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Mixed problems ,new member-

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Inka said:
I strongly advise you to buy a blood glucose meter @adamtype2gout It sounds like your blood glucose is still high as you have frequent urination and sleepiness. The two meters most recommended here on the forum for cheapness and reliability are the Gluco Navii and the Spirit Healthcare Tee2.
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Actually not sure about my liver and have had nafld diagnosed some years ago,raising concerns with nhs but nurse dissmissed me and my worries point blank.They never question the Dr and the nurses arent qualified enough to really help if you need anything changed.Feet swollen ,painful red.hot.Much worse after increase in metfomin So something wrong.Buying a meter should come soon.See what it says.
 
Good to hear you are getting a meter. Fatty liver will be contributing to your diabetes problems but a low carb diet or a very low calorie diet (Newcastle or Fast 800) should improve that and your diabetes in general. The meter will help you to see which foods cause you personally blood glucose upheaval and it can be highly individual and which foods your body will tolerate better and in what portion size.
Obviously you need to avoid foods which upset your gout but my guess is that improving your Blood Glucose control will also help your gout and the meter and self testing will give you the knowledge and insight to do that effectively.
 
Hi @adamtype2gout
I suffered from gout, so know where you are coming from - I have heard that the relatively few females with this have said its the closest pain to that of childbirth 😱
Its urate crystals accumulating in your joint that cause it - like having needles in your joint.
1203370-gout-infographic-2-1-1024x805.png

The big toe joint is affected most (a doctor told me) since its the most stressed joint as we havent evolved completely yet for upright walking and that joint isnt totally flat (he said to look at footprints in sand). I always wondered why it was usually there first.

I also understand about your problems in diet - the things you should eat a lot of for diabetes (let first me say I am no expert on that, being relatively newly diagnosed) are very often on the list of ones to be avoided because of gout. The diet 'Venn Diagram' ends up with a very small 'what you can eat' intersection.

I was lucky that I had my gout under control before this diabetes malarky, so had already loosened up on my gout diet.
My personal main one was stopping drinking beer.
But, its part diet, part DNA to very varying degrees - you can have people who can drink beer like a fish etc and never have it, others who have it with good diet.
I never realised peas and pulses were really bad for gout, for example

But I am praying it doesnt come back! Then I will be between a rock and a hard place as I am sure you feel you are.

Are you on Allopurinal? that keeps your Uric acid levels down - I did take it but, like I said, got it under control and dont any more, for now

The little advice I can give is that I would get a blood glucose finger meter so that you can identify what, and when during the day, you are eating is affecting your glucose levels - then you might find that you can eat mre than you think. I also felt more in control after doing that, and found that later in the day I could eat far more carbs etc, and that some things had less effect than I thought they were.

So, unfortunately, I cant give much advice, just moral support
People often laugh when I say I have gout (imagining a partying of excess 🙂 ) but they wouldn't laugh if they had it.

Best

Leigh
 
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Essex said:
Hi @adamtype2gout
I suffered from gout, so know where you are coming from - I have heard that the relatively few females with this have said its the closest pain to that of childbirth 😱
Its urate crystals accumulating in your joint that cause it - like having needles in your joint.
1203370-gout-infographic-2-1-1024x805.png

The big toe joint is affected most (a doctor told me) since its the most stressed joint as we havent evolved completely yet for upright walking and that joint isnt totally flat (he said to look at footprints in sand). I always wondered why it was usually there first.

I also understand about your problems in diet - the things you should eat a lot of for diabetes (let first me say I am no expert on that, being relatively newly diagnosed) are very often on the list of ones to be avoided because of gout. The diet 'Venn Diagram' ends up with a very small 'what you can eat' intersection.

I was lucky that I had my gout under control before this diabetes malarky, so had already loosened up on my gout diet.
My personal main one was stopping drinking beer.
But, its part diet, part DNA to very varying degrees - you can have people who can drink beer like a fish etc and never have it, others who have it with good diet.
I never realised peas and pulses were really bad for gout, for example

But I am praying it doesnt come back! Then I will be between a rock and a hard place as I am sure you feel you are.

Are you on Allopurinal? that keeps your Uric acid levels down - I did take it but, like I said, got it under control and dont any more, for now

The little advice I can give is that I would get a blood glucose finger meter so that you can identify what, and when during the day, you are eating is affecting your glucose levels - then you might find that you can eat mre than you think. I also felt more in control after doing that, and found that later in the day I could eat far more carbs etc, and that some things had less effect than I thought they were.

So, unfortunately, I cant give much advice, just moral support
People often laugh when I say I have gout (imagining a partying of excess 🙂 ) but they wouldn't laugh if they had it.

Best

Leigh
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Ive added cheese back into my diet,Im hoping that having avoided it since i was diagnosed it will help and ive upped my metformin ,which im going to asking to change to slow release to make it possible to spread the effect as it seems that it might help make it more digestable .I am taking a magnesium tablet now and then ,not sure that this will help,or is helping.Im not keen on taking another drug but if i keep on having attacks i guess i will have to.Im cutting out peas and pulses for now,im hoping i can still have peanut butter in small amounts ..Thanks for your post makes me feel better.Meter in post and drs booked for foot examination .
 
