Diet number 6 for gout, menu with recipes for every day

General rules

Diet No. 6 (Table No. 6 according to Pevzner) was developed by the author with the aim of normalizing the metabolism of organic nitrogen-containing compounds ( purines ), reducing the level of uric acid and its salts in the body resulting from the metabolism of purines and changing the urine reaction to the alkaline side.
The diet is based on the fact that in case of metabolic disorders, in particular, a shift in urine pH below 5.75 (to the acidic side), the formation of sodium urate , which removes uric acid from the body, is reduced. Conditions are created for the formation of crystals of uric acid ( urate ), which are deposited in the joints and kidneys (kidney stones), causing diseases such as gout and urolithiasis , uric acid diathesis , cystinuria , oxaluria . When urine is alkalized, the solubility of urates increases, uric acid is removed from the body and the process of stone formation is disrupted.

Diet number 6 for gout

The therapeutic diet provides for a strict restriction in the diet of foods containing a large amount of purines , oxalic acid and a moderate restriction of sodium chloride (up to 10 g/day). At the same time, foods with an alkalizing effect (milk, vegetables/fruits) are introduced into the diet. There is a slighter limitation of proteins (up to 70-80 g) and fats (up to 80-90 g, mainly refractory). The amount of carbohydrates, in the absence of obesity, is at the level of 400 g. Drinking regimen - free liquid 2 liters or more. The energy value varies between 2700-3000 kcal. Meals for gout are 4-5 times a day, on an empty stomach and in between - drink plenty of fluids.

There are no special requirements for the culinary processing of products, with the exception of the processing of meat, which is prepared only by the cooking method with the need for preliminary short-term (10-15 minutes) boiling of the meat and draining the first broth before further processing, which allows reducing the purine content in the product. Meat dishes and fish can be included in the menu no more than 2-3 times a week (outside the period of exacerbation), and the amount of meat and fish should not exceed 150-170 g/day.

Diet No. 6 for gout, the weekly menu provides for fasting days once a week (fruit days - up to 1.5 kg of vegetables/fruits, cottage cheese-kefir - 1 liter of kefir and 400 g of low-fat cottage cheese), with an increase in the consumption of free food during this period liquid up to 2.5-3 liters (in the absence of contraindications). During an exacerbation, fasting days are carried out every other day. During this period, meat and fish are completely excluded from the diet.

The best option for exacerbation is a vegetarian diet , including fermented milk products, vegetable and milk soups, fruit infusions and herbal teas. This diet quickly alkalinizes the urine and significantly increases the solubility of uric acid .

Diet for gout during an exacerbation

During an exacerbation of gout, a properly selected diet will help get rid of unpleasant painful symptoms and restore the mobility that a person loses during the development of inflammation. You can completely exclude meat and fish products from the menu.

Nutrition for gout involves more frequent fasting days (every other day). In case of exacerbation, you can use the following menu for 1 day:

1. On an empty stomach: half a glass of preheated alkaline mineral water or rosehip decoction (you can use chicory).
2. Breakfast: half a serving of oatmeal porridge (it should be liquid), a glass of milk. 11 o'clock: 1 glass of apple juice. Instead, you can eat raw apples (1 pc.).
3. Lunch: pureed vegetable soup (half a serving), milk-based jelly. 17 hours: carrot or tomato juice (glass).
4. Dinner: half a serving of liquid milk rice porridge, 1 glass of fruit compote (strawberries, pears, apples). 21 hours: a glass of kefir.
5. At night: tea with milk and honey (not advisable for diabetes) or green tea without sugar - 1 glass.

This menu can be used until the symptoms of inflammation in the legs disappear.

Varieties

Variations of Diet No. 6 include Diet 6E . obese patients with similar indications or sometimes to patients with gout during an exacerbation to increase the effectiveness of treatment. Dietary Table 6E has a reduced energy value (1950-2000 Kcal), while the protein content is reduced to 70 g, fat - to 80 g, carbohydrates - to 250 g.

The diet mainly reduces the consumption of carbohydrates, mainly due to simple carbohydrates (sugar, honey, fresh wheat bread, flour and confectionery products, sweets) and to a lesser extent complex carbohydrates (cereals). Meat consumption is limited to 1-2 times a week. Fractional meals are provided up to 5-6 times a day, in small portions, drinking plenty of fluids, alkaline mineral water is especially recommended.

Vegetables and fruits are recommended to be consumed raw, or they can be baked or boiled. The diet is not physiologically complete and can be prescribed for a short period of time.

Authorized Products

It is recommended to include most vegetables in the diet: carrots, white cabbage, zucchini, potatoes, cucumbers, eggplants, tomatoes. Fruits that are extremely healthy include pears, apples, oranges, plums, apricots and various berries. Meats can include turkey, chicken, rabbit. You can eat boiled fish and chicken eggs.

