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Gluten-Free Gout Diet

By Janet Renee, MS, RD

You must plan your meals carefully if you have gout and celiac disease or gluten sensitivity so that you adhere to the guidelines of both diets. On a gout diet, the goal is to avoid high purine foods because they increase uric acid production. While following a gluten-free diet you avoid foods containing wheat, rye and barley. Because many foods low in purines contain gluten, you'll need to make some adjustments to your meal planning so that you choose nutritious foods that are both gluten-free and low-to-moderate in purines.

Avoiding Gluten

Wheat, rye and barley are major crops in the United States and, as so, are found in a large variety of foods, making avoidance challenging, but not impossible. What's more, breads and cereals are often recommended on a gout diet because they are low in purines. Check food labels to avoid gluten, and avoid foods made from wheat, rye and barley. Grains are used in the processing of ingredients that may not stand out as containing gluten. The following ingredients may contain gluten: hydrolyzed vegetable protein, malt, malt flavoring, cereal products, modified starch and vegetable gum. Obtaining a full list of gluten-free foods can help you with meal planning.

Avoiding High Purine Foods

The typical diet contains anywhere from 600 to 1,000 milligrams of purines on average. On a purine-restricted diet you aim to stay within the target your doctor sets for you. The typical low-purine diet restricts you to 100 to 150 milligrams per day. Purines are found in many foods, but are particularly rich in organ meats, game meats, anchovies, meat extracts, sardines, scallops, mussels, mackerel, gravies, broths, haddock, herring, shrimp, yeast and yeast extract. Even though these foods are gluten-free, you need to avoid them when following a gout diet.

Meal Planning

On a gluten-free gout diet, you can build your meals and snacks around a variety of vegetables, fruit, low-fat dairy, nuts, seeds, healthy fats, eggs, lean meat and fish, except for fish listed as high in purines. Red meat, poultry, asparagus, cauliflower, mushrooms, spinach, fish and legumes are moderate in purines, so your doctor may provide a recommended limit of servings per day. The University of Pennsylvania Medical Center recommends limiting meat to 3 ounces per meal and 6 ounces daily.

Sample Menu

Fruit with low-fat yogurt and an egg is an example of a good breakfast on a gluten-free gout diet. For lunch you can have rice pasta with tomato sauce and 3 ounces of turkey. When choosing pasta, opt for pasta made from potato, egg, rice, quinoa or another gluten-free source. For dinner you can have 3 ounces of skinless chicken breast, a small baked potato and 1/2 cup of zucchini. Because nutritional needs are highly individual, follow your doctor's recommendations.

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