There is considerable evidence that sugar and fructose are the primary cause of gout, says Gary Taubes.
Taubes also says:
- low-purine diets have a negligible effect on uric acid levels.
- insulin resistance and hyperinsulinemia raised uric acid levels
- alcohol apparently raises uric acid levels
- a defect in fructose metabolism leads to a predisposition to gout
- gout in western populations has paralleled the availability of sugar
"Gouty men have long been reported to suffer higher rates of atherosclerosis and hypertension, while stroke and coronary heart disease are common causes of death. Diabetes is also commonly associated with gout."