Milk, fermented milk products, low-fat varieties of cheese, low-fat cottage cheese and dishes made from it are especially useful in the diet. It is recommended to include various porridges prepared with diluted milk and pasta into the diet. Among fats, preference is given to vegetable oils, especially olive and flaxseed. It is allowed to introduce white and black bread into the diet.

Sweets allowed: jam, marshmallows, marmalade, marshmallows, non-chocolate candies. Drink - green tea, decoctions of rosehip, wheat bran, chicory, juices of vegetables, fruits, berries, fruit drinks, kvass. Be sure to include lingonberry fruit drinks, cucumber juice (up to 1 glass per day), and weakly mineralized alkaline mineral waters in your diet.

Table of permitted products

Fully or partially limited products

The following are completely excluded from the diet: red meat (beef, pork, lamb) and offal (liver, heart, kidneys), fish (salted, fatty and fried), caviar, canned fish, seafood (shrimp, shellfish), any smoked meats. Limit pork, beef, lamb, and cooking fats. It is necessary to completely avoid foods rich in plant proteins. First of all, these are legumes (beans, lentils, peas, soybeans, beans), various spices (horseradish, pepper, mustard).

Cream cakes, chocolate, salty and spicy cheese pastries, as well as some berries - grapes, raspberries, cranberries, figs - are prohibited. The consumption of foods containing a lot of carbohydrates is limited: bread, pasta, various cereals with meat broth. It is undesirable to introduce mushrooms, spinach, cauliflower, sorrel, peppers, radishes, rhubarb, celery, and asparagus into the diet. Drinks include cocoa, tea and coffee. Limit salt consumption. Drinking alcohol, especially red wines, cognac and beer, is completely unacceptable.

Table of prohibited products

What should you not eat if you have gout?

If the patient has damage to the joints on the legs, you need to find out what you can’t eat if you have gout. The fact is that while following a diet, some foods (even fruits) are not recommended to be consumed, since they contain a certain amount of purines. It is impossible to cure or at least eliminate symptoms without proper nutrition.

Diet for gout and high uric acid, what not to eat, food table:

The following drinks should not be consumed: any alcohol, especially beer and wine; coffee, cocoa, strong tea (despite the fact that the drinks presented contain purines, they are not broken down into uric acid, however, they have a strong diuretic effect, which promotes dehydration).

Menu

The menu for the week is compiled based on the list of permitted and prohibited foods, taking into account the acceptable methods of culinary processing of foods and the patient’s diet.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Dish recipes

The vinaigrette

Ingredients:

• 3 potatoes;
• 1 beet;
• 1 carrot;
• 100 grams of sauerkraut;
• 2 pickled cucumbers;
• Half a bunch of green onions;
• 50 grams of olive oil;
• A pinch of salt.

Preparation:

Boil potatoes, beets and carrots. Cut all vegetables into cubes, mix with all other ingredients and mix thoroughly.

Curd cupcakes

Ingredients:

• 500 grams of low-fat cottage cheese;
• 150 grams of rice flour;
• 70 grams of pitted cherries;
• 2 eggs;
• ½ tsp. baking powder;
• ½ vanillin
• 2 tbsp. l. stevia.

Preparation:

Mix all ingredients thoroughly, pour the dough into molds and place in an oven preheated to 180 degrees for 20 minutes.

Diet shawarma

Ingredients:

• Armenian lavash for 1 serving;
• 50 grams of boiled chicken fillet;
• ½ cucumber;
• ½ tomato;
• ½ bell pepper;
• Parsley and dill to taste;
• 20 grams of tomato paste.

Preparation:

Lightly grease the pita bread with tomato paste. Cut the meat into small pieces and vegetables into strips, chop the greens. Place all ingredients on pita bread and wrap it. A delicious snack is ready.

Table 6 according to Pevzner will give a very good therapeutic effect if you follow all its rules. Already on the 2-3rd day of following the menu, renal colic stops bothering you, after a week the concentration of uric acid normalizes, the general condition improves, and the patient quickly recovers.

THESE ARTICLES WILL HELP YOU LOSE WEIGHT

Reviews and results

The overwhelming number of reviews indicate that this dietary Table No. 6 is quite effective for gout and allows you to relatively quickly, together with medicinal drugs, relieve an exacerbation and normalize metabolism in the body.

• “... I have been suffering from gout for 15 years, as soon as an exacerbation begins, I go on a diet, and I do a one-day fast, then 2-3 days of vegetarian food, and then Table 6 and increase physical activity - I go to the gym. This is how I save myself”;
• “... I am 45 years old and I have also had gout for almost 10 years. Twice a year, at least attacks, Uric acid goes off scale, almost twice the norm. Probably because the kidneys are sick. The pain is severe, such that I move around the house on crutches. I relieve pain with Ketanov tablets and immediately go on a diet. I practice fasting days, drink a lot of fluids. Usually after 2-3 weeks it gradually goes away, and I return to normal life.”