A good reference book is Gary Taubes' "Why We Get Fat" - on page 197 he states: High uric acid levels cause gout, which is associated with obesity and diabetes.." Previous to that statement, he was describing how insulin "works" on the fat cells and liver to convert carbohydrate to fat (triglycerides). If your husband were to go Low Carb High Fat, he would have a better chance of beating the gout. Look for a doctor who is sympathetic to LCHF, and I also recommend the above book . :)