Wednesday, June 18, 2014

What do you eat when you have lots of dietary restrictions?

When you need to eat low salt, low cholesterol, low sugar, low purine (for gout) and non-dairy. Be sure to add in to the challenges that one of us needs to lose a bit of weight and one gain weight!

I have found some new recipes online and this site looks good as it labels recipes low sodium, low sugar, gluten free, etc. and you can search that way too (Live Better America). It doesn't have the purine levels but I've made a spread sheet and other cheat sheets based on research based dietary advice that actually showed the purine levels of food as well as providing general guidance.

It is a conundrum as some food that are healthy in other ways (spinach, broccoli, prunes, etc.) are high in purines. In the end diet only has a small effect on gout flares anyway but it is worth trying.

Here's what we figured out. Note total protein is to be below 100g per day from all sources.

Water, coffee, tea, cherry juice, white wine (on occasion)
Beer, fruit juices except cherry
Rice, barley, quinoa
Whole wheat pasta, cereal & bread (limited)
Limited oatmeal
Beans, lentils, split peas
4-6oz per day of skinless chicken breasts, some fish, reduced fat cheese, eggs and occasionally very lean boneless & skinless turkey, beef or pork
Nuts & peanut butter
Any more than that!
Non or low-fat soy milk and Greek yogurt (2 servings per day)
 Any more than that!
All fresh fruit
Dried fruit
Most vegetables especially salad items, carrots, cabbage, beets, potatoes and more
Very limited broccoli, peas, spinach, etc.

Has anyone else figured out the gout dietary issues?
By the way, we won't be making this dish I found on a recipe card in my Mom's old recipe box! Not appealing for so many reasons but it must have been a post WWII item. I know she never fed it to me.

Open-Faced Sandwiches

1 can Spam
1 small onion
6 T. catsup
1/8 lb. butter or margarine
1/2 lb. cheese

Grind Spam and onion. Melt cheese and butter in double boiler. Mix together and add catsup. Spread on half of hamburger buns and put under broiler until hot and bubbly.


  1. It certainly depends on your doctor, but for me it works best to do the all things in moderation rule (however I have no allergies). I do eat low fat everything and do not salt my food but use other spices. My father had gout and if I recall organ meets, sugar, beer and seafood are the baddies. I have calves liver about twice a year and we always call it gout food, lol

    1. You are right about most beer and all organ meats being high in purines. Everything else varies and it is a matter of a daily balance we think. The estimates of how much diet matters are about 15% - 30% so you can't really control it with food but just help.

  2. Touch wood, fingers crossed etc we don't have any major health problems to contend with, though I am very careful with salt as I have borderline high blood pressure. For that reason, I started eating oily fish after being a vegetarian for many years, as it is considered healthy to do so. On our recent luxury train holiday I wrote on the form that I didn't eat any form of meat or tomatoes, which our guide carefully dealt with for me both on the train and in restaurants. I think the no tomatoes rule was the hardest for them to cope with!

    1. Wow, no tomatoes would be very hard. Sounds like a great guide to work it out. Eating out is a challenge with any dietary restrictions.