Acute attack of gout diabetes diet guide of 26 cases.docVIP

 PAGE \* MERGEFORMAT 6 Acute attack of gout diabetes diet guide of 26 cases [Keywords:] diabetes mellitus; gout; dietary guidance June 2005 -2007 in December and were treated 26 cases of diabetes in patients with acute attack of gout, the active and effective treatment and safe and comfortable care, satisfactory results are reported as follows. 1 Clinical data 1.1 General information on 26 cases in this group are in line with gout in diagnostic criteria and 1999 WHO diagnostic criteria for diabetes, all male, aged 32 to 68 years 6 cases of Type 1 diabetes, type 2 diabetes in 20 cases, including 15 with hypertension cases, 8 cases of coronary heart disease, diabetes nephropathy in 2 cases; fasting blood glucose 6.8 ~ 20.0mmol / L, postprandial 2h plasma glucose 11.6 ~ 23.0mmol / L, serum uric acid 465 ~ 986mmol / L, with varying degrees (toe), metatarsal, ankle, knee, etc. redness, swelling, heat, pain, 3 patients have different sizes in different parts of tophi. 1.2 Treatment and outcome of this group of patients with oral colchicine, allopurinol, correct application of insulin, hypoglycemic agents and other treatment, while a strict diet, a week after the joints of patients with red, swollen, hot painful symptoms were relieved, continue for 2 weeks .18 cases of gout symptoms disappeared after the review of uric acid to normal, other patients were significantly lower uric acid. blood sugar steady decline in fasting blood glucose 5.7 ~ 11.2mmol / L, symptoms of the disease under effective control, patient satisfaction. 2 Care 2.1 Diet Care 2.1.1 restricted purine intake during the acute attack of gout, the patient should be controlled daily intake of purine in the 150mg or less. Forbidden consumption of animal organs, bone marrow, sardines and all kinds of poultry such as Han Piaoling higher soup food. edible milk, cereals, vegetables and other low-purine foods. 2.1.2 limit energy intake requirements based on the patient’s care plan to