Whether or not a blood uric acid value of 510 μmol/L must be treated with medication cannot be generalized, but should depend on the patient’s individual situation, and should be treated accordingly under the guidance of a doctor to lower uric acid.
According to the latest treatment guidelines, regardless of men or women, non-same day 2 fasting blood uric acid level more than 420μmol / L, is considered hyperuricemia. For patients with a blood uric acid level of 510μmol/L, they should first undergo a complete examination in a specialized outpatient clinic to be evaluated and clearly diagnosed by a doctor.
The need for medication should be judged according to the condition and the presence of other systemic impairments. When the patient shows only hyperuricemia, uric acid-lowering drug therapy is performed when blood uric acid is ≥540 μmol/L. If the patient is combined with comorbidities such as hypertension, abnormalities of lipid metabolism, diabetes mellitus, and renal insufficiency, uric acid-lowering drug therapy should be initiated at ≥480 μmol/L.
Since elevated blood uric acid can cause gouty attacks, gout stones, impaired renal function and other consequences, early intervention can effectively alleviate disease progression and improve the condition. Patients can first control the uric acid level by improving their lifestyle, such as low purine diet, limiting alcohol, avoiding strenuous exercise, etc., consuming more fresh vegetables, eating a balanced diet, and ensuring daily water intake, etc., which are all effective in lowering uric acid.
When the patient’s blood uric acid reaches 510 μmol / L, should promptly go to the hospital, follow the doctor’s instructions standardized treatment, do not self-medication.