from dietary changes, such as eliminating tomatoes or any of the other high uric acids foods, can realy only improve by about 1 to 2 mg per dL.

"Part of the misconceptions about gout is that these patients are just very noncompliant: They don't follow diet instructions, they eat too much, they're obese. When physicians are frustrated that becomes a very easy target---to put it back on patients. I think that misconception really needs to be resolved because patients need more help than they can get by just following stringent dietary guidelines."

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