My gout was typical very concentrated around the big toe
images


I also recently found out that I was lactose intolerant, which makes it all even more restricted 🙂 But its far easier than I thought to just get non-lactose things and cut some stuff out.

My attitude to all this is that I am actually relieved to find out these things that are already wrong with me as they explain a lot of things, and once I get on top of them I feel so much better than I did before, years, even decades younger

My gout first kicked off in my mid 20's and I was told for years that it was just ill fitting shoes! When I worked out what it was and what was triggering it (mostly beer, which I was drinking too much off anyway) and stopped that, it very nearly disappeared (although joints damaged)

My lactose intolerance explained why I was so very extremely bloated, and when I stopped eating lactose my severe acid reflux (attributed to a hiatal hernia, diagnosed via an endoscopy) disappeared completely and I could stop taking pantoprazole.

Same with depression / anxiety; finally accepted it was a problem, took some drugs whilst I sorted it out with a professional and am now happier than I have been since I was 20 (now 54) and realise just how dead/terrified I was inside for decades). Soon, having sorted the root problem whilst the drugs were making it possible, I will stop taking the escitalapram. But if I need them again I wont hesitate - if I have a headache I take Paracetamol.

Now, the latest is the Type 2, and now that these wonderful people on this forum have helped me start to understand things, I have changed my diet wrt carbs (and not hugely, I really just eat more healthily and watch what I have for breakfast) and now I am not having mid-morning low blood sugar dizziness extreme fatigue etc. and am already feeling much better. My blood meter helped so much here and was even fun.

So, glass half full 🙂

 
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@Essex so glad you're feeling positive! Sounds like you've had a terrible time but you're not going to let these issues beat you. Best wishes.
 
Christy said:
@Essex so glad you're feeling positive! Sounds like you've had a terrible time but you're not going to let these issues beat you. Best wishes.
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Thanks Christy
But honestly the less good times were when I didnt know what, or even if anything' was wrong. Now Im getting better which is no mean feat at 55
And none of the above is that bad, just part of shuffling further along this mortal coil towards the inevitable
I am very lucky.
AND i know how to moan and winge, just ask my OH.
 
My feet are terrible ,no longer sure i know the problem- seems all the pain is where i cut my nails short.I no longer have any idea how to do this,if this is what happens!..Frightening
 
The doc will know if its gout. Blood tests show your euric acid levels too.
My pain came in waves - 'attacks' and was defo from that big toe joint but touching any part of my big toe was not a pleasant experience, especially if it got pulled away from rhe toes - The big toe bent in towards my toes too. that was me tho.
Best
Leigh
 
adamtype2gout said:
Problems became worse recently,which led to finding out that i was type 2 ,had been aware of a possible problem for about 2 yrs-never got around to a test.I suffer gout and type 2 and im having problems .
My local Dr surgery seem uninterested in offering support and I do not have a good relationship with them.I had my first offer of help when driving,and phoned back directly only to find out id missed the offer of possible help and the receptionist says i have to wait due to covid,to get another and they are very busy.I was eating a diabetic low sugar low carb diet but the metformin and the diet left me with a gout flare up. Now -I'm struggling to find something(anything) to eat that doesn't cause problems.
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I know very little about gout but I suggest you attack the "what can I eat" problem by starting with a menu you know will not exacerbate your gout. Then improve that menu by testing after meals to see what food portions might need adjustment for better blood glucose levels. This is how I did that myself: Test, Review, Adjust
adamtype2gout said:
The nurse says im on the edge of getting a full blown type 1.
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Others have answered that. Avoid that nurse like the plague in future.
 
Alan S said:
I know very little about gout but I suggest you attack the "what can I eat" problem by starting with a menu you know will not exacerbate your gout. Then improve that menu by testing after meals to see what food portions might need adjustment for better blood glucose levels. This is how I did that myself: Test, Review, Adjust

Others have answered that. Avoid that nurse like the plague in future.
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Only seem to be offered underqualified nurses ,maybe busy with jabs-seems to be only thing that matters to the surgery.Saw one about my feet,she was no foot specialist although she was helpful and with any luck ,i will get someday to see someone qualified .
 
feet got much worse after increasing medication..sudden stop as couldnt stand the pain from my feet ,now red bloated and full of water-dont think its gout,reaction to met,listed all over some other sites and forums.Maybe kidney problems-but most defiantely getting worse with met-.Very worried as high reading trying to slug out a low carb diet and excercise ,as im not that fit ---but i have to wait for all the swelling to go down first NHS were terrible they should of listened and just put me on another medication.
 
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I'm no doctor, so don't take my word for it - but that doesn't sound like gout to me (although you could also have that I guess)
I'd get down to the doctor's
 
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