The treatment of gout should not only focus on pain relief drugs Gout mostly occurs in middle-aged and elderly men. Middle-aged and elderly people are often prone to atherosclerosis often accompanied by hypertension and diabetes when they start to gain weight, and many of these patients are also obese. The incidence of diabetes is also common in middle-aged and elderly people. Here are some of the reasons why gout is often accompanied by obesity, hypertension and diabetes. Obese people, usually eat too much and consume less, causing excessive fat to accumulate under the skin, abdomen or internal organs. Whenever exertion, hunger, use the stored fat to generate heat for the body’s activities, then fat “burning” ketone bodies produced by the obstruction of blood uric acid excretion, indirectly make the blood uric acid level increased, and induced gout. Some people believe that obese people, their bodies to insulin resistance prone to diabetes. People suffering from hypertension often use diuretics to control blood pressure, diuresis makes extracellular fluid loss, resulting in increased renal tubular reabsorption of uric acid salts, and long-term hypertension causes sclerosis of the renal arteries, which will lead to a decline in kidney function, resulting in a decrease in blood uric acid excretion, and thus a relative increase in blood uric acid concentration and induce gout. Some scholars have found that hypertension, diabetes and hyperuricemia have similar genes, and gout and hyperlipidemia have family heredity, and both have insulin resistance syndrome which produces disorders of sugar, fat and purine metabolism, making gout, obesity, hypertension and diabetes all in one. The reason why gout is often accompanied by obesity, hypertension and diabetes is understood after reading the article. The onset of cardiovascular disease is mostly related to diet, so gout patients should pay attention to a healthy diet.