The first of today’s short gout questions is graph uric acid level.

Graph Uric Acid LevelIt seems a strange question. Graph uric acid level against what? A particular gout treatment? A particular gout diet? Let me explain uric acid levels in general terms, then you can interpret your data against particular aspects of your own gout treatment or lifestyle.

The most important thing about uric acid level graphs is that they will fluctuate. Uric acid levels rise and fall throughout the day, and from day to day. The graph shows a typical uric acid profile – up and down, but if you are managing your gout properly, the average trend should be downward, bottoming at 5mg/dL.

Even then, you are not getting the full picture from a uric acid test. You only measure the amount that is dissolved in blood. Other uric acid that has crystallized in your body goes unmeasured. In fact, uric acid levels from a blood test often fall during a gout attack as uric acid has moved from your blood into your joints or under your skin as tophi.

Bear those factors in mind when you interpret your own results. Then you can assess how much benefit you are getting from a particular gout treatment or a change in your gout diet.

If you are using your doctor’s results, you should discuss them and ask for explanations of any significant changes. More importantly you should ask for advice about how you can keep uric acid levels below 6mg/dL. At this level, you will gradually get rid of any uric acid crystals in your body, and stop forming new ones – the nearest thing to a complete cure for gout.

If you are using results from your own home uric acid meter, as I mentioned in yesterday’s newsletter, try to test at the same time each day, and make note of any significant diet or treatment changes.

Remember, once you have had gout, even if you get uric acid levels back down, you need to monitor your uric acid levels at least twice a year to ensure they are not creeping up again. Anything over 7 mg/dL is dangerous. Best to take action at 6.4 mg/dL – the level below which uric acid crystals do not usually form.

If you have more questions about uric acid meters please ask below.


  • Scott

    Must I go to a lab to be tested, Is there a “home test” for measuring uric acid levels? Reccomendations. I am really interested in grafing and measuring my uric acid levels.

    p.s. I very much appreciate this website!

  • scott

    I’ve been following a focused gout diet including lots of water and the proper foods. I feel like I’m starting to see some relief in my hand and feet. There was a lot of swelling for 2 1/2 weeks. Is it common to have sore joints in the foot bones (26 of them) after an episode??

    • Any joint can get attacked by gout, and the longer it is left untreated, the worse it gets. Attacks happen more frequently, and involve more joints as more crystals build up throughout the body.

      Diet and water are only tools that might help you keep gout at bay, but like all tools, they only help when you use them properly.

      For any gout treatment to be effective, whether dietary or medicinal, it is vital that you measure uric acid frequently. This is best done by your doctor, but there are also home uric acid monitoring test kits.

      If you cannot see a falling average trend, then you have no way of knowing if the gout pain you are experiencing is from new crystals forming (bad), or old ones dissolving (good)

  • buster

    I purchased the Kernel uric acid meter and found it to be not very accurate e-mailed company they sent me some control soultion but it did not help e-mailed company again and they have ignored me I would not waste your money or trust this meter As stated before company does not stand by there product BUYER BEWARE

    • This is why you should follow my Uric Acid Test Kit guidelines before purchasing a meter. Understand why you need one, then buy from a reliable source. As many people have testified in the gout forums, the UASure meter is reliable, and a real help for controlling uric acid where you cannot rely on a doctor for regular tests.

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